spacerThe University of California, Irvinespacer Grunigen Medical Library
Langson LibraryScience LibraryUCI Librariesspacer
spacer
 

EBM Guidebook

Table of Contents

    Title Page
  1. Introduction
  2. STEP 1: Formulating the Question
    1. POEM
    2. PICO
  3. STEP 2: Finding the Best Evidence
  4. STEP 3: Appraising the Evidence
    1. CAMeL General Steps
    2. CAMeL Critical Appraisal Protocols
      1. Therapy
      2. Diagnostic Tests
      3. Review Articles
      4. Screening Tests
      5. Prognosis
      6. Causation
  5. STEP 4: Preparing an EBM Presentation
    1. Protocol for the Presentation
    2. Sample Presentation
  6. Overview of Statistics
    1. Statistics Without Statistics
    2. Ten Ways to Cheat
  7. Glossary of Terms
    Terms marked with an asterisk (*)
    are defined in the Glossary.
  8. References
Back to Informatics & EBM Instruction page  Back to Evidence-Based Instruction page

IV.  STEP 3: Appraising the Evidence

Obviously, it is not enough to simply find an article. We must understand what the article can and cannot tell us, and whether it is indeed relevant to our question. This process is called Critical Appraisal of the Medical Literature (CAMeL). Every appraisal contains the following steps:
  1. CAMeL General Steps
  1. Formulate and write down a specific question as described above.
  2. Find the best evidence. (See Section III)
  3. State the research objective of the articles or evidence that you find.
  4. Characterize the article itself by identifying the:
  1. Source: *Primary (Original Research) or *Secondary (Review, *Structured Review, *Metaanalysis)
  2. Research Design: Descriptive, *Case-Control, *Cohort, *Randomized Controlled Trial, Review
  3. Journal type
  4. Authors
  5. Sites
  6. Patients
  7. Specific Description of the Methods, Protocol, and Statistics of the Study
  8. End points
  9. Results
  10. Authors' conclusions
  1. Critically appraise the article by using the specific protocols defined below.
  2. Find editorials and letters related to the article.
  3. Define for yourself what the work tells you and how it can be applied.
  4. Think about how to design the "ideal" study to answer this question.
Back   -6-   Next
Get PDF  Right click to download PDF file
spacer
National Network of Libraries of Medicine
spacer
Grunigen Medical Library · 101 The City Drive · Orange, CA 92868 · 714.456.5585
© Copyright 2004 The Regents of the University of California. All Rights Reserved.
Last modified:  February 7, 2008
Contact the Web Manager : Privacy Statement
spacer
UCI seal