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The slide shows a very well-known definition in the evidence paradigm. EBM implies a conscious choice on the part of practitioner and patient that explicit and exact decisions will be made. The EB Medicine was developed in Canada to teach medical students but was later applied to deal with clinical, management and education problems. The concept have also moved from the individual patient to the community and public health. Prof. D. Sackett and his colleges at Oxford are encouraging its use all over the world.