LBM 4

TRIGGER
( EBM and Critical Appraisal will make you updated )
TE! "
EBM #
pen$$a%un$an %ukti penelitian yan$ %aik den$an kea&lian klinik dan nilai
pasien
' (aktor den$an men$intre$rasi) ketrampilan dan kea&lian klinik)
kepentin$an asien dan %ukti ilmia& yan$ dapat diperta$$un$*awa%kan
!eman(aatan %ukti imia& yan$ +alid
Critically appraise #
,a*ian kritis
uatu pemeriksaan dan penilaian se%elum melakukan pen$o%atan kepada
pasien
Trials articles #
Artikel yan$ men$andun$ perco%aan
Artikel yan$ %elum terakreditasi
Clinical appraise #
,a*ian kritis dari sum%er
!IC- #
!atient and !ro%lem inter+ention comparison outcome
!ertanyaan yan$ di%uat untuk mem%uat sesuatu yan$ kita cari
prosedur yan$ men*awa% pertanyaan klinis
!ro$nostic articles #
suatu artikel yan$ men$andun$ tentan$ prediksi sesuatu yan$
%er&u%un$an den$an penyakit
.ia$nostic articles #
artikel tentan$ dia$nosa
!rimary source #
source %ased (rom +alid resource and it can %e responsi%le
TE! /
EBM
"0 w&at is de1nition a%out EBM 2 ( $&ea )
/0 w&at is t&e ad+anta$es o( EBM 2( an$$a )
'0 3&at is t&e purpose o( EBM 2(ca&yo)
40 3&at are t&e o%stacles o( EBM 2(nanda)
40 3&at are steps o( EBM2 (&ana)
50 As a medical student) w&at are a%ilities (or do EBM 2 ( d&iska )
60 7ow to sol+ed t&e o%stacles (rom EBM 2 ( ca&yo )
80 w&y EBM is needed on study 2 (tari )
90 w&at are t&e c&aracteristics o( EBM 2 ( $&ea )
":0w&at are t&e e;cesses and lacks o( EBM 2 ( millati )
""07ow does t&e way EBM and Critical appraisial will make you always update
2 ( an$$a )
"/0&ow does t&e way to applicate EBM in studyin$ 2 ( +erina )
CRITICAL A!!RAIAL
"'03&at does critical appraisal mean 2(ri(ai )
"40w&at are di<erinces %etween clinical appraise and critical appraise 2
( amrulla&
"40w&at is t&e purpose o( critical appraisial 2 ( nindya )
"503&at are constrains o( critical appraise 2 ( &ana )
"607ow is t&e relations&ip %etween EBM and Critical appraise 2 ( millati )
"803&at are posit+e and ne$ati+e e<ects o( critical appraisal 2 ( tari )
"903&at are steps o( critical aprraisial 2 ( nindya )
/:0w&at are t&e e;cesses and lacks o( critical appraisial 2 ( millati )
/"0w&at s&ould %e e+aluated in citical appraisin$ artical or *ournals 2 ( ri(ai )
!IC-
//03&at is de1nition o( !IC- 2 ( nanda )
/'03&at are t&e steps in usin$ !IC- 2 ( nanda )
TE! '
EBM
"0 w&at is de1nition a%out EBM 2 ( $&ea )
conscientious) e;plicit) *udicious use o( t&e current %est e+idence in
makin$ dicission a%out t&e care o indi+idual patient ( nanda )
t&e result o( newest researc&es w&ic& is colla%oration %etween clinical
e;perience patop&isylo$y knowlad$e and *ud$ement t&e patiens ( ri(ai )
utilitation o( +alid scienti1c e1dence) to determine t&e treatment o( t&e
patient ( millati )
/0 w&at are t&e ad+anta$es o( EBM 2( an$$a )
people w&o aplicate would &a+e lon$ li(e learnin$ skills ( d&iska )
increase our knowled$e ( nindya )
we can make e;act dia$nosis ( &ana )
student w&o aplicates EBM would more acti+e t&an %e(ore
( amrulla& )
'0 3&at is t&e purpose o( EBM 2(ca&yo)
It can make us critical t&inkin$
Accurate decision in t&in$kin$ to take dia$nostic
Make us to see or do somet&in$ care(ully ( &ana )
Lookin$ (or real+ant e+idence and &a+e (or increase y&e take carin$
o( patient ( d&iska )
7elpin$ someone to de+elop t&e potential o( critical t&in$kin$
( nindya )
40 3&at are t&e o%stacles o( EBM 2(nanda)
T&e source is not +alid
T&e relati+ely lon$ time ( ca&yo )
Lack o( (acilities and tec&nolo$y ( nindya )
Lack o( curiouscity ( &ana )
Lack o( e;perience and prior knowled$e (tari )
40 3&at are steps o( EBM2 (&ana)
Identi1cation
Lookin$ (or in(ormation (rom *ournals) intenet *ournals) te;t %ooks)
C.
