I think this points up the importance of bringing the
tools that are being developed to think about
"reflective practice" to bear on EBM - because, at
root, I think EBM has to be about learning how to
THINK.
Good thoughts, Jim...
--- Jim Freeman <[log in to unmask]> wrote:
> Hello Dr. Attia, and List,
>
> This is an interesting and important thread. If I
> may throw my opinion into
> the mix - I believe that medical students should
> begin a longitudinal
> learning experience into a broad range of content on
> understanding and using
> knowledge early in their education. By this I mean
> exposure to a broader
> range of topics than just the 5 steps of
> evidence-based medicine. The
> intent would be to inform and enable learners to
> have a lifelong
> appreciation for and ability to use information as
> students, initially, and
> later as clinicians and, possibly, clinical
> researchers.
>
> Content areas might include:
>
> - The philosophy of science and epistemology
> - The ethics of knowledge (e.g. approaches to
> practicing within the growing
> field of medical genetics, research ethics)
> - (Bio) statistics / epidemiology
> - Evidence-based health care - philosophy and
> application
> - Medical decision-making
> - Diffusion of innovation / change management
> - Some level of exposure to and practice in medical
> research
> - and so on.
>
> Taught progressively in a manner which fosters
> students to learn about and
> adopt their own effective, adult, self directed and
> needs-based learning
> style. - Which will hopefully serve them throughout
> their professional
> lives.
>
> I think that widening the content from solely EB
> health to a broader
> perspective on understanding and using/generating
> knowledge will enable
> students to become more effective clinicians (and
> possibly researchers)
> throughout their careers. (In a sense, every
> patient we see is a mini
> research project)
>
> I am concerned that we are still teaching and
> graduating medical students
> who are focused on learning 'facts' to pass tests
> and satisfy attending
> doctors, rather than on gaining an appreciation for,
> and an ability to grasp
> and use knowledge.
>
> Best regards,
>
> Jim Freeman
>
>
>
> >>> "Dr. Abdelhamid Attia" <[log in to unmask]>
> 12/2/2006 7:00:40 PM
> >>>
> Dear List Members,
>
> We have just finished a faculty development program
> by conducting Basic
> and
> Advanced EBM workshops for the faculty staff members
> (Faculty of
> Medicine -
> Cairo University) and would like to extend our
> activity to integrate
> evidence based medicine in the undergraduate
> curriculum.
>
> I know that this is a hard way to go thus I would
> like to know your
> experiences and what is the best way to do it?
>
> My questions are:
> - Do you have a curriculum that defines what to be
> taught to the 1st,
> 2nd,
> 3rd, 4th, 5th, and 6th year students?
> - Should we arrange for workshops for the students
> or lectures, small
> group
> assignments or tutorial classes and computer lab
> practice or what?
> - Is there a web site or perhaps written material
> that you can send me
> or
> refer me to?
>
> I also would like to know the opinions of others
> even if they did not
> integrate EBM in their undergraduate curricula.
>
> Your help would be much appreciated.
>
> Abdelhamid Attia
> Prof. Ob & Gyn, Cairo University
> EBM Center Director - the Medical Education
> Development Center - Cairo
> University
> President - Arab Federation Of EBM
> www.afebm.com
>
Bill Cayley, Jr, MD MDiv [log in to unmask]
Augusta Family Medicine Home Address
207 W Lincoln 3433 McIvor St
Augusta, WI 54722 Eau Claire, WI 54701
Work: 715-286-2270 Home: 715-830-0932
Page: 715-838-7940 Cell: 715-828-4636
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