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Members of the list,

The Latin American Centre of Perinatology (PAHO/WHO) routinely organises
5 days EBM workshops based on the "User's Guides" (primary studies and
overviews) for Obstetricians and neonatologists of our Region. People
from most of Latin American countries come to our Centre 3 times a year
to receive them. We have a good experience and replication is beginning
at country level with the people originally trained by us and ourselves.


We are planning to extend the course one week more in order to have more
time to practice EBM. The second week contents would be:  to give the
students clinical problems that they should transform into questions,
searching for the evidence, selecting the articles and critically
appraising them and answering the questions to solve the problem.

Probably the main request from people of the Region and PAHO is the
updating of the practice guidelines in perinatal topics. Although this
is a very complex issue, we are thinking to introduce some introductory
steps about guideline development in that second week of the workshop.

One of the ideas is that the clinical problems could be
"condition-focused" more than "patient-focused" and that the activities
to be performed could finish in recommendations about how to manage
those conditions.

In this stage of "brain storming" we would very much appreciate your
opinions and suggestions about the idea, in general and specifically
related to:

Is it too ambitious to try to develop simple guidelines during a 5 days
workshop?
How a risk of oversimplification can be avoided?
What should be the selection criteria to choose the "conditions"?
Suggestions about literature references and about how are other practice
guideline workshops .

Thank you in advance.



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