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What's this?
The Journal of Bone and Joint Surgery (American). 2004;86:2782-2795
© 2004 The Journal of Bone and Joint Surgery, Inc.

What's New in Orthopaedic Trauma

Peter A. Cole, MD1 and Mohit Bhandari, MD, MSc, FRCSC2

1 Department of Orthopaedic Surgery, Regions Hospital, 640 Jackson Street, St. Paul, MN 55101. E-mail address: peter.a.cole@healthpartners.com.
2 Orthopaedic Trauma Service, Hamilton General Hospital, 7 North, Room 727, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada. E-mail address: bhandari@mcmaster.ca

Specialty Update has been developed in collaboration with the Council of Musculoskeletal Specialty Societies (COMSS) of the American Academy of Orthopaedic Surgeons.

The first 150 words of the full text of this article appear below.


   Introduction
 
Since its inception in 1990, the term "evidence-based medicine" has evolved to include evidence-based nursing, physiotherapy, occupational therapy, podiatry, critical care, and surgery. Surgical subspecialties, such as orthopaedics, have led the way in a paradigm shift favoring evidence-based medicine over traditional approaches1.

The most sophisticated practice of evidence-based medicine requires, in turn, a clear delineation of relevant clinical questions, a thorough search of the literature relating to these questions, a critical appraisal of available evidence and its applicability to the clinical situation, and a balanced application of the conclusions to the clinical problem. The balanced application of the evidence (i.e., clinical decision-making) is the central point of practicing evidence-based medicine and involves, according to the principles of evidence-based medicine, integration of our clinical expertise and judgment with patient and societal values and the best available research evidence (Fig. 1)2.


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  		Fig. 1 Model of evidence-based medicine.

 

A common misunderstanding . . . [Full Text of this Article]


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