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If any book is to persuade paediatricians to practice evidence-based healthcare, this is it. Evidence Based Pediatrics and Child Health is a practical tutorial in the process and practice of evidence based paediatrics. It is not a reference book, unlike the others in this series (Evidence Based Cardiology and Evidence Based Gastroenterology & Hepatology). It is divided into three distinct sections, beginning with twelve well written chapters on the process of evidence based paediatrics: forming questions, searching for answers, and critically appraising the results. Using these chapters to reinforce learning from an EBM workshop or short course is ideal. As a primary introduction to the subject, they may be a touch too concise.
The next two sections cover in detail what other books on evidence based practice ignore: putting the results into clinical practice. Divided into community based and patient specific topics, a very wide range of clinical conditions and questions are covered. Each chapter takes a broad topic—febrile seizures, childhood obesity—prefaced by an almost realistic scenario and proposing a number of important clinical questions. The author guides you through forming precise questions, searching for answers, selecting and appraising the evidence. Both strengths and weaknesses of study design and applicability are explored, without excessive reliance on statistics. The clinical realities are reinforced by reference to the scenario which triggered the questions, and addressing the wider applicability of the study. As with any multi-author book, there is variation in style and quality of content. If you want to involve yourself in methodological and academic discourse, turn to Sandi Pirozzo and Chris Del Mar discussing Otitis Media. For those wanting to see how they, as the SpR in clinic, can put some evidence in their practising (sp intentional), Milton Tenenbein gives a great demonstration on the topic of SIDS.
This isn't a book for the library—it's one for the staff room coffee table, to inspire discussion and development over doughnuts. Get someone to buy one for your workplace.
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