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AJGP Clinical Challenge June 2018: Evidence-based medicine

Speciality Classification
General Practice ( GP ) / Family Medicine
Start Date
End Date
2 hrs

To provide guidance for the general practitioner on evaluating research evidence and educational materials

Relevance to General Practice

Clinical practice is now guided by evidence of benefits and harms. However, it is essential to evaluate the quality and validity of evidence, as a number of factors, such as conflicts of interest and flawed research methodology, can contribute to bias and lead to misinformation.1–6 GPs need to evaluate information they receive and recognise potential sources of bias and error, to ensure that they provide sound recommendations for their patients. In Australia, the Therapeutic Goods Administration (TGA) evaluates the safety and efficacy of medicines, but does not make recommendations about the one product over another.7 Cochrane reviews provide analyses of research findings on a variety of clinical questions, but these reviews can be difficult to navigate.8
The June issue of AJGP provides guidance for GPs, to assist them in evaluating research evidence and recognising potential sources of bias and error.
Refs on file

Learning outcomes
  • Use the most reliable sources of unbiased information to evaluate the risks and benefits of new medicines
  • Navigate the Cochrane Library and Cochrane reviews to find the information required to guide evidence-based decision making with patients
  • Identify bias in research and education funded by for-profit organisations
  • Outline strategies to avoid being influenced by information that may be biased
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    D2. Applied professional knowledge and skills

    • Quality evidence-based resources are critically analysed and utilised

    D3. Population health and the context of general practice

    D4. Professional and ethical role

    • Professional knowledge and skills are reviewed and developed

    D5. Organisational and legal dimensions

    • Quality and safety is enhanced through the effective use of information systems

    Curriculum Contextual Units
    • Adult health
    • Care of older people
    • Children and young people health
    • Men's health
    • Pregnancy care
    • Women's health
    • Abuse and violence
    • Addiction medicine
    • Dermatology
    • Disaster management
    • Ear and nose medicine
    • Eye medicine
    • Musculoskeletal and sports medicine
    • Occupational medicine
    • Oncology and palliative care
    • Pain management
    • Psychological health
    • Sexual and reproductive health
    • Travel medicine
    • Oral Health
    AJGP Clinical Challenge June 2018: Evidence-based medicine
    Provider Type
    Education Provider
    2 hrs
    Start Date
    End Date
    CPD Points
    4 cpd