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Having an understanding of critical appraisal and evidence-based medicine is a prerequisite to being an effective clinician. However, critical appraisal is often taught by people not involved in day-to-day clinical care, meaning the clinical relevance is not always brought to the fore. This book takes a different approach. It is written by clinicians, for clinicians. It takes the reader step by step through the process so that any journal article can be easily read, evidence evaluated and the results - and their reliability - truly understood. By integrating this with knowledge of local skills and resources and patient preference, the reader will be able to apply the best possible care that his or her patients deserve. This accessible book is suitable for undergraduates and postgraduates of all medical specialties, nursing, paramedics, pharmacists and all allied health professions. It is the ideal reference for anyone needing help writing a clinical topic review, reviewing a paper in a journal club or preparing for a critical appraisal exam. But most importantly, it is essential for those who wish to practice medicine in the best possible way for their patients, using the best evidence, tailored to the individual.
Critical Appraisal of Medical Literature provides a step-by-step approach to help the reader reach a good level of proficiency in systematic critical appraisal of medical information. To this end, the book covers all the elements that are necessary to develop these skills and is a comprehensive guide to the subject. The book is written in three parts. The first part focuses on the logical justification and the validity of medical information. Its chapters present basic working definitions and discussions on relevant basic topics of statistics and epidemiology. The second part focuses on the complementary aspects of critique, common study designs and articles whose main topics are treatment, diagnosis, prognosis, aetiology, reviews, medical guidelines, audit, and qualitative research. The third part presents some statistical techniques that are commonly used in published articles. Critical Appraisal of Medical Literature is intended for those interested in developing critical appraisal skills such as psychiatric trainees preparing for the Critical Review Paper of the MRCPsych Examination in the UK, other practitioners as part of their preparation for examinations, and medical professionals and students as part of their introduction to aspects of systematic critical appraisal of medical information.
Offers a range of sample comparative journal extracts enabling Foundation Year doctors and MRCGP and MRCPsych candidates to practise their critical appraisal skills. This title includes extracts that cover the whole spectrum of critical appraisal, together with exercises for the reader to work through independently to improve their technique.
Having an understanding of critical appraisal and evidence-based medicine is a prerequisite to being an effective clinician. However, critical appraisal is often taught by people not involved in day-to-day clinical care, meaning the clinical relevance is not always brought to the fore. This book takes a different approach. It is written by clinicians, for clinicians. It takes the reader step by step through the process so that any journal article can be easily read, evidence evaluated and the results - and their reliability - truly understood. By integrating this with knowledge of local skills and resources and patient preference, the reader will be able to apply the best possible care that his or her patients deserve. This accessible book is suitable for undergraduates and postgraduates of all medical specialties, nursing, paramedics, pharmacists and all allied health professions. It is the ideal reference for anyone needing help writing a clinical topic review, reviewing a paper in a journal club or preparing for a critical appraisal exam. But most importantly, it is essential for those who wish to practice medicine in the best possible way for their patients, using the best evidence, tailored to the individual.
This book presents a logical system of critical appraisal, to allow readers to evaluate studies and to carry out their own studies more effectively. This system emphasizes the central importance of cause and effect relationships. Its great strength is that it is applicable to a wide range of issues, and both to intervention trials and observational studies. This system unifies the often different approaches used in epidemiology, health services research, clinical trials, and evidence-based medicine, starting from a logical consideration of cause and effect. The author's approach to the issues of study design, selection of subjects, bias, confounding, and the place of statistical methods has been praised for its clarity and interest. Systematic reviews, meta-analysis, and the applications of this logic to evidence-based medicine, knowledge-based health care, and health practice and policy are discussed. Current and often controversial examples are used, including screening for prostate cancer, publication bias in psychiatry, public health issues in developing countries, and conflicts between observational studies and randomized trials. Statistical issues are explained clearly without complex mathematics, and the most useful methods are summarized in the appendix. The final chapters give six applications of the critical appraisal of major studies: randomized trials of medical treatment and prevention, a prospective and a retrospective cohort study, a small matched case-control study, and a large case-control study. In these chapters, sections of the original papers are reproduced and the original studies placed in context by a summary of current developments.
