Laryngo- rhino- otologie
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Using a clinical example we discuss the reasons why some of our colleagues associate unpleasant feelings with the term Evidence-Based Medicine (EBM). We demonstrate what EBM can contribute to solve day-to-day clinical problems and discuss the six formal steps for implementation of EBM into the day-to-day practise. 1. To transform the clinical problem into an answerable 4-part question. 2. ⋯ To critically appraise the found evidence with respect to it's validity, importance and applicability. 5. To integrate the appraised external evidence into your existing internal evidence in order to come to a new decision if the additional new external evidence in convincing. 6. To assess the benefit which was gained for the patient.