During this conference, the fellow on the in-patient consultation service presents a patient case, either from in-patient or outpatient care, with a specific question, and then presents an evidence-based answer using the PICO format. The conference is conducted in a collegial and non-threatening manner; however, fellows should expect intellectually challenging questions from the faculty to test their medical knowledge and clinical approach. All available fellows and faculty not involved in other clinical activities should attend and actively participate in the discussion.