On Fri, Feb 4, 2011 at 1:06 PM, Rakesh Biswas <[log in to unmask]> wrote:

Quoting from Amit's earlier message:

"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."

IMHO: This would be an ideal situation in day to day physician practice and would/should be a welcome move for physicians of all countries.

It would be great to develop a service where Evidence based information could be presented at the 'point of care' that is expected to improve health professional learning outcomes as well as patient learning outcomes. I am sure this is ongoing and supported in many countries (where this process is perhaps midstream) except some countries that are yet to catch on ( upstream).

A health professional practice-based learning model of the above mentioned nature could also create increased job prospects (even in so called developing countries where this activity is all the more necessary)?

Quoting from Amit's: "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."

IMHO: Yes this is depressing but Amit is right and I am not sure how the 'EBM at POC' learning model can be marketed to the 'powers that be' in countries at an upstream phase (as far as implementation issues of such a learning model is concerned).

regards,

rakesh
http://peoplesgroup.academia.edu/RakeshBiswas

From: Amit Raval <[log in to unmask]>
To: [log in to unmask]
Sent: Fri, 4 February, 2011 8:16:07
Subject: 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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