We all know about the basics skills of evidence-based medicine (EBM): asking questions, searching, critical appraisal, and applying the results. But how do these skills translate into everyday practice change? Of course, reading the EBM journal is a vital element, but engaging the whole clinical team also seems important. One way of introducing EBM into everyday practice is to shift the focus of "journal clubs" from an academic exercise to one of practice change. Karen Kearley illustrates how this might work in primary care with an example that …