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16 Cards in this Set
- Front
- Back
"Practice-based learning and improvement in osteopathic medicine"
is a concept from what? |
Six (7) Fundamental Osteopathic Medical Competencies
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what are the 5 steps of evidence based medicine? (in order)
ON TEST |
ASK (i dont know whats going on I need more info)
ACQUIRE (the info you get) APPRAISE (is the info any good) APPLY (should I and if so, how) ASSESS (how comfortable am I at acquiring this info, etc) |
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what are the 2 types of knowledge?
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background: general fundamental knowledge
foreground: clinical experience |
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describe background knowledge
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Looks for general knowledge about a condition or process
Not specifically related to a particular patient Typically is a relatively short, straightforward question “What is …” “Why …” When …” |
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describe Foreground
knowledge |
Looks for specific information to inform clinical decision-making for a particular patient
use PICO |
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what is PICO
WHITE TEXT (probably on the test) |
P atient and/or problem
I ntervention (exposure) C omparison (if relevant) O utcome PICO: formulating the “good” clinical question |
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what is the usefulness of information equation?
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U= (V x R) / W
U = usefulness V = validity R = relevance W = work to access and understand (how much work it takes to get the info) |
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describe the acquiring info pyramid from bottom to top (7)
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Bottom: lab research
case series/reports case control studies Cohort Randomized controlled clinical trial Systematic review Top: Meta-analysis |
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case series/reports are what
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unique study that someone is putting out there for people to know (that is report, a few is series)
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best study for its validity/accuracy is what?
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meta analysis
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what does a meta-analysis do?
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combines the data from multiple studies and make conclusions from the data
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what is the lowest in accuracy and validity for clinical decision making?
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lab research
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Validity
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closeness of findings to the actual “truth”
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Internal validity
ON TEST |
extent to which the study properly measures what it intends to measure
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External validity
ON TEST |
extent to which the results of this study can be generalized to the patient/population of interest
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Is the study applicable?
Applicability: |
usefulness of the information to my clinical practice needs
Issues of cost, skills, access, practice structure |