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Evid Based Med 10:131-132 doi:10.1136/ebm.10.5.131
  • Ebm notebook

Clinical skills textbooks fail evidence-based examination

Rating of clinical skills texts for evidence-based approach

Textbook Discussion about diagnostic process General discussion of accuracy and reliability Accuracy of specific signs or symptoms provided References provided Relative frequency of disease or clinical finding Comments
*Cells in which students’ rating prior to consensus differed from academics. Their initial rating for each of these 3 texts was “1”.
Rating Scale
0—no mention of concept
1—concept explained briefly, no examples given
2—concept explained and some examples given
3—concept consistently explained and applied throughout book.
Bates 2 1 0 1 0 Discusses evidence-based medicine and the diagnostic process
Davies 0* 0 0 0 0 A brief primer rather than a textbook
Ogilvie & Evans 0* 0 0 0 0/1 Good diagrams, tables and photographs
Larkins & Smallwood 2 0 0 1 0/1 Only 1 reference cited in entire book
Talley & O’Connor 1 0 1 2 2 Section correlating symptoms and signs with particular diseases
Munro & Campbell 1 0 0 1 2 Useful chapter conclusions on common pitfalls (v brief)
Lumley 0* 0 0 0 1 Mention of prevalence of conditions and survival rates
Gray & Toghill 1 1 0 0 2 Tables on common and less common causes for some presentations
Swash & Hutchinson 1 1 1 0 0
Browse 0 0 0 0 0/1 Traditional surgical text disease-based approach

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