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Limitations of EBM: Relegation of clinical judgment and mechanistic reasoning, and over-reliance on the reliability of clinical trials and systematic reviews. An exclusive focus on drugs and devices has left large aspects of health in an evidence vacuum.
California State University--Fresno has a total undergraduate enrollment of 21,318 (fall 2023), with a gender distribution of 41.6% male students and 58.2% female students. At this school, 6% of the students live in college-owned, -operated or -affiliated housing and 94% of students live off campus.
Average ACT: 19 The average ACT score composite at Cal State Fresno is a 19. The 25th percentile ACT score is 16, and the 75th percentile ACT score is 22. In other words, a 16 places you below average, while a 22 will move you up to above average.
Evidence-based diagnosis explicitly considers and quantifies the uncertainty about whether a particular disease is causing a patients illness, describes how to use test results to update this probability, and assuming that the costs and benefits of both the treatment and the test are known, determines whether the test
As EBM also involves making use of the best available information to answer questions in clinical practice, the author emphasizes the process of performing evidence-based medicine: generate the clinical question, find the best evidence, perform critical appraisal, apply the evidence, and then evaluate.
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The Fresno test is the first standardised, objective measure of ability in evidence based medicine that requires learners to demonstrate knowledge and skill. It can assess the effectiveness of teaching in evidence based medicine and identify strengths and weaknesses of curriculums and individuals.

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