Encouraging professionals in training and later to consider practice-relate
d research findings when making important clinical decisions is an on-going
concern. Evidence-Based Medicine (EBM) and the Cochrane Collaboration (CC)
provide a source of tools and ideas for doing so, as well as a roster of c
olleagues who share this interest. Evidence-based medicine involves integra
ting clinical expertise with the best available external evidence from syst
ematic research as well as considering the values and expectations of patie
nts/clients. Advantage can be taken of educational formats developed in EBM
, such as problem-based learning and critical-appraisal workshops in which
participants learn how to ask key answerable questions related to important
clinical practice questions (e.g., regarding effectiveness, accuracy of as
sessment measures, prediction, prevention, and quality of clinical practice
guidelines) and to access and critically appraise related research. The Co
chrane Collaboration is a world-wide network of centers that prepare, maint
ain, and disseminate high-quality systematic reviews on the efficacy of hea
lthcare. These databases allow access to evidence related to clinical pract
ice decisions. Forging reciprocal working relationships with those involved
in EBM and the CC should contribute to the pursuit of shared goals such as
basing clinical decisions on the best-available evidence and involving cli
ents as informed consumers. (C) 1999 Elsevier Science Ltd. All rights reser
ved.