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EBD Midterm Exam Questions And Correct Answers
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EBD Midterm Exam Exam Questions WRITTEN BYBRAXTON
And Correct Answers
, EBD Midterm Exam Exam Questions
And Correct Answers
What are the 3 components of EBD?
The symbolism of this picture is that evidence-based dentistry depends on
TQ --> 3 components: (1) evidence, (2) clinical experience, and (3) patient values.
what is the truth?
How much evidence can the dental community practically generate? As just material
or procedure. If the world was rich with evidence, we would probably
know confidently what to do about 50% of the time. For the other 50%, the
evidence would be less mature or of limited availability, and we would have to
rely on experts of other information to make best guesses.
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Who came up with the idea of EBD?
Where did evidence-based medicine come from in the first place?
Early discussions
about this topic occurred in the 1970s. Archibald Cochrane = TQ
officially raised many of the
issues in his book called "Effectiveness and Efficiency" published in 1972. But the
real
pressure to seriously look at the approach came in the mid-1980s. The British
he money i tasted in auth easiar " Sat did of on to work or reti Gorane
was front and center.
Do the treatments that are provided to patients really work?
What is the effectiveness of patient care?
What "evidence" do we have for the appropriateness of practice?
Evidence-based medicine was suddenly born. The new health care standard was...
anything paid for by the government should have some evidence affirming it is safe,
effective, and the best choice (based on outcomes, but also cost/benefit analyses).
The primary idea for "evidence-based medicine" is that patient care should be the
merger of 3 things: (1) best evidence, (2) one's expert clinical experience, and (3)
, respect for a patient's values. Remember this triad. The triad often gets lost in the
hunt
for evidence. Evidence is just one part of EBD patient care.
Who is david sackett?
Another very important person in the field of EBM is David Sackett. He and training
people to use to denne to fusir treatment anas writes, many books on the subject,
but the first and most famous one was "Evidence-Based Medicine.' Sackett is often
quoted for his definition of EBM, "the conscientious, explicit and judicious use of
current best evidence in making decisions
about the care of individual patients..." There are many other slightly modified
versions of this definition that you will see (e.g., the definition from the ADA) but this
is the first and most famous one. Please commit
this definition to memory.
Evidence is not trueth
Now that you know the TRIAD that is the foundation of Evidence-Based
Dentistry, you must continually remind yourself that there are always 3
parts to the equation and not just evidence. There is a strong tendency
for scientists and clinicians to focus just on the evidence part and not
the other two parts.
A second major mistake is to assume that "evidence" is "truth." It is not. It could lead
you to the truth, but generally evidence is just a collection of information that points
one direction or another. Continue
to gather evidence. Continue to test hypotheses and theories. Otherwise, you may
often be deceived.
Let's look at the problem of assuming that evidence is truth. Look at the example
given in the slide. Evidence is not the same as TRUTH!
TIME - relative outcomes change over time
We have already used the phrase "SAFETY and EFFICACY." These
are normally the targets for any measures of performance. However,
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