Internal Medicine Clerkship

Guide to best Internal Medicine Clerkship research resources and tools to complete objectives and goals.

Article Appraisal Worksheet

Journal citation:

Background

Rationale

Objective (look in abstract)

Trial Design

Patient Population

Eligibility

Inclusion Criteria:

Exclusion Criteria:

Intervention

Outcomes

Primary Endpoints:

Secondary Endpoints:

Other:

Statistics

Results - Efficacy

Results - Safety

Bottom Line (Conclusion)

Limitations

Application to Clinical Practice

Table adapted from Emergency Medicine Journal Club, Dr. Jon Solberg

Randomized Control Trial Appraisal Worksheet

Randomized Control Trial article

Citation:

How serious is  the risk of bias?

Did intervention and control groups start with the same prognosis?

Were patients randomized?

Was randomization concealed?

Were patients in the study groups similar at baseline with respect to prognostic factors?

Was prognostic balance maintained as the study progressed?

To what extent was the study blinded?

Were groups prognostically balanced at the study’s conclusion?

Was follow-up complete?

Were patients analyzed in the groups to which they were randomized?

Was the trial stopped early?

What are the results?

How large was the treatment effect?

How precise was the treatment effect?

How can I apply the results to my patient care?

Were the study patients similar to my patient?

Were all patient-important outcomes considered?

Are the likely benefits worth the potential harms and costs?

 

 

Systematic Review appraisal worksheet

Systematic Review Appraisal Worksheet

Citation:

How serious is the risk of bias?

Did the review address a focused clinical question?

Was the search for relevant studies detailed and exhaustive?

Was the selection of studies reproducible?

Was the risk of bias of the primary studies assessed?

What are the results? Understanding the Summary Estimate of a Meta-analysis

What is the magnitude of treatment effect? (i.e., what is the pooled estimate)

How precise are the results? (i.e., confidence interval around the pooled estimate)

What are the results? Rating Confidence in the Estimates (the Quality of a Body of Evidence)

Are the results consistent across studies? (i.e. heterogeneity or inconsistency)

Is there a concern about reporting or publication bias?

Overall, what is the quality of the body of evidence by outcome? (High, moderate, low, very low)

How can I apply the results to my patient care?

Is the study population similar to your patient?

Did the review present results that are ready for clinical application?

Are likely benefits worth potential harms/costs?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adapted from Duke University and McMaster Evidence-based Practice Workshops and the Users' Guide to the Medical Literature 3rd Ed.