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Welcome to EBM Jeopardy • Pick a category • Pick a point value • Get an “answer” • Tell us the correct “question” • Win points • To reset the game: close and reopen

Welcome to EBM Jeopardy

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Welcome to EBM Jeopardy. Pick a category Pick a point value Get an “answer” Tell us the correct “question” Win points To reset the game: close and reopen. EBM Jeopardy. EBM/ Building Questions. Study Design. Searching for evidence. Critical Appraisal. Reviewing the data. - PowerPoint PPT Presentation

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Page 1: Welcome to  EBM Jeopardy

Welcome to EBM Jeopardy

• Pick a category• Pick a point value• Get an “answer”• Tell us the correct “question”• Win points• To reset the game: close and

reopen

Page 2: Welcome to  EBM Jeopardy

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EBM/Building

Questions

StudyDesign

Searching for

evidence

CriticalAppraisal

Reviewing the data

EBM Jeopardy

Page 3: Welcome to  EBM Jeopardy

EBM/Building Questions for 100

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ANSWER: These kinds of questions ask for specific knowledge about issues related to managing a patient with a disorder.

QUESTION: What are foreground questions?

Page 4: Welcome to  EBM Jeopardy

EBM/Building Questions for 300

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ANSWER: Patient problem, intervention, comparison and outcome

QUESTION: What are the parts of the PICO?

Page 5: Welcome to  EBM Jeopardy

EBM/Building Questions for 200

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ANSWER: The 4 most common types of questions asked.

QUESTION: What are therapy, diagnosis, etiology (harm) and prognosis?

Page 6: Welcome to  EBM Jeopardy

EBM/Building Questions for 400

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ANSWER:The steps in the EBM cycle.

QUESTION:What is Ask, Acquire, Appraise, Apply, and Act?

Page 7: Welcome to  EBM Jeopardy

EBM/Building Questions for 500

ANSWER: Components of the decision model for EBM.

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QUESTION: What are clinical expertise, sound evidence and patient values?

Page 8: Welcome to  EBM Jeopardy

Study Design for 100

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ANSWER: This study design attempts to obtain greater statistical power than could be achieved by individual small studies.

QUESTION: What is a meta-analysis?

Page 9: Welcome to  EBM Jeopardy

Study Design for 200

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ANSWER: A study design that involves an intervention (an investigator-controlled maneuver, such as a drug, a procedure or a treatment) and investigates the effect the intervention has on the study subjects.

QUESTION:What is an experimental or controlled trial study.

Page 10: Welcome to  EBM Jeopardy

Study Design for 300

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ANSWER: Starts with an exposure and follows the patients forward to observe outcomes

QUESTION: What is a cohort study?

Page 11: Welcome to  EBM Jeopardy

Study Design for 400

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ANSWER: Starts with an outcome and looks back to identify an exposure.

QUESTION: What is a case-control study?

Page 12: Welcome to  EBM Jeopardy

Study Design for 500

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ANSWER: Case-series, case-control, cross-sectional and cohort studies.

QUESTION: What are observational studies?

Page 13: Welcome to  EBM Jeopardy

Searching for evidence for 100

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ANSWER: Hierarchical arrangement of indexing terminology for the Medline database.

QUESTION: What is the Tree structure?

Page 14: Welcome to  EBM Jeopardy

Searching for evidence for 200

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ANSWER: A term that indicates a concept covered in an article.

QUESTION: What is a subject heading or MeSH term?

Page 15: Welcome to  EBM Jeopardy

Searching for evidence for 300

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ANSWER: Collection of databases focusing on clinical trials and systematic reviews.

QUESTION: What is the Cochrane Library?

Page 16: Welcome to  EBM Jeopardy

Searching for evidence for 400

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ANSWER:Search strategies designed to retrieve high quality evidence from published studies.

QUESTION: What are the EBM filters or Clinical Queries?

Page 17: Welcome to  EBM Jeopardy

Searching for evidence for 500

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ANSWER: The Scope Note.

QUESTION: What feature shows the definition and date a MeSH was added to the MEDLINE database?

Page 18: Welcome to  EBM Jeopardy

Critical Appraisal for 100

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ANSWER: A systematic tendency to produce an outcome that differs from the underlying truth.

QUESTION: What is bias?

Page 19: Welcome to  EBM Jeopardy

Critical Appraisal for 200

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ANSWER: The key issues of validity for a therapy study.

QUESTION: What are randomization, follow-up, blinding, similar treatment, and similar groups at the start of the trial?

Page 20: Welcome to  EBM Jeopardy

Critical Appraisal for 300

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ANSWER:Analyzing all patients based on their initial randomization group.

QUESTION: What is intention-to-treat?

Page 21: Welcome to  EBM Jeopardy

Critical Appraisal for 400

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ANSWER: People involved in the study are not aware of who has been assigned to the treatment and to the control.

QUESTION:What is blinding?

Page 22: Welcome to  EBM Jeopardy

Critical Appraisal for 500

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ANSWER: Making sure that those making decisions about patient eligibility and enrollment are unaware of the arm of the study to which the patient will be assigned.

QUESTION: What is concealed allocation?

Page 23: Welcome to  EBM Jeopardy

Reviewing the data for 100

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ANSWER: The number of patients that need to be treated with a specified therapy in order to prevent one additional adverse outcome.

QUESTION: What is Number-Needed-To-Treat?

Page 24: Welcome to  EBM Jeopardy

Reviewing the data for 200

ANSWER: The arithmetic difference between the rates of events in the experimental and control group.

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QUESTION: What is the Absolute Risk Reduction?

Page 25: Welcome to  EBM Jeopardy

Reviewing the data for 300

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ANSWER: Quantifies the uncertainty in measurements by indicating the range within which the true value may lie.

QUESTION: What is a confidence interval?

Page 26: Welcome to  EBM Jeopardy

Reviewing the data for 400

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ANSWER: Refers to the probability that any particular outcome would have arisen by chance.

QUESTION: What is a P value?

Page 27: Welcome to  EBM Jeopardy

Reviewing the data for 500

ANSWER: This occurs when there is more variation between the study results (in a systematic review) than would be expected to occur by chance alone.

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QUESTION:

What is heterogeneity?

Page 28: Welcome to  EBM Jeopardy

Credits

Adapted from I.M.Quizitor97 which was produced by Oregon Health Sciences University Department of Internal Medicine (http://www.ohsu.edu/medicine/residency/imquizitor.html)

According to the I.M.Quizitor website, these files are made available courtesy of their developer, David Shenson, MD, OHSU Internal Medicine Chief Resident 1999-2000. They are free to download and use for educational (non-commercial) purposes only.

Current version edited by Connie Schardt, Medical Center Library, Duke University September 2006.