This letter considers the main challenges that people with rare diseases and their families face: delay in diagnosis, lack of appropriate support and information, and impaired access to treatment. The differences in medical experience between a patient with a rare disease and one with a common one are made through the use of a real-life example: the diagnosis of leiomyosarcoma received by my mo...

BACKGROUND Previous studies report various degrees of agreement between self-perceived competence and objectively measured competence in medical students. There is still a paucity of evidence on how the two correlate in the field of Evidence Based Medicine (EBM). We undertook a cross-sectional study to evaluate the self-perceived competence in EBM of senior medical students in Malaysia, and ass...

Evidence based medicine (EBM) puts forward a hierarchy of evidence for informing therapeutic decisions. An unambiguous interpretation of how to apply EBM’s hierarchy has not been provided in the clinical literature. However, as much as an interpretation is provided proponents suggest a categorical interpretation. The categorical interpretation holds that all the results of randomised trials alw...

it is an honor and pleasure to serve as the guest editor for the educational research in medical sciences journal. i would like to thank the cooperation of vice chancellery for research and technology of kermanshah university of medical sciences that kindly helped us throughout this special issue. since kermanshah school of dentistry has recently initiated its activity, it is necessary to obtai...

The restoration of the endodontically treated tooth represents a key factor during treatment planning because of its impact on the longterm prognosis. Here we provide an analysis of clinical studies evaluating outcomes of various restorative treatments applied to endodontically treated teeth.

recently, use of research, theory, evidence-based practice (ebp), and quality improvement (qi) has increased dramatically in the professional manuscripts and discourses of the health related literature. however, inadequate knowledge and inability to recognize the differences between these processes have led to uncertainty in some of these practices. elucidation of such processes is of paramount...

evidence based medicine (ebm) is a new approach to patient management which incorporates best evidence with the clinical expertise of the health care providers. although this approach has had a rapid growth in many clinical disciplines, its applications in radiology and nuclear medicine has not been addressed sufficiently. in this review ebm is briefly explained and the first two steps of the e...

The precautionary principle calls for preventive actions in the face of uncertain information about risks. It serves as a compass to better guide more health-protective decisions in the face of complex risks. Applying precaution requires thinking more broadly about risks, taking an interdisciplinary approach to science and policy, and considering a wide range of alternatives to potentially harm...