NEOMED Library: M3 Practice Based Learning and Improvement Presentation Guide: Step 5: Relevance

Step 5: Perform Evaluation, Analysis and Synthesis

Evaluate the clinical literature
You will want to critique the relevance, validity, and clinical applicability of the literature found in your search to answer the question.
Relevance - to the question and the patient
Use PPICO
- Used to form your question
- Identify PPICO of your article or guideline
If they are similar, the article or guideline can answer your question!
Use PPICONS to show the relevance of your article to your clinical question
- P Problem
- P Patient or Population
- I Intervention
- C Comparison
- O Outcome
- N Number of Subjects
- S Statistics

Flaherty R. A simple method for evaluating the clinical literature. Fam Pract Manag. 2004;11(5):47-52. Available from: http://www.aafp.org/fpm/2004/0500/p47.pdf

Example of a PPICO and PPICONS Slide for a PBLI Presentation

Is Black Cohosh More Effective Than Conventional Care For Treating Vasomotor Symptoms of Menopause?
PPICO		PP-ICONS
P	Vasomotor Symptoms	P	Vasomotor Symptoms
P	55 y/o African American woman	P	Peri- or Post-menopausal women
I	Black Cohosh	I	Black Cohosh
C	Conventional Care	C	Red Clover, CEE/ MPA, Placebo
O	Decreased or No Vasomotor Symptoms	O	Decreased Vasomotor Symptoms
		N	89
		S	Decrease in symptoms: black cohosh (34%), red clover (57%), placebo (63%), and CEE/MPA (94%)*

Article: Geller SE, Shulman LP, Van Breemen RB, et al. Safety and efficacy of black cohosh and red clover for the management of vasomotor symptoms: a randomized controlled trial. Menopause. 2009;16(6):1156-66. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2783540/

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M3 Practice Based Learning and Improvement Presentation Guide: Step 5: Relevance

Step 5: Perform Evaluation, Analysis and Synthesis

Example of a PPICO and PPICONS Slide for a PBLI Presentation