Step 5:

Communication and

Evaluation

Table of Contents• Communication

• Communicate with Your Patients• Video 1• Communicate with Health Profession

als

• Evaluation• Evaluate Yourself• Video 2• How did you do?• Video 3• Case Example 1• Case Example 2

Your results are important to:

• Your patients

• Other health professionals

• Yourself

Communication with Your Patients

• Critical to the success of practicing EBM

• The explanation of the best evidence in terms or risks, benefits, and alternatives is necessary for your patient to make an informed decision.

• Must be in terms that patients understand

Video 1

• View movie as:– QuickTime (.

mov)– Flash (.swf)

• Double-click on video for full-screen mode.

Communication with Other Health Professionals

• Part of the team approach to patient care

• May cause a colleague or an institution to change the standard way of practicing

Evaluation of Yourself

• Ask questions more appropriately

• Seek better solutions

Video 2

• View movie as:– QuickTime (.

mov)– Flash (.swf)

• Double-click on video for full-screen mode.

How did you do?

Are you asking well-built clinical questions

?

• Yes • No

Video 3• View movie

as:– QuickTime

(.mov)– Flash (.swf)

• Double-click on video for full-screen mode.

How did you do?

Are you finding the best evidence available?

• Yes • No

How did you do?

Are you efficient at finding the best evidence?

• Yes • No

How did you do?

Can you appraise your findings?

• Yes • No

Case Example Question

• View movie as:– QuickTime

(.mov)– Flash (.swf)

• Double-click on video for full-screen mode.

A Case Example• If mammograpy is 90%

sensitive and 95% specific, the chance that the patient has breast cancer isA. 1-5% B. 10-

15%C. 60-

65%D. 80-85%

E. 90-95%

Case Example Answer

• View movie as:– QuickTime

(.mov)– Flash (.swf)

• Double-click on video for full-screen mode.

How did you do?

Are you becoming more accurate in applying some of

the critical appraisal measures such as likelihood ratios, NNT,

NNH, and relative risks?

How did you do?

Can you integrate your findings to your patient?

How did you do?

Are you able to communicate your results to your patient in a

way to make him/her better informed?

How did you do?

Are you able to justify why you did or did not follow a clinical decision based on integration

of the evidence with an individual patient?

How did you do?

Are you able to see development in quality

improvement measures as a result of implementing EBM in

daily practice?

Links to Other Websitesand Hands-On Activities

• Evaluation Questions– from the Centre of Evidence

Based Medicine

Congratulations!You have

successfully completed step

5.

The End