Using Evidence-Based Medicine at Point of Care Part 2
Activity
PC Session
PC Session
Practice advising a patient on the risks and benefits of screening, using screening mammography as an example. Use differing approaches to the decision making process (including paternalism and shared decision making), to understand how different approaches may lead to different decisions. Be aware of the “framing effect” and how it might affect the way a patient is advised of the research evidence.
Curriculum Block
Part 3 / Professional Competencies 3 / Week 9
- Indicates most relevant
Objectives
General Objectives
- Appraise, incorporate principles of resource stewardship to, and apply acquired knowledge into medical decision-making.
- Apply principles of evidence-based and evidence-informed medicine in medical decision-making.
- Identify personal limitations in knowledge and pursue the information needed to understand problems and make decisions both in patient care and on the population level.
- Search for and organize essential and accurate research evidence.
Assessments
PC Interim Student Assessment
PC Integrative Exercise
Tags
Basic Sciences
Therapy
CanMEDS Roles
Medical Expert
Scholar
Curriculum Block
Part 3
Professional Competencies 3
Week 9
Curriculum Week
Part 3
Week 9
MCC Presentations
Assessing and Measuring Health Status at the Population Level
McMaster Professional Competency
Medical Decision Making
McMaster Program Competencies
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making
2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare
2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations
2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care.
2.6 Understand the process of the dissemination, application, and translation of new health knowledges and practices.
3.6 Locate, appraise, and incorporate evidence from research related to patients’ health problems and the provision of healthcare
3.7 Use information technology and information systems to optimize patient care
3.8 Obtain and use information about individual patients and their caregivers, populations of patients, or communities with which patients identify to improve care
3.9 Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes
4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds
4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals
4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics
6.2 Identify aspects of the healthcare system that serve as barriers and enablers of providing healthcare to and optimizing the health of patients and the population
6.7 Incorporate cost, risk-benefit analysis and resource stewardship in patient and/or population-based care.
8.5 Recognize that ambiguity is part of clinical health care and respond by utilizing appropriate resources in dealing with uncertainty
MeSH
Medical Informatics [L01.700]
Clinical Decision-Making [E01.055]
Decision Making, Shared [F02.463.785.810.250]
Evidence-Based Medicine [H02.249.750]
Risk [E05.318.740.600.800]
Professional Competency
Yes