The best-selling introduction to evidence-based medicine In a clear and engaging style, How to Read a Paper demystifies evidence-based medicine and explains how to critically appraise published research and also put the findings into practice. An ideal introduction to evidence-based medicine, How to Read a Paper explains what to look for in different types of papers and how best to evaluate the literature and then implement the findings in an evidence-based, patient-centred way. Helpful checklist summaries of the key points in each chapter provide a useful framework for applying the principles of evidence-based medicine in everyday practice. This fifth edition has been fully updated with new examples and references to reflect recent developments and current practice. It also includes two new chapters on applying evidence-based medicine with patients and on the common criticisms of evidence-based medicine and responses. How to Read a Paper is a standard text for medical and nursing schools as well as a friendly guide for everyone wanting to teach or learn the basics of evidence-based medicine.
The key purpose of this book is to enable the student to develop practical skills in clinical problem solving by reading and appraising published scientific literature in the form of exercises that begin and end with a clinical scenario. Critical appraisal has become a vital skill for today's health professional. This book is aimed at all those who want or need to be able to use available research evidence to inform their professional practice. In a unique format, this book provides engaging and practical exercises in critically appraising scientific papers, leading the reader step by step through real examples from the medical literature. The exercises are designed to provide practice in key critical appraisal skills as well as to introduce new concepts and test understanding, and will appeal to readers from a wide range of backgrounds. Additional explanation is provided on the major topics in each exercise, together with references to suggested reading for those who wish to explore further. Also included are critical appraisal checklists which can be used in the appraisal and scoring of other published papers. The nine exercises are designed to complement one another and together they provide worked examples for each of the study designs in common use in clinical and health services research. 'Evidence-based Medicine: a critical appraisal for clinical problem-solving' will interest all medical students, public health specialists and clinicians interested in Evidence-Based Medicine. Teachers of Epidemiology and Medical Statistics will also find this a useful purchase.
Critical Appraisal Skills for Healthcare Students Are you struggling to make sense of complex research papers and craft insightful critiques for your academic assignments? Then look no further! Critical Appraisal Skills for Healthcare Students is your indispensable guide to understanding research papers, mastering critical appraisal, and most importantly, succeeding in your summative assignments. While this text is written with Level 5 students in mind, you will find it is a useful text at any academic level when required to engage in evidence-based practice. In today’s ever-evolving healthcare system, the ability to critically appraise research evidence is crucial. In pre-registration programmes, this core skill is often assessed through written assignments. However, students can struggle not only to interpret research papers and evaluate their quality, but also to write about this appraisal in an academic way. This comprehensive textbook equips healthcare students with the evidence skills they need, while also enhancing their ability to produce high-quality assignments. Authored by experienced academics with over two decades of teaching research and evidence-based practice, this text covers core topics such as: The significance of evidence in practice, locating and selecting appropriate literature, and navigating assignments based on the appraisal of research Strategies for reading research papers and understanding them before appraisal The fundamentals of critiquing research, with Key Fact sheets summarising the design issues of specific types of research How to move beyond EBP for academic assessment, towards using evidence in everyday professional practice Critical Appraisal Skills for Healthcare Students is an excellent core text to master the art of critical appraisal and enhance academic performance.
Required reading in many medical and healthcare institutions, How to Read a Paper is a clear and wide-ranging introduction to evidence-based medicine and healthcare, helping readers to understand its central principles, critically evaluate published data, and implement the results in practical settings. Author Trisha Greenhalgh guides readers through each fundamental step of inquiry, from searching the literature to assessing methodological quality and appraising statistics. How to Read a Paper addresses the common criticisms of evidence-based healthcare, dispelling many of its myths and misconceptions, while providing a pragmatic framework for testing the validity of healthcare literature. Now in its sixth edition, this informative text includes new and expanded discussions of study bias, political interference in published reports, medical statistics, big data and more. Offers user-friendly guidance on evidence-based healthcare that is applicable to both experienced and novice readers Authored by an internationally recognised practitioner and researcher in evidence-based healthcare and primary care Includes updated references, additional figures, improved checklists and more How to Read a Paper is an ideal resource for healthcare students, practitioners and anyone seeking an accessible introduction to evidence-based healthcare.