Hi  Amit and All,

This is a very interesting discussion.

I work as hospital pharmacist in an oncology research hospital in Rome, Italy. Here in Italy pharmacist role as member of a clinical team in patient-rounds is very limited. We are working on this.

However I can tell you that you (Amit) can find a role as a leader in making evidence based guidelines. You can have a role in implementing, applying these guidelines in hospital or other HC setting.  If you are an expert about  the subject (AGREE instrument) and you are supported by evidence-based organizations this is the way to be involved in patient care in real practice. Doesn’t matter if you are a physician, nurse, pharmacist, if you know the methodology to develop and the way to use in practice EB guideline, you can have a relevant role in health-care organizations. Especially if these guidelines are based on clinical queries about the use of drugs.

EBM at POC does apply in situations where EB guidelines do exist and are really in use in real practice. EB guidelines in use is the first step. This is the first way to know if drugs are used in proper way in health-care setting.

Hope this is helpful.

Felice

Da: Evidence based health (EBH) [mailto:[log in to unmask]] Per conto di Amit Raval
Inviato: venerdì 4 febbraio 2011 05:16
A: [log in to unmask]
Oggetto: Evidence Based Medicine-Where does it fit?

Dear All,

I have been a part of this discussion group and I  thank to all member and this wonderful group to giving invaluable and instant suggestions, new methods, new topics everyday which ultimately help me to grow in this field.

As a postgraduate student of clinical pharmacy, I liked evidence based medicine as I have to present case studies in front of physician to give suggestions to improve pharmaceutical care and to present it I must use the best evidence to support my recommendation to change or stop the harmful or nonessential medications or suggest any better alternative treatment to the physician panel. but If I look as a carrier in EBM, Is this a compact course or syllabus ? I think that it is more related to clinical epidemiology and biostatistics, pharmacoepidemilogy and/ or pharmaceutical/health outcome and policy research. so, If you are specialised in any of the those fields, you can do EBM very easily. I want to persue a carrier in this field but somehow I am not able to convince myself that there are good opportunity for pharmacist to get good job may due to initial phase of EBM in developing country.

Do we require to do master or PhD in this field ? What is the scope of this field as an individual filed or supplementary field to existing the existing ?

I think the field is applied highly to the medical people who are in direct contact with the patients because they are the decider of pharmacotherapy. It should be targeted to those people and to do this should it be made compulsory to learn EBM or EBP during their undergraduate course i.e MBBS, BDS, BPH etc ?

Sincerely,
Amit

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