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Hi Dr. Mbah: 

I am amazed to read about your courageous and tireless work. The point of the video is that guidelines are just that, guidelines. The point is not to do away with guidelines but to also pay attention to your patients needs and preferences. Evidence based medicine, after all, includes physician experience, patient preferences, AND evidence.  

How interesting to hear you refer to libraries and librarians as a luxury when Europe and the US are doing away with libraries and librarians because they think they need them anymore. 

Thank you, Dr. Mbah. I hope you get all the support you need. 


-- 
Susan Fowler, MLIS
Medical Librarian
Coordinator, Systematic Review Services

Evidence at Becker:
http://beckerguides.wustl.edu/ebm

Systematic Reviews Guide:
http://beckerguides.wustl.edu/SystematicReviews

Becker Medical Library, Washington University in St. Louis
314-362-8092
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On Tue, May 3, 2016 at 2:46 AM, Okwen P Mbah <[log in to unmask]> wrote:
Dear James,

I am not sure if I understand your video, but if I do then it's a pretty blistering video for evidence based healthcare.
I practice medicine in Africa and I enjoy using evidence based guidelines as are many of my colleagues. The WHO has worked with ministries of health to develop evidence based guidelines for treatment of malaria based on regularly updated reviews done mostly by Liverpool school of Trop Med with African authors. This has been very helpful in curbing the malaria scourge.
I understand that in the cozy world of medical practice in Europe or America you have access and time to dig into raw evidence and make a decision. For us out here - this morning I already have a line of over 70 patients to consult, there are 43 more admitted that I have to dos rounds on, I can only access the Cochrane library (which thanks to Cochrane is free to African servers) when I am able to pay the high internet data bundles, we don't have libraries or librarians to help us with search, we don't have opportunities for CME (unless we travel abroad). So yes we need guidelines (which have become increasingly evidence based).
What your video suggests is not equitable - guidelines will help bridge this equity gap faster or at least for now. It's a more cost effective way to catch up.
Maybe I didn't understand your video?
Warm greetings from Cameroon!

Okwen

Na Mbah ye iPhone sendam.

On 30 Apr 2016, at 18:43, McCormack, James <[log in to unmask]> wrote:

Hi Everyone:

As many of you know I have fun creating educational musical parodies about "evidencey" stuff and I just released one on clinical practice guidelines using the great song, End of the Line - redone to be End of Guidelines.

Would love it if you would check it out.

The link to the video is here

https://youtu.be/DHDnqQ_mCBA

James McCormack, BSc(Pharm), Pharm D
Professor
Faculty of Pharmaceutical Sciences
UBC, Vancouver, Canada
Co-host - Best Science (BS) Medicine Podcast