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Essential EBM for the Practicing Clinician

The Evidence Based Medicine database at Dartmouth Hitchcock Medical Center is designed to provide rapid access to clinically important trials likely to be of use in the practice of medicine. It also serves as the core of the EBM elective open to residents in the internal medicine residency training program at DHMC and students at the Geisel School of Medicine at Dartmouth.

Studies that are summarized have high quality and level of evidence (e.g. randomized control trial, meta-analysis, systematic review) and have been formatted to allow rapid retrieval. No summary can substitute for a careful exploration of the literature but presenting clinically relevant studies in this format may provide useful information in a timely manner. Although the medical literature is vast, certain studies have or should inform the everyday practice of medicine, and we are in the process of building an "Essential EBM for the Practicing Clinician". Suggestions for studies that should be included in the database are encouraged, and new submissions are welcome. The database provides direct links to the original articles for further reading.

CERcontrol event rate
EERexperimental event rate
RRR / RRIrelative risk reduction / increase
95% CIconfidence interval (the true value is likely to reside in this interval with 95% certainty)
NNTnumber needed to treat (1/absolute risk reduction)

Jonathan M. Ross, MD, FACP
Almy Scholar
Department of Medicine
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756
Office 603-653-9500
Fax 603-650-0916
Harley Friedman, MD
Health Informatics Ninja
Department of Medicine
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756
Office 603-650-7684