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The Evidence-Based Neurology Curriculum

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Neurology

Abstract

A sound approach to practicing evidence-based medicine is an essential component of any contemporary clinical neurology training program. This chapter outlines the objectives and formats of two highly successful evidence-based neurology (EBN) curricula targeting neurology trainees. Integral components of an EBN curriculum, including the development of questions, pretutorial preparation, tutorial discussion, and posttutorial review, are discussed in detail. Helpful resources are identified and the evidence for EBN curricula is reviewed.

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References

  1. Burneo JG, Jenkins ME. Teaching evidence-based clinical practice to neurology and neurosurgery residents. Clin Neurol Neurosurg. 2007;109:418–21.

    Article  PubMed  CAS  Google Scholar 

  2. Burneo JG, Jenkins ME, Bussière M, the UWO Evidence-based neurology group. Evaluating a formal evidence-based clinical practice curriculum in a neurology residency program. J Neurol Sci 2006;250:10–9.

    Google Scholar 

  3. Demaerschalk BM, Wiebe S. Evidence based neurology: an innovative curriculum for post-graduate training in the neurological sciences. 2001. http://www.uwo.ca/cns/ebn. Accessed 21 Sept 2009.

  4. University of Western Ontario’s Evidence Based Neurology. 2001. http://www.uwo.ca/cns/ebn. Accessed 21 Sept 2009.

  5. Demaerschalk BM, Wingerchuk DM. The MERITs of evidence-based clinical practice in neurology. Semin Neurol. 2007;27(4):303–11.

    Article  PubMed  Google Scholar 

  6. Wingerchuk DM, Demaerschalk BM. The evidence-based neurologist: criticallyappraised topics. The Neurologist. 2007;13:1.

    Article  PubMed  Google Scholar 

  7. American Academy of Neurology Evidence Based Medicine Toolkit. http://www.aan.com/education/ebm/. Accessed 21 Sep 2009.

  8. Richardson WS, Wilson MC, Nishikawa J, Hayward RS. The well-built clinical question: a key to evidence-based decisions. ACP J Club. 1995;123:A12–3.

    PubMed  CAS  Google Scholar 

  9. University of Oxford Centre for Evidence-Based Medicine. http://www.cebm.net/levels_of_evidence.asp. Accessed 23 Feb 2009.

  10. U.S. National Library of Medicine PubMed. http://www.ncbi.nlm.nih.gov/sites/entrez. Accessed 23 Feb 2009.

  11. University of Texas Health Science Centre SUMSearch engine. http://sumsearch.uthscsa.edu/. Accessed 23 Feb 2009.

  12. The Cochrane Collaboration. http://www.cochrane.org/index.htm. Accessed 23 Feb 2009.

  13. Guyatt GH, Rennie D. Users’ guides to the medical literature. A manual for evidence-based clinical practice. Chicago: AMA; 2002.

    Google Scholar 

  14. Zarkou S, Aguilar MI, Patel NP, Wellik KE, Wingerchuk DM, Demaerschalk BM. The role of corticosteroids in the management of chronic subdural hematomas: a critically appraised topic. Neurologist. 2009;15:299–302.

    Article  PubMed  Google Scholar 

  15. Wingerchuk DM, Spencer B, Dodick DW, Demaerschalk BM. Migraine with aura is a risk factor for cardiovascular and cerebrovascular disease: a critically appraised topic. Neurologist. 2007;13:231–3.

    Article  PubMed  Google Scholar 

  16. Demaerschalk BM, Wingerchuk DM. Treatment of vascular dementia and vascular cognitive impairment. Neurologist. 2007;13:37–41.

    Article  PubMed  Google Scholar 

  17. Hickey MG, Demaerschalk BM, Caselli RJ, Parish JM, Wingerchuk DM. “Idiopathic” rapid-eye-movement (REM) sleep behavior disorder is associated with future development of neurodegenerative diseases. Neurologist. 2007;13:98–101.

