I am forwarding this interesting question from another List serv, I
participate in. It has generated quite a bit of good discussion.
Dan Sontheimer
Spartanburg FMR
> -----Original Message-----
> From: Neil Korsen [SMTP:[log in to unmask]]
> Sent: Tuesday, December 19, 2000 1:53 PM
> To: [log in to unmask]
> Subject: Teaching EBM
>
> I am responsible for teaching EBM in a family practice residency. There
> are two issues (at least) that I am puzzling over.
>
> 1. What ideas do people have about dealing with the frustration frequently
> encountered by the realization that for many clinical questions, there are
> no evidence-based answers? How do you keep the residents from dismissing
> the whole concept because they cannot yet always find answers in a prompt
> manner?
>
> 2. (A question and a request) How valuable do people find the process of
> structuring the clinical question, per Sackett and others? While it makes
> sense to me to have the residents think about the question they are asking
> and focus it, the formal structuring of patient/problem, intervention,
> comparison, and outcome doesn't always assist in the process of searching
> for the answer - the search engines do not accept this structure to a
> query. Thus the request to those of you who are working on the FPIN as
> well as others - wouldn't it be nice if we had a database that could be
> searched by structuring and then asking your question in this format, or
> at least in a way that facilitated the process of moving from the clinical
> situation to the information needs in a relatively direct way.
> Thanks in advance for thoughts on these matters. Neil Korsen
>
> Neil Korsen, MD
> Maine Medical Center Family Practice
> Residency
> 272 Congress St.
> Portland, Maine 04101
> (207)842-7360
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