Another good article is
How to read clinical journals: X. How to react when your colleagues haven't
read a thing
S.L. Shumak, D.A. Redelmeier CMAJ 2000;163(120:1570.
Amit K. Ghosh, MD
Rochester , MN USA
> ----------
> From: Dr. Giuseppe Giocoli[SMTP:[log in to unmask]]
> Reply To: Dr. Giuseppe Giocoli
> Sent: Wednesday, March 21, 2001 9:01 AM
> To: [log in to unmask]
> Subject: Understanding in hostile territory
>
> Dear Toby,
> "Vae victis!" (Woe to the conquered!) Brenno shouted at Romans, throwing
> his sword onto the scales, while they weighing their tributes.
> "Woe betide aliens!" I said today morning while reading your sentence:
> "OK, this 30 year old medical negligence solicitor who jogs every day
> wants a provate referral for exercise ECG ....".
> I cannot understand which kind of person is the one you are speaking
> about.
> Toby, you often hide crystalline concepts inside a cover of very hard
> English ...
> I would kindly remind you Britons that a lot of aliens are listening in
> the list.
> Thanks.
> Giuseppe
>
>
>
> Dr. Giuseppe Giocoli
> Via Sarca, 19
> 25015 DESENZANO d/G (BS) Italia
>
>
> At 11.01 21/03/01 +0000, you wrote:
>
>
> In message <[log in to unmask]>, K.Hopayian
> <[log in to unmask]> writes
> >I am booked to give an introductory talk to two groups of general
> >practitioners in this part of England, East Anglia. The first is a
> group of
> >GPs attending an annual refresher course, the second a group of
> trainers and
> >their trainees (called registrars in England). Both groups contain
> >individuals hostile to EBM (though none have had direct exposure, I
> >suspect).
> >
> >My plan is to use *educational aikido* - that is, let them attack
> and I will
> >use their own force or weight to floor them. I believe I can
> predict what
> >they will say and so have some examples to give to illustrate that
> EBM is
> >not the monster they believe and that it can help answer questions
> that
> >arise in general practice.
> >
> >I have never done this before so I wonder if any of you have
> experience I
> >could benefit from?
> >--
>
> I tend to give a broad historical introduction using examples of
> failure
> (or delay) in getting research into practice. The examples I use
> are:
> Lind's work on scurvy, Semmelweiss's work on puerperal fever (with
> the
> added twist that Oliver Wendell Holmes came to the same conclusion,
> but
> they were never in contact) then leap forward to CAST and
> thrombolysis
> (if they thought "of course WE are too sophisticated to ignore
> evidence..."). Then I work through an example of diagnosis (exercise
> ECG
> for super-fit athlete with non-cardiac chest pain). All the time I
> emcourage discussion. This seems to go down OK - it seems a common
> misconception is still the old one about "cookbook medicine", so
> it's
> useful to cover ground where preconceptions can be challenged ("OK,
> this
> 30 year old medical negligence solicitor who jogs every day wants a
> provate referral for exercise ECG and will make a formal complaint
> if
> you don't comply...what do you do?" -there's always an honest one
> who
> says "OK, I'll refer - what harm can it do?!!")
>
> Toby
> --
> Toby Lipman
> General practitioner, Newcastle upon Tyne
> Northern and Yorkshire research training fellow
>
> Tel 0191-2811060 (home), 0191-2437000 (surgery)
>
> Northern and Yorkshire Evidence-Based Practice Workshops
>
> http://www.eb-practice.fsnet.co.uk/
>
>
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