    Article  PubMed  Google Scholar 

  18. Halker RB, Barrs DM, Wellik KE, Wingerchuk DM, Demaerschalk BM. Establishing a diagnosis of benign paroxysmal positional vertigo through the dix-hallpike and side-lying maneuvers: a critically appraised topic. Neurologist. 2008;14:201–4.

    Article  PubMed  Google Scholar 

  19. Hoerth MT, Wellik KE, Demaerschalk BM, Drazkowski JF, Noe KH, Sirven JI, et al. Clinical predictors of psychogenic nonepileptic seizures: a critically appraised topic. Neurologist. 2008;14:266–70.

    Article  PubMed  Google Scholar 

  20. Khoury JA, Hoxworth JM, Mazlumzadeh M, Wellik KE, Wingerchuk DM, Demaerschalk BM. The clinical utility of high resolution magnetic resonance imaging in the diagnosis of giant cell arteritis: a critically appraised topic. Neurologist. 2008;14:330–5.

    Article  PubMed  Google Scholar 

  21. Capampangan DJ, Wellik KE, Aguilar MI, Demaerschalk BM, Wingerchuk DM. Does prophylactic postoperative hypervolemic therapy prevent cerebral vasospasm and improve clinical outcome after aneurysmal subarachnoid hemorrhage? Neurologist. 2008;14:395–8.

    Article  PubMed  Google Scholar 

  22. Almaraz AC, Bobrow BJ, Wingerchuk DM, Wellik KE, Demaerschalk BM. Serum neuron specific enolase to predict neurological outcome after cardiopulmonary resuscitation: a critically appraised topic. Neurologist. 2009;15:44–8.

    Article  PubMed  Google Scholar 

  23. Khoury J, Wellik KE, Demaerschalk BM, Wingerchuk DM. Cerebrospinal fluid angiotensin-converting enzyme for diagnosis of central nervous system sarcoidosis. Neurologist. 2009;15(2):108–11.

    Article  PubMed  Google Scholar 

  24. Capampangan DJ, Wellik KE, Bobrow BJ, Aguilar MI, Ingall TJ, Kiernan TE, et al. Telemedicine versus telephone for remote emergency stroke consultations: a critically appraised topic. Neurologist. 2009;15:163–6.

    Article  PubMed  Google Scholar 

  25. Jenkins ME, Burneo JG. The return of evidence-based neurology to the Journal: it’s all about patient care. Can J Neurol Sci. 2008;35:273–5.

    PubMed  CAS  Google Scholar 

  26. Tartaglia MC, Pelz DM, Burneo JG, University of Western Ontario Evidence Based Neurology Group. Cerebral angiography and diagnosis of CNS vasculitis. Can J Neurol Sci. 2009;36:93–4.

    PubMed  Google Scholar 

  27. Sackett DL, Strauss SE, Richardson, WS. Evidence-based medicine: How to practice and teach EBM. 2nd ed. London: Churchill Livingstone; 2000.

    Google Scholar 

  28. Parkes J, Hyde C, Deeks J, Milne R. Teaching critical appraisal skills in health care settings. Cochrane Database Syst Rev. 2001;3:CD001270. doi:10.1002/14651858.CD001270.

  29. Coomarasamy A, Khan KS. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ. 2004;329:1–5.

    Article  Google Scholar 

  30. Flores-Mateo G, Argimon JM. Evidence based practice in postgraduate healthcare education: a systematic review. BMC Health Serv Res. 2007;7:119–27.

    Article  PubMed  Google Scholar 

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Correspondence to Miguel Bussière MD, PhD, FRCPC .

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Korngut, L., Bussière, M. (2012). The Evidence-Based Neurology Curriculum. In: Burneo, J., Demaerschalk, B., Jenkins, M. (eds) Neurology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-88555-1_14

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  • DOI: https://doi.org/10.1007/978-0-387-88555-1_14

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-88554-4

  • Online ISBN: 978-0-387-88555-1

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