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Each of the four main components of the curriculum follow the same basic workflow. First, a patient is identified and a relevant clinical question is formulated in the standard population/patient, intervention, comparison, outcome (PICO) format. Depending on the activity, a literature search is performed and a relevant article is selected either as a group or by the individual participant. The article is then critically appraised using the critical appraisal forms found in the JAMA evidence Guide.3 Workflow is depicted in the Figure 1. The critical appraisal is then reviewed in a group, with group size varying based on activity. There is at least one EBM faculty that moderates the group teaching. The structure of our EBM curriculum relies heavily on the adult learning theory to better facilitate the knowledge gain and the skill development.13

EBM workflow.

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