京都大学 京都大学

Introduction to EBM: How to use evidence in your daily life

Numbering Code P-PUB01 8H132 LB90 Year/Term 2022 ・ Irregular, year-round
Number of Credits 2 Course Type Lecture
Target Year Professional degree students Target Student
Language Japanese and English Day/Period
Instructor name FURUKAWA TOSHIAKI (Graduate School of Medicine Professor)
Outline and Purpose of the Course The term “Evidence-Based Medicine” (EBM) is now so popular that every scientist calls his favorite data “evidence”.
This course aims to provide basic knowledge for evidence users, namely to learn what constitutes evidence, how to find it, how to use it and what to do when you cannot find such in the clinical decisions for individual patients and in the policy decisions.
We expect that, once you become proficient evidence users, you will also become ambitious evidence makers.
Given the various backgrounds of the KUSPH students, we also expect that EBM can be practiced for all kinds of human services including alternative & complimentary medicine, education, economic policies, environmental policies etc.

*** We expect to form one group for English-speaking students. ***

(We plan to the classes face-to-face in 2022 in a room large enough to keep physical distance.)
Course Goals 1. To learn standard checkpoints for critical appraisal in diagnosis, treatment (intervention), prognosis, and systematic reviews.
2. To submit one report for each of the above domains that deals with the student’s own clinical question and describes how he/she formulated a clinical question, how he/she found the evidence, how he/she critically appraised the evidence and how he/she applied the evidence.
Schedule and Contents The class will basically proceed as follows:
1. The students will take turns to present the summary of checkpoints for critical appraisal in diagnosis, treatment (intervention), prognosis and systematic reviews based on the designated standard textbook of EBM.
2. The students will be divided into small groups and each group will present an example of practicing EBM in each of the domains above.
3. After learning the basic process of EBM for the five domains as described above, each student will present a report that deals with the student’s own clinical question.
As a lot of time of self-learning will be required, we expect the students to be so prepared and the class will be held, in principle, every two weeks. Please pay good attention to the class schedule.

1. 4月18日2限　　 Introduction to EBM Furukawa
2. 5月16日2限　　 Critical appraisal for articles on therapy Group I
3. 5月30日2限*　 Student presentation (1) II, III
4. 6月13日2限*　　 Student presentation (2) IV, I
5. 6月27日2限　　 Critical appraisal for articles on diagnosis Group II
6. 7月11日2限*　 Student presentation (1) III, IV
7. 7月25日2限*　　 Student presentation (2) I, II
8. 10月3日2限　　 Critical appraisal for articles on prognosis Group III
9. 10月31日2限* Student presentation (1) IV, I
10. 11月7日2限*　 Student presentation (2) II, III
11. 11月21日2限　　 Critical appraisal for pairwise meta-analysis Group IV
12. 11月28日2限　　 Critical appraisal for network meta-analysis Furukawa
13. 12月12日2限* Student presentation (1) I, II
14. 12月26日2限* Student presentation (2) III, IV
15. 1月23日2限　　 (extra)
* Starts at 10:00, so that we can accommodate two groups.
Evaluation Methods and Policy Class participation (40%)
Four reports for diagnosis, treatment (intervention), prognosis, and systematic reviews (60%)
Course Requirements We recommend MPH elective for “Literature Search” and “Critical Appraisal.”
Study outside of Class (preparation and review) As a lot of time of self-learning will be required, we expect the students to be so prepared.
Textbooks Textbooks/References Users' Guides to the Medical Literature: Essentials of Evidence-Based Clinical Practice, 3rd Edition, Gordon Guyatt et al, (McGraw-Hill Professional ), All the chapters we designate for the class are included in the following "Manual" too. If you have purchased the "Manual", you need not purchase the "Essentials."
References, etc. Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd Edition, Gordon Guyatt et al, (McGraw-Hill Professional )
エビデンス精神医療, 古川壽亮, (医学書院)
Related URL Please use various tools available in our Department website.
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