![]() ![]() P = patient or problem I = intervention C = comparison intervention O = outcome e.g. using PICO, see below Searching for the evidence Critically appraising the evidence Making a decision by integrating this evidence with your clinical opinion and the patient’s values and circumstances Evaluating your performance PICO is the commonly used acronym for forming clinical questions when practising EBM. In its pure form, EBM involves the 5 step approach of: Asking an answerable clinical question e.g. The evidence may say that your elderly patient would benefit from anticoagulation, but if your clinical judgement is that it would be unsafe or she does not want to take it, you are still practising EBM by not prescribing. So whilst the maths and statistics are important, just as important are your clinical judgement and the patient beliefs. So what is evidence based medicine (EBM)? Definitions vary, but possibly the best is: ‘EBM is defined as the integration of the best available evidence with our clinical expertise and our patients’ unique values and circumstances’ (Strauss and Haynes, EBM200712:1). What follows is a simple guide, explaining the terms and giving you some simple tools for appraisal and easy statistical calculations of the type you need to do for the AKT. Exam candidates also commonly worry (it comprises 10% of the AKT component of the MRCP exam) but you can pick up easy marks here. But this is an area where with some simple tools and knowledge can increase your appreciation of the literature and help you help your patients. ![]() The rich live very well and that's why they will continue to be taxed at rates similar to today, under the FAIRtax.The Keep it Simple Guide to Evidence-Based Medicine Dr Simon CurtisĮVIDENCE-BASED MEDICINE Many GPs have a fear of statistics and EBM. Under the FAIRtax, every time a new BBJ (Boeing Business Jet) is sold, someone will pay around $20+ million in FAIRtax (that's a lot more than a mere ≈$700 prebate check will cover). But the point is that one of the things that the rich do, is spend their money on themselves and those around them and when they spend, it's always on the best (i.e. There are other expenditures that are off the scale, too. H = Highest Quintile % of Total Expenditures L = Lowest Quintile % of Total Expenditures The rich will continue to drive NEW, big, expensive gas guzzlers, fly first-class or on private jets, purchase designer clothes and jewelry, and drink prohibitively expensive champagnes and whiskies. The rich spend a little more on food, a lot more on entertainment and alcohol, and a boat load more on cars. It is items like these that explains why the FAIRtax will tax the rich at rates similar to the income tax. Give them this expenditure data, from the Bureau of Labor Statistics Consumer Expenditure Survey for 2021. The next time someone tells you that the rich will pay less FAIRtax, because they spend a lower percentage of your income.
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