Evidence Based Clinical Care Curriculum
The Evidence Based Clinical Care Curriculum (EB-CCC) is a year-long clinic curriculum designed to provide residents with the tools to develop clinical questions, search the literature, appropriately critique the literature and present such findings to one’s peers.
This curriculum incorporates four different learning environments: EB-CCC Interactive Series, Journal Club, Academic Half Day and Morning Report.
Academic Half Day
At the beginning of the year, one Academic Half Day will be dedicated to development of clinical questions and skill development for literature searches using a variety of resources, including PubMed, Cochrane Database and Google Scholar.
With the assistance of the medical librarians from the College of Medicine's Donald C. Harrison Health Sciences Library, the Academic Half Day will be held in the computer lab to provide real-time use and training of the online search environment, allowing residents to practice.
Developing Clinical Questions:
- Define PICOTT
- Create a clinical question from a current case using the PICOTT Model
- Using your clinical question, demonstrate a successful article search, including use of medical search headings.
- Explain in simple terms the differences in case control, cohort and randomized control trials.
- Define the five basic types of articles: therapy, diagnosis, prognosis, harm and systematic review.
To demonstrate the utility of evidence-based clinical care with daily patient care, we incorporate the use of our medical librarians during our morning report clinical cases.
Our medical librarians are invited to be a part of the clinical discussion of the presented cases.
At the end of a given noon report session, the attending or chief resident will identify a particular clinical question that came up during the discussion for our medical librarian to help search and identify key literature regarding the particular clinical question.
During a subsequent morning report, the medical librarian will briefly review the clinical question/PICO question and briefly describe the search strategy used to identify the relevant literature (e.g., use of PubMed, Google Scholar, etc.)
EBM Journal Club & Dates
Using the skills demonstrated and taught during the EBM didactic course, each medicine resident and med-peds resident will lead a journal club discussion that will demonstrate competence in evidence-based care of the patient at least once during their academic career.
One resident each month on a general service will be assigned to present an article for journal club. Each resident will meet with the associate program director for research at the beginning of the month and will assist the resident in the search and will also help identify key faculty members that may be able to assist with the resident’s Journal Club search and presentation.
The objectives include:
- Develop a searchable clinical question and demonstrate a reasonable search strategy.
- Correctly identify the appropriate type of article to answer the clinical question.
- Explain the validity of the article using clearly identified criteria.
- Explain clearly the results of the study, including key calculations (e.g., sensitivity/specificity, likelihood ratios, odd ratios, risk ratios, etc.) and enumerate the clinical significance of these results.
- State the clinical significance of the results of the study and how it will or will not change the management of your current and/or future patients.
Second Tuesday of the month
Noon to 1 p.m.
One resident presents at Journal Club.