Evidence-based medicine: a science of uncertainty and an art of probability.

Evidence-based medicine: a science of uncertainty and an art of probability.
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循证医学:不确定性的科学和概率的艺术。

DOI:
10.1001/virtualmentor.2013.15.1.fred1-1301
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发表时间:
2013
期刊:
The virtual mentor : VM
影响因子:
--
通讯作者:
Rysavy,Matthew
Rysavy,Matthew
中科院分区:
--
文献类型:
--
作者:
Rysavy,Matthew

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以前,临床医生被教导要寻求权威(无论是教科书、专家讲师还是当地资深医生)来解决患者管理问题。循证医学使用其他策略,包括快速追踪与临床问题直接相关的研究出版物,批判性地评估这些研究,并将最佳研究的结果应用于手头的临床问题[10]。剩下的就是历史了。二十年来,Guyatt列出的技能已经成为医疗实践和培训的一个组成部分。今天,几乎所有的美国医学院都将循证医学教学作为必修课的一部分[3],研究生医学教育认证委员会(ACGME)已将循证医学纳入美国住院医师培训要求[3]。
Clinicians were formerly taught to look to authority (whether a textbook, an expert lecturer, or a local senior physician) to resolve issues of patient management. Evidence-based medicine uses additional strategies, including quickly tracking down publications of studies that are directly relevant to the clinical problem, critically appraising these studies, and applying the results of the best studies to the clinical problem at hand [2].The rest is history. In two decades, the skills laid out by Guyatt have become an integral component of medical practice and training. Today, nearly all US medical schools report teaching evidence-based medicine as part of a required course [3], and the Accreditation Council for Graduate Medical Education (ACGME) has incorporated EBM into US residency training requirements [4].
DOI: 10.1056/nejm198604033141406
发表时间: 1986-04-03
影响因子: 158.5
作者:
GUYATT, G;SACKETT, D;PUGSLEY, S
通讯作者: PUGSLEY, S
循证医学和患者选择时代的临床专业知识
DOI: --
发表时间: 2002
期刊: ACP Journal Club
影响因子: --
作者:
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通讯作者: G. Guyatt
对 M.R. Tonelli 的“临床医学中证据的挑战”进行评论。
DOI: 10.1111/j.1365-2753.2010.01406.x
发表时间: 2010
影响因子: 2.4
作者:
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通讯作者: K. Goodman