Critical appraisal ( an$$a )
E;plaination E+aluate t&e source important and applica%le ( +erina )
50 As a medical student) w&at are a%ilities (or do EBM 2 ( d&iska )
3e &a+e to %e a%le to operate computer ( &ana )
7a+e to accurate in(ormation to sol+e t&e pro%lem ( nanda )
tudent must &a+e a%ility to c&oose w&at source t&at can %e used
to do EBM ( nanda )
Critical t&inkin$
60 7ow to sol+ed t&e o%stacles (rom EBM 2 ( ca&yo )
Conduct a critical e;amination ( $&ea )
.e+elope critical t&inkin$ skill ( ca&yo )
.e+elope in usin$ IT ( nanda )
Be acti+e to searc&e in(ormation ( nindya )
Increase our curiouscity ( tari )
More e;ercise ( amrulla& )
Increase our e;perince and de+elope oue prior knowled$e ( nanda )
80 w&y EBM is needed on study 2 (tari )
learnin$ issue
90 w&at are t&e c&aracteristics o( EBM 2 ( $&ea )
":07ow does t&e way EBM and Critical appraisial will make you always update
2 ( an$$a )
""0&ow does t&e way to applicate EBM in studyin$ 2 ( +erina )
CRITICAL A!!RAIAL
"/03&at does critical appraisal mean 2(ri(ai )
Assess criticaly a%out somet&in$ to anali=e and e+aluate ( &ana )
"'0w&at are di<erinces %etween clinical appraise and critical appraise 2
( amrulla& )

"40w&at is t&e purpose o( critical appraisial 2 ( nindya )

"403&at are constrains o( critical appraise 2 ( &ana )
"507ow is t&e relations&ip %etween EBM and Critical appraise 2 ( millati )
"603&at are posit+e and ne$ati+e e<ects o( critical appraisal 2 ( tari )
"803&at are steps o( critical aprraisial 2 ( nindya )
"90w&at are t&e e;cesses and lacks o( critical appraisial 2 ( millati )
/:0w&at s&ould %e e+aluated in citical appraisin$ artical or *ournals 2 ( ri(ai )
+alidity o( t&e *ournals
rele+ances
!IC-
/"03&at is de1nition o( !IC- 2 ( nanda )
//03&at are t&e steps in usin$ !IC- 2 ( nanda )
TE! 4
TE! 5
TE! /
EBM
"0 w&at is de1nition a%out EBM 2 ( $&ea )
/0 3&at is t&e purpose o( EBM 2(ca&yo)
> -%*ecti+e e+idence %ased medicine is to assist in t&e
decision makin$ process o( a p&ysician w&o works %ased
on scienti1c e+idence
> -%*ecti+e e+idence %ased medicine is to &elp clinical
decision>makin$ process) eit&er (or pre+ention) dia$nosis)
t&erapeutic) and re&a%ilitation %ased on scienti1c
e+idence to %e relia%le and accounta%le
(&ttp#??www0dkk0%pp0com?inde; 0 p&p2 option @
comAcontent B task @ +iew B id @ "44 B Itemid @ 46)0
'0 3&at are t&e o%stacles o( EBM 2(nanda)
Critics of the evidence based medicine system have stated that most commonly a lack
of funding for research means there is a lack of sufficient evidence for treatments
associated with many different illnesses, particularly those that are relatively
uncommon. If no money is committed to researching certain illnesses then it is
possible that no progress will ever be made concerning the treatment of that particular
illness, despite advances in technology and scientific research possibilities. In addition
to this, research suggests that not all data is made available for all to see, with
negative trials often not published; this infers a degree of selectivity and bias.
