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CC21 -Evidence & Guidelines

Practitioners in Emergency Medicine must stay informed about clinical care developments and adhere to high standards of practice, emphasizing the importance of evidence-based medicine. Key competencies include understanding research methodologies, critical appraisal, and the ability to construct and apply clinical guidelines. Continuous engagement with national guidelines and fostering discussions on evidence-based practices among colleagues is essential for improving patient care.

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Hasanul Karim
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8 views

CC21 -Evidence & Guidelines

Practitioners in Emergency Medicine must stay informed about clinical care developments and adhere to high standards of practice, emphasizing the importance of evidence-based medicine. Key competencies include understanding research methodologies, critical appraisal, and the ability to construct and apply clinical guidelines. Continuous engagement with national guidelines and fostering discussions on evidence-based practices among colleagues is essential for improving patient care.

Uploaded by

Hasanul Karim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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It is the responsibility of each practitioner to ensure that they are aware of relevant

developments in clinical care and also ensure that their practice conforms to the
highest standards of practice possible. An awareness of the evidence base behind
current practice and a need to audit one’s own practice is vital for the physician
training in Emergency Medicine.

CC21 Evidence and guidelines

To progressively develop the ability to make the optimal use of current best evidence in
making decisions about the care of patients

To progressively develop the ability to construct evidence-based guidelines in relation


to medical practise

Knowledge Assessment GMP


Methods Domains

Understand the application of statistics in scientific medical E, C 1


practice

Understand the advantages and disadvantages of different E, C 1


study methodologies (randomised controlled trials, case
controlled cohort etc)

Understand the principles of critical appraisal C 1

Understand levels of evidence and quality of evidence E, C 1

Understand the role and limitations of evidence in the E, C 1


development of clinical guidelines

Understand the advantages and disadvantages of C 1


guidelines

Understand the processes that result in nationally applicable C 1


guidelines (e.g. NICE and SIGN)

Skills

Ability to search the medical literature including use of C 1


PubMed, Medline, Cochrane reviews and the internet

Appraise retrieved evidence to address a clinical question C 1

Apply conclusions from critical appraisal into clinical care E, C 1

Identify the limitations of research C 1

Contribute to the construction, review and updating of local C 1


(and national) guidelines of good practice using the
principles of evidence-based medicine

Behaviours

Keep up to date with national reviews and guidelines of E, C 1


practice (e.g. NICE and SIGN)

Aim for best clinical practice (clinical effectiveness) at all ACAT, C, Mi 1


times, responding to evidence-based medicine

Recognise the occasional need to practise outside clinical ACAT, C, Mi 1


guidelines

Encourage discussion amongst colleagues on evidence- ACAT, C, Mi, M 1


based practice

Level Descriptor

Participate in departmental or other local journal club


1
Critically review an article to identify the level of evidence

Lead in a departmental or other local journal club


2
Undertake a literature review in relation to a clinical problem or topic

Produce a review article on a clinical topic, having reviewed and appraised the
3
relevant literature

Perform a systematic review of the medical literature


4
Contribute to the development of local or national clinical guidelines

Emergency department context

Presents a recent article with critical appraisal at a departmental


1 teaching or audit meeting or incorporates critique into audit
presentation

Completes a BestBET including the formulation of three-part question,


2
search and review

Completes a draft CTR


3
Completes an evidence-based guideline in the ED**

4 Successfully completes a CTR


Specialty trainees should demonstrate competence in all elements of
Leadership
domains, with some evidence in setting direction

Demonstrating Applies national guidelines and specifically refers to them when giving
personal advice to trainees **
qualities Documents clearly in notes any variance from guidelines

Directs trainees to guidelines and resources for best evidence


Working with
others Sets up journal club or critical appraisal practice group in hospital or
region ***

Managing the Ensures guidelines are available on the shop floor via computers,
service proforma, posters or other means *

Seeks out new guidelines and works on modification for department


Improving
services Takes NICE or other guideline, evaluates applicability and feasibility in
department and introduces, creating business plan if required **

Undertakes review of guidelines matching departmental library to


Setting national library or CEM website ***
direction
Accepts CEM guidelines and implements

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