Therapeutic Decision Making

This is a site for clinicians who are dedicated to advancing their knowledge and skills related to EVIDENCE-BASED PHARMACOTHERAPEUTIC DECISION-MAKING.


The resources here are intended for self-directed, objective-based learning. 


When all of the objectives are met, learners should be capable of making defensible therapeutic decisions within an evidence-based practice framework, whether in the context of individual patients or pharmaceutical policy development.


The SKILL/KNOWLEDGE objective for each item is "can accurately EXPLAIN and/or independently PERFORM/USE"


Dead link? Got another article/link? email Peter.Loewen@vch.ca

Objective

Know when/why/how to search primary literature databases

Subdomains

Medline, Embase, CINAHL via Ovid, Pubmed;  including Boolean operations, wildcards;  Google Scholar

  Fundamentals

Objective

Know when/why/how to search Cochrane & specialized sites/databases databases

Subdomains

CDSR, CCCTR

Objective

Finding unpublished results

Subdomains

Finding trials in progress, conference proceedings, discussions

Objective

Finding other peoples’ critiques/evaluations

Subdomains

NICE, CEDAC/CADTH, journalwatch, ACP Journal Club, EBM, Bandolier, TherInit

Objective

Guidelines:  sources, databases

Subdomains

Objective

Formulating an answerable Focused Clinical Question

Subdomains

PICO format

Objective

Retrieving fulltext online

Subdomains

Ovid, UBC RSVPN, ILL, CISTI

Objective

Building an eDocs collection / organizing literature

Subdomains

Resources

Objective

Common statistical representations (descriptive and inferential)

Subdomains

what's a p-value? what's an OR, RR, ARR, RRR, HR, NNT/H? power, clinical vs. statistical significance, confidence intervals, kaplan meier plots, forest plots

Objective

Critical Appraisal/Design of: Guidelines

Subdomains

Objective

Critical Appraisal/Design of: simple RCTs

Subdomains

CONSORT, ITT analysis, understanding/evaluating composite endpoints

Objective

Application of clinical trial (RCT) quality scoring systems

Subdomains

Jadad

Objective

Criteria for how/when to apply study results to my patient/practice/decision

Subdomains

Objective

Principles of Evidence-Based Practice

Subdomains

Objective

Know the functions of and resources available at health policy / analysis organizations

Subdomains

NPDUIS, IMS, CADTH

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