You need to:

Si

No

1.      Read a short clinical description and  interpret the key problem and concepts

2.  Create a semantic map of key words useful for searching medical databases. by completing a PICO table

3.     Write a structured clinical question using the key words identified in your PICO table

4.       Give an example of a search strategy for MEDLINE  

5.      List at least 4 medical databases you could use to search for evidence

Take notes on:

What you need to do

Punti

OBJECTIVES

Write the study objectives as a structured  clinical question using PICO (in English or Italian)

2

Study Design

What research methodology was adopted in the study? (e.g. case report, RCT etc)

1

Participants /Setting

a)      describe the patient population of the study (number and characteristics)

b)     describe the study context (hospital-based; community-based, multicentre etc)

1

Intervention(s) 

What health interventions are described in the study (a drug? a surgical procedure? other?) Give accurate details  (e.g drug dosages)

1

Main Outcome Measures

What measures are adopted to see if the clinical objective(s) is/are achieved? (e.g. mortality at 12 months)

1

Indicate METHODOLOGICAL strengths and weaknesses

Use your knowledge of evidence based medicine to identify possible sources of bias (weaknesses) in the study. Identify also  examples of best practice in this study

2

RelatE this study to current evidence:

What does this study add to what  is known already in the medical community? The introduction of  a paper describes this)

1

What is your decision regarding your patient?

Referring to the clinical scenario described in the search skill section of the exam, what is your judgement as the doctor managing the case?

1

Total Marks

10/30

EBM Assessment Criteria

Yes

No

Structure of EBM Presentation: Use this guide to structure your slide presentation

1. Opening slide contains engaging patient centred title, presenter name and institutional affiliation:

   (1 slide)

2. Presents deteailed  patient case clearly with background clinical and social detail.

(1-2 slides: title  Patient Presentaion; It is an advantage for students to use patient cases they have met in the hospital)

3. Provides appropriate clinical background to patient’s pathology  (1-2 slides: Title: Clinical Background)

4. Identifies a clinical problem and  writes a clear well structured clinical query as a starting point for searching for evidence  (e.g. using PICO) (1 slide: Title – Clinical Query or Clinical Question)

5. Identifies key words, concepts and relevant terminology in English  to create a semantic map

(1 slide: Title: Key Search Terms or Key Trerminology)

6. Describes a systematic search strategy demonstrating knowledge of different medical databases with  some examples

(1-2 slides: Title: Search Strategies)

7. Describes filters and inclusion/exclusion criteria for usng evidence, and indicates number of studies included and study designs.  (1 slide: Title: Selection Criteria)

8. Evaluates evidence explaining factors which influence the accuracy or validity of information

(e.g. how up to date it is; possible bias, compare and contrast, methodological factors (e.g. study desigsn and the strength or weakness of the evidence you present)  Consider using a table like this to present your evidence schematically, writing author names for the outcomes they described. (1-2 Slides: Title: Evaluation of Evidence)

9. Balances primary and high quality secondary evidence. Evidence must include most recent up to date papers

10. Relates synthesis of evidence to own patient and explains unresolved issues and/or future directions for research   (1-2 slides: Title: ‘Clinical Messag’e, and or ‘Conclusion’)

11. Bibliography is  formatted using a bibliographic software (e.g. Mendeley, Zotero, Papers,) and is of a professional standard for medical publication  (1-2 slides: Title: References

Quality of Presentation

12. All medical definitions/descriptions and images are referenced professionally on slides using bibliographic software (e.g. Mendeley, Zotero, Papers, Endnote).  Each student must present a minimum of 10 full text papers. Bring these on a pen drive during to the exam. You can include a maximum of 3 secondary reviews. (15+ papers for groups of 2 students)  Evidence must be up to date 

13. Patient confidentiality is maintained and data anonymised. The best presentations will be based on patients you have met and worked with in the hospital during your studies. Permission to use case must be requested form the clinicians responsible (see point 14)

14. Appropriate acknowledgement is made of all public Hospital  data reported (patient records, imaging, laboratory tests etc) and clinicians who have aided you in your work: e.g. Courtesy of Dr. Rossi Azienda Policlinico Umberto I, Rome Italy

15. Communicates effectively (engages audience, uses multimedia support, clear structure & signposting and keeps to timing

TOTAL MARKS

15/30