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Editor,—Evidence based and guideline based medicine is justifiably emphasised in current accident and emergency (A&E) medicine practice. At St James's University Hospital in Leeds, the A&E trainees participate in regular evidence based critical appraisal sessions as part of education development, and such skills are assessed in our Faculty of Accident and Emergency Medicine exit examination.
One source of valued literature is Sackett et al,1 particularly their appraisal cards on the validity, importance, and applicability of a particular …