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  • 10 - Integrating clinical practice and evidence: how to learn and teach evidence-based medicine

    • By Steven Knight, Department of Anaesthetics, Wythenshawe Hospital, Manchester, UK, Andrew Smith, Department of Anaesthetics, Royal Lancaster Infirmary, Lancaster, UK
  • Edited by Ann Møller, KAS Herlev, Copenhagen, Tom Pedersen, Rigshospitalet, Copenhagen
  • Book:
    Evidence-based Anaesthesia and Intensive Care
    Published online:
    05 September 2009
    Print publication:
    09 October 2006, pp 88-102

  • Summary

    The principles of evidence-based medicine (EBM) are well described and the integration of these principles into practice is an important part of the daily work of clinicians. However, three conditions need to be satisfied before EBM will work in practice. This chapter explores some of the obstacles to these conditions, and offers some strategies and practical suggestions to help learn and teach evidence-based anaesthesia. A systematic review and a study using a validated questionnaire have demonstrated significant increases in knowledge and skills of participants in EBM courses. It is important to regard the process of EBM as an integral part of clinical practice and education, rather than it being an "optional extra". The process of implementing evidence-based practice can be made easier by using sources of pre-appraised evidence that present summaries of critically appraised evidence, systematic reviews and other collations of information.