The EBM process is encompassed by 4 steps that both begin and end with the patient:
- Articulating the "Clinical Question"
- Acquiring the Evidence to answer the Clinical Question
- Appraising the Evidence
- Formulating a Recommendation
- Applying the Recommendation
In the context of Journal Clubs, the EBM process can be best emulated when the process begins with a clinical question rather than a specific article. Although resident physicians have ample exposure to patients and time to go through this process in a formal curriculum, medical students often to do not because of the time limits of clerkships and electives. Therefore, the following are 2 different approaches to an EBM Journal Club that can be used if the Learner has ample time versus limited time to complete the exercise.
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