EBM is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.

EBM is the integration of clinical expertise, patient values, and the best evidence into the decision making process for patient care. Clinical expertise refers to the clinician's cumulated experience, education and clinical skills. The patient brings to the encounter his or her own personal and unique concerns, expectations, and values. The best evidence is usually found in clinically relevant research that has been conducted using sound methodology.

The evidence, by itself, does not make a decision for you, but it can help support the patient care process. The full integration of these three components into clinical decisions enhances the opportunity for optimal clinical outcomes and quality of life. The practice of EBM is usually triggered by patient encounters which generate questions about the effects of therapy, the utility of diagnostic tests, the prognosis of diseases, or the etiology of disorders.

Evidence-based medicine requires new skills of the clinician, including efficient literature-searching, and the application of formal rules of evidence in evaluating the clinical literature.
Steps in the EBM Process

The patient

1. Start with the patient -- a clinical problem or question arises out of the care of the patient

The question

2. Construct a well built clinical question derived from the case

The resource

3. Select the appropriate resource(s) and conduct a search

The evaluation

4. Appraise that evidence for its validity (closeness to the truth) and applicability (usefulness in clinical practice)

The patient

5. Return to the patient -- integrate that evidence with clinical expertise, patient preferences and apply it to practice

Self-evaluation

6. Evaluate your performance with this patient

Mind and Body Homoeopathic Clinic and Research centre‎

At the clinic the patients are treated homoeopathically by Dr susamma jacob Bsc,BHMS, former principal Anss Homoeo Medical College Kottyam and Dr. Alex Joseph B.H.M.S, MSc epidemilogy,CMC Vellore who are sincerely dedicated to homoeopathy. Assistance when needed is obtained from eminent and senior homoeopaths in India and abroad.

Kinds of patients treated at the Centre

1. Surgical diseases such as pile,nasl polyp,renal stones,polycystic ovarian diseases,recurrent tonsillitis
2. Cosmetic Homoeopathy is a novel facilities available at the clinic.

All kinds of patients ranging from diabetes, hypertension, stroke, migraine, neuralgia, epilepsy, piles, fistulae, ulcers, various skin diseases, asthma, various types of hair loss, IBS, cervical spondylosis, Impotency, ovarian cyst, polycystic ovary, fibroid uterus, obesity are treated .

3. Childrens affections like recurrent tonsillitis, UTI, bed wetting, behavior disorders, dyslexia.


4.Infertility • Old age diseases • Post chemotherapy problems • Kidney stone •
5)Preventive medicines
6) Homoeopathic Management During Pregnancy Period

For certain ailments like auto immune diseases, viral diseases, antibiotics resistant bacterial infections, even mental diseases like prolonged depression, anxiety neurosis, obsessive compulsory neurosis, mania etc.. to initial stages of cancer, AIDS are treated and their progress is documented for scientific study.

The Centre follows a protocol when treating the various patients that flock to it to find relief for their sufferings. Dr. Hahnemann's observations as regards the directional rules of cure are conscientiously adhered to. Being pure Hahnemannian in conducting and researching. Also strict adherence is paid to the Psycho, Neuro, Endocrino and Immulogical axis (P.N.E.I. Axis ) of the patients.

Approach to the patient'Individualization' is the base on which homoeopathy stands and this is achieved by studying the characteristics of the patient. As 'Individualization' is the basis on which homoeopathic prescription is based and for this purpose the Centre has two approaches

1. For resident patients and 2. Through a 'Case Record Form' for patients from 'out of station' and 'abroad'

For resident' patients: At the time of procuring an appointment a detailed case is taken for the complete understanding of the patient .For chronic cases the first consultation takes about 1/2 to 1 hour for a thorough understanding of the patient as an individual.

For patients 'Out of Station' and those 'not residing in India' A detailed Case Record Form is sent to 'out of station' patient and for those 'abroad' to procure treatment.

online consultation is avaliable

Address & Contact Details
Karrotukunnel plaza ,, Kalathipady, vadavathoor po ,kottayam 10Kottayam -686003 (Kerala), India

	Dr. Susamma/Dr. Alex
	N/A
	9994088751, 9447507403

What Is Evidence-Based Medicine [Practice]?

Levels of evidence pyramid ("Information Mastery: Navigating the Maze." University of Virginia, Claude Moore Health Sciences Library, 2009.)

"Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research."

HealthLinks Tutorial, (1994-2009). "Basic introduction to evidence-based practice resources." Seattle, WA: University of Washington.

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P.I.C.O. Model

Patient, Population, or Problem: How would I describe a group of patients similar to mine?

Intervention, Prognostic Factor, or Exposure: Which main intervention, prognostic factor, or exposure am I considering?

Comparison or Intervention (if appropriate): What is the main alternative to compare for the intervention?

Outcome you would like to measure or achieve: What can I hope to accomplish, measure, improve, or affect?

P.I.C.O. Model for Formulating Patient Questions. (2005). "Evidence based medicine: Finding the best clinical literature." Peoria, IL: University of Illinois Library of the Health Sciences.

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Levels of Evidence

Quality of Evidence ranges from A (High) - several high-quality studies with consistent results - to D (very low) - expert opinion, no direct research evidence, or one or more studies with very severe limitation

Essential Evidence Plus. (2009). Levels of Evidence. Malden, MA: John Wiley.

Dr. David L. Sackett is frequently credited with providing the first comprehensive definition of Evidence Based Medicine (EBM) in 1996. He defined it as, "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." EBM is an integrative decision making process that takes into consideration the clinical data, patient values and the best evidence available.

Dr. Newman, author of Hippocrates' Shadow, considers evidence based medical practice to be an important tool for improving in our healthcare system. He points out EBM makes the practice of medicine transparent, and provides the patient with enough knowledge to make an informed decision about his or her own body. He is particularly interested in incorporating Numbers Needed to Treat (NNT) in the doctor-patient interaction when considering risks and benefits of therapeutic interventions.

Dr. Newman is a member of the Evidence Based Health Care section of the New York Academy of Medicine.