Welcome to Our Site
At Critical Thinking in Medicine, we empower healthcare professionals with the skills to apply evidence-based medicine effectively. Join us in enhancing your medical knowledge and improving patient outcomes through critical appraisals of the literature and joint informed decision-making.
Our goals:
Help physicians at any level of training to:
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Understand how evidence is generated and slowly accumulates.
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Assess the quality of the evidence to predict if we have found a new standard of care or if our understanding is likely to change in the future.
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Learn how to incorporate patient's values into decision making.
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Learn how to make decisions when the evidence is lacking.
Become a lifelong learner and a teacher. Apply your newfound skills and knowledge to enhance patient care.
Access our free resources to enhance your Journal Club leading skills and understand EBM topics. No to minimal math required!
Critical Thinking in Medicine is a dedicated online platform committed to advancing evidence-based medicine teaching. Our goal is to provide medical professionals with the necessary resources to navigate research studies effectively, fostering critical thinking skills and promoting unbiased practices in medicine in general, and particularly in critical care. Join us in our mission to enhance patient care through informed decision-making and evidence-based practices.
Latest Literature Critical Appraisals:
Summaries of specialty specific articles,
new and landmark.
Summaries of specialty specific articles,
new and landmark.
Types of EBM questions & Types of Studies
Browse the library of concepts above or
Click the Topics in blue for specific concepts.
Randomized controlled trial:
(Therapy)
Basic Topics: Randomization. Allocation Concealment. Blinding. Intention-to-treat analysis vs Per protocol Analysis. Loss to follow up. Measures of outcomes. Precision and Accuracy of Outcomes. Stopping trials early. Composite outcomes. Understanding Therapy Results.
Advanced Topics: Non-inferiority trial. Win ratio.
Systematic Reviews (Therapy / Diagnosis)
Basic Topics: Comprehensive Search Strategy. Forest Plots. Heterogeneity. Meta-analysis of data. Funnel Plots and publication bias.
Advanced topics: Random effects vs. Fixed Effects models
Cohort Studies (Diagnosis / Prognosis / Harm)
Basic Topics: Cohort study design. Diagnostic test characteristics - Sensitivity and Specificity. Pre-test probability. Likelihood Ratios. Action Thresholds. Fagan Nomogram.
Advanced Topics: Agreement beyond Chance.
Case Control Studies (Harm)
Basic Topics: Case control design.
Advanced Topics: Odds Ratios vs Risk Ratios. Correlation and Regression.
Helpful external resources
Articles exploring Evidence Based teaching scripts for teaching Evidence Based Medicine
Meet the Team
Our expanding team is made up of passionate faculty from a variety of institutions, all united by their excitement for learning and teaching Evidence-Based Medicine!
Admin, Blogger and EBM enthusiast
Martin Cearras, MD, FACP.
Martin Cearras is a Pulmonary & Critical Care Medicine trained physician with almost 20 years of experience. He is an enthusiast of Evidence Based Medicine and enjoys teaching and discussing evidence with his trainees and patients. He was an invited tutor at the DUKE EBM workshop for over a decade.
Blogger and EBM enthusiast
Peter Ryu Tofts, MD
Dr. Tofts is a Pulmonary & Critical Care Medicine trained physician. He has attended the Duke Evidence Based Medicine workshop and has adopted EBP to his daily practice .
Blogger and EBM enthusiast
David Goldenberg, DO
Dr. Goldenberg is an Internal Medicine and Critical Care Medicine Trained Physician. He was a junior faculty at the Duke EBM workshop. His main interests include hematological malignancies in the ICU