This template is a rough guide.
Notes for your preparation: 1. Replace italicized text with your content and delete italicized notes. 2. There are some additional notes to guide you on some slides.
Patient presentation
Clinical question
“Among patients with septic shock, how well do corticosteroids, as compared to placebo, reduce mortality” • P:
– patients with septic shock
• I:
– corticosteroids
• If your question is more specific, please add the following: • C:
– placebo
• O:
– mortality
Background
• Giving background beyond would is in the next slide is optional. If you do add more background, please limit to one slide of salient points.
What is the current prevailing opinion?
• UpToDate:
– UpToDate says…
• PIER:
– PIER says…
• Optional other sources such as the most recent relevant practice guideline or a review article from a high impact journal (high impact means NEJM, JAMA, Lancet, Annals)
Finding an answer
• Search terms
– “steroids and sepsis”
• Website(s) used
– Consider using references from UpToDate, PIER, PubMed, OVID, or http://sumsearch.uthscsa.edu, etc. Note that SUMSearch will simultaneously help you find recent reviews or guidelines to guide you to the current dogma, while sumsearch will also help you find an article for your review.
Today’s article
• First author . Title. Journal name. Year. (PMID: ########) • Overview of methods
– Please do not use narrative review articles. – What type of article is this (FOR HELP, SEE ‘LEVELS OF EVIDENCE’ AND PICO TABLE ON THE BLUE CARD)? – Funding
Today’s article
• P: What is the patients/population/problem being studied? • If your article is a practice guideline, you may only be able to specify the ‘P’. • I: What is the intervention or test or causal factor being studied? • C: What is the intervention/test being compared to? • O: What is the outcome of interest in the study?
Methods
• Add anything you want about the methods
Quantitative results
• If this is a treatment question
– please put NNT if available, else show what ever you can find. – Also try to show the event rate from the control group here.
• OR if this is a diagnosis question, show
– sensitivities, specificities – pretest prevalences
Today’s article
• Strengths
– Put strengths here
• Limitations
– Put limitations here
Contribution
• Put here what, if anything, this article adds over the prevailing dogma as represented in whatever is the best current content from a recent high impact review article, practice guideline, UpToDate, or PIER. • So, what did this article teach you beyond what you read in UpToDate?