M3 Practice Based Learning and Improvement Presentation Guide: Step 5: POEM Versus DOE

Is the article or guideline a DOE or a POEM?

POEM (Patient Oriented Evidence that Matters)

• Quality of Life
• Mortality
• Pain
• Mobility
• Recovery Time
• Length of hospital stay
• Cost
• Pain scale

DOE (Disease Oriented Evidence)

• Cardiac biomarkers
• Blood pressure reading
• LDL, HDL
• Blood sugar
• Bone density
• BMI
• Other laboratory Tests

Slawson DC, Shaughnessy AF, Ebell MH, Barry HC. Mastering medical information and the role of POEMs--Patient-Oriented Evidence that Matters. J Fam Pract. 1997;45(3):195-6.

• Remember to also consult a professional drug monograph or herbal monograph.  Consider cost, warnings, contraindications, adverse reactions, and drug interactions. For natural products, consider purity and standardization.
• Remember to consider costs, insurance coverage, and accessibility.
• If using a research article, does it match the clinical guidelines?