Evidence-based medicine

Evidence-based medicine is an approach to clinical training and practice that is increasing in popularity. When introduced into the journal club format, it provides an opportunity to integrate real clinical problems with critical evaluation of the psychiatric research literature. The principles of evidence-based medicine and the practicalities of its introduction into the Journal club format are described.

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Bipolar disorder: clinical uncertainty, evidence-based medicine and large-scale randomised trials

The British Journal of Psychiatry ◽

10.1192/bjp.178.41.s191 ◽

2001 ◽

Vol 178 (S41) ◽

pp. s191-s194 ◽

Cited By ~ 25

Author(s):

John Geddes ◽

Guy Goodwin

Keyword(s):

Bipolar Disorder ◽

Evidence Based Medicine ◽

Large Scale ◽

Bipolar Affective Disorder ◽

Research Literature ◽

Evidence Based ◽

Drug Treatments ◽

Clinical Questions ◽

Collaborative Ventures ◽

Based Medicine

BackgroundThe increasing use of the methods of evidence-based medicine to keep up-to-date with the research literature highlights the absence of high-quality evidence in many areas in psychiatry.AimsTo outline current uncertainties in the maintenance treatment of bipolar disorder and to describe some of the decisions involved in designing a large simple trial.MethodWe describe some of the strategies of evidence-based medicine, and how they can be applied in practice, focusing specifically on the area of bipolar disorder.ResultsOne of the key clinical uncertainties in the treatment of bipolar disorder is the place of maintenance drug treatments and their relative efficacy. A large-scale study, the Bipolar Affective Disorder: Lithium Anticonvulsant Evaluation (BALANCE) trial, is proposed to compare the effectiveness of lithium, valproate and the combination of lithium and valproate.ConclusionsProviding reliable answers to key clinical questions in psychiatry will require new approaches to clinical trials. These will need to be far larger than previously appreciated and will therefore need to be collaborative ventures involving front-line clinicians.

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Investing in medical student’s research: Promoting future of evidence based medicine in Nepal

Health Renaissance ◽

10.3126/hren.v11i3.9660 ◽

2014 ◽

Vol 11 (3) ◽

pp. 297-300 ◽

Cited By ~ 1

Author(s):

B Basnet ◽

A Bhandari

Keyword(s):

Evidence Based Medicine ◽

Clinical Training ◽

Medical Curriculum ◽

Publishing Research ◽

Evidence Based ◽

Student Research ◽

Research Activities ◽

Clinical Literature ◽

Dual Degree ◽

Based Medicine

Along with clinical training, encouraging practice of Evidence Based Medicine (EBM) plays a crucial role in training tomorrow’s doctors. Involvement of medical students in research activities is crucial in developing critical thinking, efficient literature-searching, and application of formal rules of evidence in evaluating the clinical literature, and publishing research to contribute to medicine. Though significant progress has been made in the recent years, the concept of student research is relatively new and less implemented in Nepal. Mandatory research in the medical curriculum, electives or dual degree programs can not only promote student research but also enhance better EBM practices among medical professionals. DOI: http://dx.doi.org/10.3126/hren.v11i3.9660 Health Renaissance 2013;11(3):297-300

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