Browsing by Subject "evidence-based medicine"

Now showing 1 - 7 of 7
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    Courting Apocalypse: Creating a Zombie-Themed Evidence-Based Medicine Game
    (Taylor & Francis, 2017) Blevins, Amy E.; Kiscaden, Elizabeth; Bengtson, Jason; Ruth Lilly Medical Library, School of Medicine
    In 2015, two librarians at the Hardin Library for the Health Sciences at the University of Iowa turned their dreams into a reality and secured funding to build a zombie-themed evidence-based medicine game. The game features a “choose your own adventure” style that takes students through a scenario where a disease outbreak is taking place and a resident is asked to use evidence-based medicine skills to select a screening and diagnostic tool to use on potentially infected patients. Feedback on the game has been positive, and future plans include building additional modules on therapy, harm, and prognosis.
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    Redesigning journal club in residency
    (Dove Medical Press, 2016) Al Achkar, Morhaf; Department of Family Medicine, IU School of Medicine
    The gap between production and implementation of knowledge is the main reason for the suboptimal quality of health care. To eliminate this gap and improve the quality of patient care, journal club (JC) in graduate medical education provides an opportunity for learning the skills of evidence-based medicine. JC, however, continues to face many challenges mainly due to poorly defined goals, inadequate preparation, and lack of interest. This article presents an innovative model to prepare and present JC based on three pillars: dialogical learning through group discussion, mentored residents as peer teachers, and including JC as part of a structured curriculum to learn evidence-based medicine. This engaging model has the potential to transform JC from a moribund session that is daunting for residents into a lively discussion to redefine clinical practice using the most current evidence.
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    Reimagining the research-practice relationship: policy recommendations for informatics-enabled evidence-generation across the US health system
    (Oxford Academic, 2019-01-16) Embi, Peter J.; Richesson, Rachel; Tenenbaum, Jessica; Kannry, Joseph; Friedman, Charles; Sarkar, Indra Neil; Smith, Jeff; Medicine, School of Medicine
    Abstract. The widespread adoption and use of electronic health records and their use to enable learning health systems (LHS) holds great promise to accelerate both evidence-generating medicine (EGM) and evidence-based medicine (EBM), thereby enabling a LHS. In 2016, AMIA convened its 10th annual Policy Invitational to discuss issues key to facilitating the EGM-EBM paradigm at points-of-care (nodes), across organizations (networks), and to ensure viability of this model at scale (sustainability). In this article, we synthesize discussions from the conference and supplements those deliberations with relevant context to inform ongoing policy development. Specifically, we explore and suggest public policies needed to facilitate EGM-EBM activities on a national scale, particularly those policies that can enable and improve clinical and health services research at the point-of-care, accelerate biomedical discovery, and facilitate translation of findings to improve the health of individuals and populations.
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    Reimagining the research-practice relationship: policy recommendations for informatics-enabled evidence-generation across the US health system
    (Oxford Academic, 2019-01-16) Embi, Peter J.; Richesson, Rachel; Tenenbaum, Jessica; Kannry, Joseph; Friedman, Charles; Sarkar, Indra Neil; Smith, Jeff; Medicine, School of Medicine
    Abstract. The widespread adoption and use of electronic health records and their use to enable learning health systems (LHS) holds great promise to accelerate both evidence-generating medicine (EGM) and evidence-based medicine (EBM), thereby enabling a LHS. In 2016, AMIA convened its 10th annual Policy Invitational to discuss issues key to facilitating the EGM-EBM paradigm at points-of-care (nodes), across organizations (networks), and to ensure viability of this model at scale (sustainability). In this article, we synthesize discussions from the conference and supplements those deliberations with relevant context to inform ongoing policy development. Specifically, we explore and suggest public policies needed to facilitate EGM-EBM activities on a national scale, particularly those policies that can enable and improve clinical and health services research at the point-of-care, accelerate biomedical discovery, and facilitate translation of findings to improve the health of individuals and populations
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    Secondary caries: what is it, and how it can be controlled, detected, and managed?
    (Springer, 2020-05) Askar, Haitham; Krois, Joachim; Göstemeyer, Gerd; Bottenberg, Peter; Zero, Domenick; Banerjee, Avijit; Schwendicke, Falk; Cariology, Operative Dentistry and Dental Public Health, School of Dentistry
    Objectives To assess how to control, detect, and treat secondary caries. This review serves to inform a joint ORCA/EFCD consensus process. Methods Systematic and non-systematic reviews were performed or consulted and narratively synthesized. Results Secondary (or recurrent) caries is defined as a lesion associated with restorations or sealants. While the restorative material itself has some influence on secondary caries, further factors like the presence and size of restoration gaps, patients’ caries risk, and the placing dentist’s experience seem more relevant. Current detection methods for secondary caries are only sparsely validated and likely prone for the risk of over-detection. In many patients, it might be prudent to prioritize specific detection methods to avoid invasive overtreatment. Detected secondary caries can be managed either by repair of the defective part of the restoration or its complete replacement. Conclusions There is sparse data towards the nature of secondary caries and how to control, detect, and treat it.
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    The Value of Rehabilitation Interventions --Integrating Evidence, Clinical Expertise, Critical Assessment, and Patient Needs: A Conference Report
    (Elsevier, 2021) Roth, Elliot J.; Hornby, T. George; Physical Medicine and Rehabilitation, School of Medicine
    In order to understand issues related to value, outcomes, and cost-effectiveness of rehabilitation interventions, and to explore how scientific evidence, clinical expertise, and patient needs can be integrated, the Rehabilitation Research and Training Center on Developing Optimal Strategies in Exercise and Survival Skills to Increase Health and Function held a State of the Science (SOS) Symposium on “ The Value of Rehabilitation Interventions” at Shirley Ryan AbilityLab in Chicago in 2017. In this conference, the perspectives of 35 invited experts, including people with disabilities, professionals, and consumers, explored the topic of “value” of rehabilitation interventions and discussed their perspectives on the means to integrate best scientific evidence with clinical expertise and patient preferences. This Symposium also resulted in the production of several multifaceted manuscripts providing perspectives on the topic of value and how to use evidence to best determine and demonstrate it. These papers comprise this Supplement. The present paper introduces the key concepts of value, evidence, and knowledge translation, in an effort to provide a context for the papers of the Supplement.