Source : http://www.nettingtheevidence.org.uk/limitations/
40 3&at are steps o( EBM2 (&ana)
40 As a medical student) w&at are a%ilities (or do EBM 2 ( d&iska )
50 7ow to sol+ed t&e o%stacles (rom EBM 2 ( ca&yo )
60 w&at are t&e c&aracteristics o( EBM 2 ( $&ea )
80 w&at are t&e e;cesses and lacks o( EBM 2 ( millati )
CRITICAL A!!RAIAL
90 3&at does critical appraisal mean 2(ri(ai )
":0w&at is t&e purpose o( critical appraisial 2 ( nindya )
C To %e a%le to e+aluate and analy=e t&e sources o( t&e in(ormation
o%tained0
C To %e a%le to understand t&e in(ormation0
C To %e a%le to (ollow t&e c&an$es in t&e in(ormation0
C To %e a%le to comment and e+aluate %ot& t&e pro%lems (aced and t&e
solutions0
C To %e a%le to select t&e criteria (or appropriate in(ormation to %e
analy=ed
(www0criticalappraisal0com ? $ostudy ? deepin(ormation0&tm)
""03&at are constrains o( critical appraise 2 ( &ana )
takes a lot o( time
Critikal Apprasial not always pro+ide easy answers
Critical apprasial despair i( CA can create &i$&li$&t lack o( $ood
%ukti/
(ource# Alison 7ill) Claire pitle&ouse) 7eal ciences Institute -(
-;(ord)
Lack o( knowled$e a%out researc& pro$rams
ometimes %orin$ (or t&ose w&o do
It costs a little tidk
(ource# www0D,EFAIR0ac0id)
"/07ow is t&e relations&ip %etween EBM and Critical appraise 2 ( millati )
CA is t&e %asis o( EBM %ased out o( CT and sourced (rom IT i( t&e IT>
nya%a$us didpat t&e in(ormation will also %e $ood so t&at someone can do
CABermula o( t&e pro%lem and t&en 1nd t&e source (IT) and t&en we did a
CT w&ic& is a %e$innin$ o( a CA and $enerated EBM or padoman used %y
doctors as a treatment o( patients
(Sumber:www.criticalappraisal.com/gostudy/deepinformation.htm)
"'03&at are posit+e and ne$ati+e e<ects o( critical appraisal 2 ( tari )
"403&at are steps o( critical aprraisial 2 ( nindya )
C prepare a critical analysis sessions
read t&e entire article wit&out recordin$ to $rasp t&e idea and
purpose o( t&e writin$ and t&e main topic o( t&e article
underline t&e main ideas and make a no te o( t&e (ull
correctin$ t&e main purpose) met&ods used) results and
conclusions o( t&e analysis
CA compiled in accordance wit& t&e rules o( scienti(ic writin$ t&e
introduction) %ody and conclusion
C identi(y t&e processes t&at need to %e repaired
source# (www0criticalappraisal0com ? $ostudy ? deepin(ormation0&tm)
ome o( t&e steps to %e (ollowed in critici=in$ t&e article#
C Read Guickly#
> Title
> A%stract
> Introduction ? introduction
> u% title (i( any)
> Conclusion
C Read t&e entire article wit&out recordin$ to $rasp t&e idea and
purpose o( t&e writin$ and t&e main topic o( t&e article
C Read articles) analysis) and critics as well as make a note o( t&e
idea o( t&e article and t&e article topics t&at you read
> Enderline t&e main ideas
> Make detailed notes on paper a%out t&ese ideas
C C&eck t&e notes you &a+e made to ascertain w&et&er suc&
records include#
> T&e main purpose o( t&is article) (or e;ample) to e;plain) analy=e)
e+aluate) $i+e opinions) critici=e) discuss ideas ? opinions t&at are
di<erent ideas ? opinions o( ot&ers0
> T&e met&ods used %y in+esti$ators
> T&e results and conclusions o( t&e analysis results0
C Ese your notes to write a summary) so in $eneral t&e summary
s&ould include# main idea) topic) destination articles) researc&
met&ods used) and t&e results o( researc&0
( um%er # !etun*uk !enulisan ,edokteran dan ,ese&atan) oenarto
astrowi*oto)
"40w&at are t&e e;cesses and lacks o( critical appraisial 2 ( millati )
Ad+anta$es#
Can de+elop ideas accordin$ to access +alid in(ormation) rele+ant
and use(ul in accordance wit& t&e pu%lication o( t&e results o(
researc& knowled$e
kills CA is not di( 1cult to de+elop
CA approac& wit& a com(orta%le and adeGuate eGuipment
To$et&er wit& t&e demonstrated a%ility to (ind e+idence penelitin
and trainin$ c&an$e as a result o( researc&) CA is t&e co+er o( a
com%ination o( researc& and trainin$ as an important contri%ution
to impro+in$ t&e Guality o( &ealt&
disad+anta$es#
CA can not t&ri+e i( t&e analysis results $enerated Guestions are
too easy wit& t&e (act ine<ecti+e inter+entions consistent wit& t&e
e+idence
CA emp&asi=ed i( t&e lack o( e+idence o ( $ood in(ormation) w&ic&
can make t&e results o( researc& are not limited to t&e o%+ious
in(ornasi
CA does not always pro+ide t&e reader wit& easy answers or
answer a possi%ility t&at it mi$&t %e e;pected to %e emp&asi=ed
t&at t&e inter+ention is not e((ecti+e writer
(Sumber:www.criticalappraisal.com/gostudy/deepinformation.htm)
!IC-
"503&at is de1nition o( !IC- 2 ( nanda )
"603&at are t&e steps in usin$ !IC- 2 ( nanda )