Excellent point...I actually went into Indian territory Thursday and gave a
talk at a small hospital in Dalton, Georgia. It was well received, and I may
well get invited back to follow-up. On the other hand, I have given the same
talk to groups that sat in a stony silence, arms folded who followed up with
a lot of "We already practice evidence-based medicine", "There isn't
evidence for everything, so go away", "Guidelines are cookbook medicine",
"Those studies don't understand MY patients", etc. I have seen a trend
toward more friendly audiences over the past year or two - or maybe my
lecture is just getting better!
Cheers,
Mark
Mark Ebell, MD, MS
Editor, The Journal of Family Practice
Associate Professor, Michigan State University
[log in to unmask]
-----Original Message-----
From: Adrian Freeman [mailto:[log in to unmask]]
Sent: Friday, March 23, 2001 5:40 PM
To: [log in to unmask]
Subject: Re: Teaching in hostile territory
Why do you think that they are hostile? Why do you suspect that none have
had direct exposure?Why do you think that they will attack and why do you
think that you have to floor them? More importantly why do so many replies
go along the theme of us and them with helpful replies that seem to maintain
that attitude.
we all want to do a good job be it treating or teaching and I'm sure that it
helps all teaching if you do not have a preconception that you are entering
hostile territory. I bet that you will all have a really good time and as
Martin says you will all learn a lot.
Adrian Freeman
GP
-----Original Message-----
From: Evidence based health (EBH) is the integration of individual
knowledge [mailto:[log in to unmask]]On Behalf Of
K.Hopayian
Sent: 21 March 2001 10:35
To: [log in to unmask]
Subject: Teaching in hostile territory
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?
--
Best wishes, Kev Hopayian
GP, Leiston, Suffolk, UK
Web site: http://www.suffolk-maag.ac.uk/kevhop
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