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The First National WorkshopThe First National Workshop
on Evidence-based Dentistryon Evidence-based Dentistry
INDIAN DENTAL
ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
www.indiandentalacademy.com
ObjectivesObjectives
• Have an overview of evidence-based dentistry
• Understand the phrase clinical effectiveness
• Understand the terms randomized controlled trial,
systematic review and meta-analysis and why they
are important for dentists
• Have critically appraised a randomized controlled
study article, a systematic review article
• Be aware of sources of evidence relevant to dentists
• Be able to prepare a four part clinical question
• Understand the importance of planning for searching
www.indiandentalacademy.com
www.indiandentalacademy.com
The First National WorkshopThe First National Workshop
on Evidence-based Dentistryon Evidence-based Dentistry
Derek RichardsDerek Richards
Director Centre for Evidence-based Dentistry , OxfordDirector Centre for Evidence-based Dentistry , Oxford
College of Dental Sciences, Davangere
10th - 11th March 2001
www.indiandentalacademy.com
Clinical effectivenessClinical effectiveness
Intervention
Patients Outcome
www.indiandentalacademy.com
Influences on decisionsInfluences on decisions
Practice
The last patient
Experience
Litigation
Resource
s
Education/
Training
Audit
Payment systems
EvidenceEvidence
www.indiandentalacademy.com
Evidence-based Health CareEvidence-based Health Care
“ Evidence-based Health Care is the
conscientious, explicit, and judicious use of
best evidence in making decisions about
care of individual patients”
David Sackett
www.indiandentalacademy.com
Evidence-based health careEvidence-based health care
Problem solving approach using
The best available evidence
and
Clinical judgement
www.indiandentalacademy.com
Evidence-based Health CareEvidence-based Health Care
• doing the right thing
• to the right patient
• in the right way
• at the right time
• at the right cost
• in the right place
www.indiandentalacademy.com
External DriversExternal Drivers
• Ageing Population
• New Technology/Materials
• Changing Patterns of Disease
• Consumerism
www.indiandentalacademy.com
Internal DriversInternal Drivers
• New evidence is being found which can improve patient
care
• We do not automatically receive new evidence
• Knowledge and performance deteriorate with time
• Traditional continuing education does not improve
performance
• The evidence-based approach has been shown to keep
practitioners up to date
www.indiandentalacademy.com
Make Sense of Evidence
Act on Evidence
Store good
Evidence
Discard
Poor
Evidence
Stages inStages in
Evidence-based DentistryEvidence-based Dentistry
Search for Evidence
Update
Evidence
Identify Clinical Problem
www.indiandentalacademy.com
“ The fact that an opinion has been widely held
is no evidence whatever that it is not utterly
absurd; indeed in view of the silliness of the
majority of mankind, a widespread belief is
more likely to be foolish than sensible”.
Bertrand Russell 1872–1970 in Marriage and Morals (1929) Ch.. 5
www.indiandentalacademy.com
http://www.
www.indiandentalacademy.com
FocusingFocusing
Clinical QuestionsClinical Questions
How to ask an answerable
question
www.indiandentalacademy.com
Why Focus your questions ?Why Focus your questions ?
• Saves time
• Shortens and improves searching
• Reduces frustration
www.indiandentalacademy.com
www.indiandentalacademy.com
Focusing Clinical QuestionsFocusing Clinical Questions
• Patient or problem
• Intervention
• Comparison Intervention
• Outcomes
www.indiandentalacademy.com
Focusing Clinical QuestionsFocusing Clinical Questions
Question
Problem/patient Intervention
Comparison Intervention
Outcome
www.indiandentalacademy.com
Thank you
For more details please visit
www.indiandentalacademy.com
www.indiandentalacademy.com

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First National Workshop on Evidence-based Dentistry

  • 1. The First National WorkshopThe First National Workshop on Evidence-based Dentistryon Evidence-based Dentistry INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  • 2. ObjectivesObjectives • Have an overview of evidence-based dentistry • Understand the phrase clinical effectiveness • Understand the terms randomized controlled trial, systematic review and meta-analysis and why they are important for dentists • Have critically appraised a randomized controlled study article, a systematic review article • Be aware of sources of evidence relevant to dentists • Be able to prepare a four part clinical question • Understand the importance of planning for searching www.indiandentalacademy.com
  • 4. The First National WorkshopThe First National Workshop on Evidence-based Dentistryon Evidence-based Dentistry Derek RichardsDerek Richards Director Centre for Evidence-based Dentistry , OxfordDirector Centre for Evidence-based Dentistry , Oxford College of Dental Sciences, Davangere 10th - 11th March 2001 www.indiandentalacademy.com
  • 6. Influences on decisionsInfluences on decisions Practice The last patient Experience Litigation Resource s Education/ Training Audit Payment systems EvidenceEvidence www.indiandentalacademy.com
  • 7. Evidence-based Health CareEvidence-based Health Care “ Evidence-based Health Care is the conscientious, explicit, and judicious use of best evidence in making decisions about care of individual patients” David Sackett www.indiandentalacademy.com
  • 8. Evidence-based health careEvidence-based health care Problem solving approach using The best available evidence and Clinical judgement www.indiandentalacademy.com
  • 9. Evidence-based Health CareEvidence-based Health Care • doing the right thing • to the right patient • in the right way • at the right time • at the right cost • in the right place www.indiandentalacademy.com
  • 10. External DriversExternal Drivers • Ageing Population • New Technology/Materials • Changing Patterns of Disease • Consumerism www.indiandentalacademy.com
  • 11. Internal DriversInternal Drivers • New evidence is being found which can improve patient care • We do not automatically receive new evidence • Knowledge and performance deteriorate with time • Traditional continuing education does not improve performance • The evidence-based approach has been shown to keep practitioners up to date www.indiandentalacademy.com
  • 12. Make Sense of Evidence Act on Evidence Store good Evidence Discard Poor Evidence Stages inStages in Evidence-based DentistryEvidence-based Dentistry Search for Evidence Update Evidence Identify Clinical Problem www.indiandentalacademy.com
  • 13. “ The fact that an opinion has been widely held is no evidence whatever that it is not utterly absurd; indeed in view of the silliness of the majority of mankind, a widespread belief is more likely to be foolish than sensible”. Bertrand Russell 1872–1970 in Marriage and Morals (1929) Ch.. 5 www.indiandentalacademy.com
  • 15. FocusingFocusing Clinical QuestionsClinical Questions How to ask an answerable question www.indiandentalacademy.com
  • 16. Why Focus your questions ?Why Focus your questions ? • Saves time • Shortens and improves searching • Reduces frustration www.indiandentalacademy.com
  • 18. Focusing Clinical QuestionsFocusing Clinical Questions • Patient or problem • Intervention • Comparison Intervention • Outcomes www.indiandentalacademy.com
  • 19. Focusing Clinical QuestionsFocusing Clinical Questions Question Problem/patient Intervention Comparison Intervention Outcome www.indiandentalacademy.com
  • 20. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

Notas do Editor

  1. Ask what do they understand by clinical effectiveness? Does it work. In what way How much
  2. Ask quesions about what people understand by evidence based health care or medicine- write on overhead