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Users' Guides to the Medical Literature:  I. How to Get Started

Andrew D. Oxman, MD, MSc; David L. Sackett, MD, MSc; Gordon H. Guyatt, MD, MSc; George Browman, MD, MSc; Deborah Cook, MD, MSc; Hertzel Gerstein, MD, MSc; Brian Haynes, MD, MSc, PhD; Robert Hayward, MD, MPH; Mitchell Levine, MD, MSc; Jim Nishikawa, MD; Patrick Brill-Edwards, MD; Michael Farkouh, MD; Anne Holbrook, MD, PharmD, MSc; Roman Jaeschke, MD, MSc; Hui Lee, MD, MSc; Lori McDonald, MD, MSc; Ameen Patel, MD; Stephane Sauve, MD, MSc; Ted Haines, MD, MSc; Elizabeth Juniper, MCSP, MSc; Bernie O'Brien, MD, MSc; K. S. Trout, FRCE; Stephen Walter, PhD; Eric Bass, MD, MPH; Allan Detsky, MD, PhD; Michael Drummond, BSc, MCom, DPhil; Andreas Laupacis, MD, MSc; Virginia Moyer, MD, MPH; David Naylor, MD, DPhil; Andrew Oxman, MD, MSc, FACPM; John Philbrick, MD; W. Scott Richardson, MD; Jack Sinclair, MD; Brian L. Strom, MD, MPH; Peter Tugwell, MD, MSc; George Wells, MSc, PhD; Sean Tunis, MD, MSc; John Williams Jr., MD, MHS; Mark Wilson, MD, MPH
JAMA. 1993;270(17):2093-2095. doi:10.1001/jama.1993.03510170083036.
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CLINICAL SCENARIO  You are a primary care physician inspired by a recent editorial in JAMA about lifelong learning.1 You decide to use some of the time you normally take for continuing medical education conferences for "practice-based education" tailored to your own practice. You begin by setting aside 2 hours every week to read about relevant clinical problems.It is now Friday morning and you have 2 hours to spend in the hospital library. You review a one-page list of questions you have generated from the patients you've seen in the prior week. Your questions include these: What should you tell a 33-year-old woman with migraine headaches who has asked for a prescription for sumatriptan after reading a magazine article about it? Should you be screening older men in your practice for prostate cancer? What should you tell the mother of a 6-month-old boy who had a febrile seizure about

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Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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