Doctors with the NHS are confronting major changes at work.
While we endeavour to improve the quality of health care, junior doctors'hours have been reduced and the emphasis on continuing medical education has increased.
We are confronted by a growing body of information, much of it invalid or irrelevant to clinical practice.
This article discusses evidence based medicine, a process of turning clinical problems into questions and then systematically locating, appraising, and using contemporaneous research findings as the basis for clinical decisions.
The computerisation of bibliographies and the development of software that permits the rapid location of relevant evidence have made it easier for busy clinicians to make best use of the published literature.
Critical appraisal can be used to determine the validity and applicability of the evidence, which is then used to inform clinical decisions.
Evidence based medicine can be taught to, and practised by, clinicians at all levels of seniority and can be used to close the gulf between good clinical research and clinical practice.
In addition it can help to promote selfdirected learning and teamwork and produce faster and better doctors.
Mots-clés Pascal : Médecine, Résolution problème, Clinique, Prise décision, Médecin, Pratique professionnelle, Méthodologie, Littérature scientifique, Etude critique, Angleterre, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Medicine, Problem solving, Clinic, Decision making, Physician, Professional practice, Methodology, Scientific literature, Critical study, England, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0336720
Code Inist : 002B30A11. Création : 01/03/1996.