提出好的临床问题，并找到最佳证据来回答这些问题。
Developing good clinical questions and finding the best evidence to answer those questions.
机构信息
Ann Arbor, Mich. From the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System.
出版信息
Plast Reconstr Surg. 2010 Aug;126(2):613-618. doi: 10.1097/PRS.0b013e3181de24a7.
Abstract
Evidence-based medicine involves the integration of the best scientific evidence available with physician experience and patient preferences. One of the first steps in evidence-based medicine involves developing a question based on issues encountered with patients or a disease and finding evidence to answer the question. This article is a guide to plastic surgeons in how to begin the practice of evidence-based medicine by developing clinical questions and finding evidence to answer these questions.
摘要
循证医学涉及整合可用的最佳科学证据、医生经验和患者偏好。循证医学的第一步之一是根据患者或疾病遇到的问题制定问题，并寻找证据来回答问题。本文旨在指导整形外科医生如何通过制定临床问题和寻找证据来回答这些问题，从而开始循证医学实践。
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5
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6
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7
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9
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10
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