............................................................................
Prof David L. Sackett
Director, NHS R&D Centre for Evidence-Based Medicine
Consultant in Medicine Editor, Evidence-Based Medicine
Nuffield Department of Medicine, University of Oxford
Level 5, John Radcliffe Hospital, Oxford OX3 9DU, England
Phone: +44-(0)1865-221320 Fax: +44-(0)1865 222901
Email: [log in to unmask] WWW: http://cebm.jr2.ox.ac.uk
............................................................................
---------- Forwarded message ----------
Date: Thu, 15 Oct 1998 09:10:23 -0700 (PDT)
From: Robert Davis <[log in to unmask]>
To: Dave Sackett <[log in to unmask]>
Subject: Re: the impact of what we've all been doing as reflected in the responses of trainees to sessions in ebm
Dave
I have had the same experience teaching recent medical school classes here
in the US. I spent the first hour trying to convince them that EBM was
useful, important, relevant, etc etc; they finally basically interrupted
me to tell me that they already believed in EBM as well as epidemiology. I
was stunned, to say the least. There seems to have occurred an
acculturation phenomenon that we should definitely take advantage of.
Bob
Robert L. Davis, M.D., M.P.H.
University of Washington Group Health Cooperative
Depts. of Pediatrics Center for Health Studies
and Epidemiology Immunization Studies Program
206/685-4028 206/287-2943
Fax 206/543-5771 Fax 206/287-4677 or 287-2871
email: [log in to unmask] email:[log in to unmask]
On Thu, 15 Oct 1998, Dave Sackett wrote:
> dear gang,
>
> sharon straus and i have just finished our first session in the current
> round of SHO teaching in ebm (a patient-question-paper, followed by a
> free-for-all on whether the evidence was valid, clinically important, and
> applicable to our patient).
>
> we used this same patient & paper 2 years ago with the preceding group of
> SHOs.
>
> the differences in their attitudes, enthusiasm, participation,
> thoughtfulness, and ability to process and clinically-integrate the
> evidence were astronomical!
>
> the first group was barely okay: most of them sleepy [no, their schedules
> really aren't any better here at the JR than in the old days!] and
> withdrawn, non-participatory, disinterested, and occasionally openly
> resentful.
>
> today's bunch were lively, enthusiastic (occasionally interrupting each
> other with additional points/disagreements/interpretations), quick to
> offer and grasp issues in validity and applicability, looking forward to
> the next session, and delightfully vocal in voicing their opinion that it
> was all highly relevant and that they really appreciated it.
>
> of the 16 of them (1.5 times the attendance for the last series), only 1
> had been on our clinical team, so it wasn't a case of previous
> brain-washing by sharon and me.
>
> there simply seems to have been a sea-change in the attitudes and
> enthusiasm of SHOs toward ebm.
>
> that's wonderful! and we all share the credit for it.
>
> so good on us all!
>
> cheers
> dls
> ............................................................................
> Prof David L. Sackett
> Director, NHS R&D Centre for Evidence-Based Medicine
> Consultant in Medicine Editor, Evidence-Based Medicine
> Nuffield Department of Medicine, University of Oxford
> Level 5, John Radcliffe Hospital, Oxford OX3 9DU, England
> Phone: +44-(0)1865-221320 Fax: +44-(0)1865 222901
> Email: [log in to unmask] WWW: http://cebm.jr2.ox.ac.uk
> ............................................................................
>
>
>
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|