This session lays the foundation for Evidence-Based Medicine, clarifying core concepts and common misunderstandings. It explains how EBM integrates three equal pillars—best available evidence, clinical expertise, and patient values/preferences—and why over-weighting “evidence” alone leads to poor implementation. Viewers also learn the Five A’s workflow (Ask, Acquire, Appraise, Apply, Assess) and how EBM relates to adjacent terms: evidence-based health care (system level), evidence-based practice (clinic/program level), evidence-based practitioner (applies curated evidence), and evidence-based expert (critically appraises and translates evidence).

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Key takeaways

• EBM balances evidence, expertise, and patient factors; all three matter.
• The Five A’s provide a repeatable decision framework, ending with self-assessment.
• “Evidence-based” at the system, practice, practitioner, and expert levels serves different roles that must align.
• Properly framed patient-specific questions drive efficient searches and relevant application.
• Continuous assessment of real-world outcomes closes the loop and improves care.

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Disclaimer
This content is for educational purposes only and is not intended to provide medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard in this content.

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00:00 Introduction & why EBM matters
01:08 The three pillars: evidence, expertise, patient factors
03:25 What EBM is—and is not
05:02 The Five A’s: Ask, Acquire, Appraise, Apply, Assess
09:10 From EBM to EBHC, EBP, practitioner vs. expert
13:40 Framing patient-specific questions that matter
16:05 Applying evidence with patient values & context
19:10 Assessing outcomes and closing the loop
21:15 Summary & next steps