From eminence-based practice to evidence-based practice: a paradigm shift. Journal Articles

abstract

• Evidence-based medicine differs from the traditional approach to health care in that in addition to relying on clinical experience, expert opinion, and knowledge of pathophysiology for clinical decision-making, clinicians identify important knowledge gaps and information needs, formulate answerable questions, identify potentially relevant research, assess the validity of evidence and results, and apply research evidence to individual patients in a way that takes into account the patients' particular experiences, expectations, and values. It is becoming increasingly important that physicians learn the concepts of EBM because many EBM-related concepts have become a part of daily clinical practice. This article uses examples from orthopedics to outline EBM principles and methods and the advantages of EBM over traditional approaches. It also discusses challenges in implementing EBM and suggests EBM-related resources for physicians.

authors

• Bhandari, Mohit
• Zlowodzki, Michael
• Cole, Peter A

status

• published 

publication date

• April 2004

has subject area

• Clinical Competence (MeSH)
• Databases, Factual (MeSH)
• Evidence-Based Medicine (MeSH)
• Forecasting (MeSH)
• Humans (MeSH)
• Minnesota (MeSH)
• Orthopedics (MeSH)
• Practice Guidelines as Topic (MeSH)
• Quality Assurance, Health Care (MeSH)
• Randomized Controlled Trials as Topic (MeSH)

published in

• Minnesota Medicine  Journal

keywords

• Clinical Competence
• Databases, Factual
• Evidence-Based Medicine
• Forecasting
• Humans
• Minnesota
• Orthopedics
• Practice Guidelines as Topic
• Quality Assurance, Health Care
• Randomized Controlled Trials as Topic

PubMed ID

• 15144165

start page

• 51

end page

• 54

volume

• 87

issue

• 4