There is a saying which goes:
Those who can, do.
Those who can't, teach.
Those who can't teach, teach teachers.
At first reading, your request in itself would appear to be (anedotal) evidence in support of the saying.
However, the saying continues:
Those who can't teach teachers become management consultants.
Which begs the question "is advocating evidence-based medicine a form of management consulting?" It is certainly a NICE form of cost-containment.
Whatever the answer, one approach would be to start by asking the audience by identifying their preconceptions as to what evidence-based medicine is, what it is about, and how they think it affects their everyday practice, if indeed it does have an effect.
As you believe you can predict what they will say, you will know all the answers. If not, you can select the points that you know you can answer and identify potential surces for answers to the other questions. Or you could do the complete management consultant bit and ask the audience where they think they might obtain the answers ...
Sincerely.
Dr. John Barclay
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From: K.Hopayian[SMTP:[log in to unmask]]
Sent: mercredi 21 mars 2001 11:34
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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