Hello Dr. Attia, and List,
This is an interesting and important thread. If I may throw my opinion into
the mix - I believe that medical students should begin a longitudinal
learning experience into a broad range of content on understanding and using
knowledge early in their education. By this I mean exposure to a broader
range of topics than just the 5 steps of evidence-based medicine. The
intent would be to inform and enable learners to have a lifelong
appreciation for and ability to use information as students, initially, and
later as clinicians and, possibly, clinical researchers.
Content areas might include:
- The philosophy of science and epistemology
- The ethics of knowledge (e.g. approaches to practicing within the growing
field of medical genetics, research ethics)
- (Bio) statistics / epidemiology
- Evidence-based health care - philosophy and application
- Medical decision-making
- Diffusion of innovation / change management
- Some level of exposure to and practice in medical research
- and so on.
Taught progressively in a manner which fosters students to learn about and
adopt their own effective, adult, self directed and needs-based learning
style. - Which will hopefully serve them throughout their professional
lives.
I think that widening the content from solely EB health to a broader
perspective on understanding and using/generating knowledge will enable
students to become more effective clinicians (and possibly researchers)
throughout their careers. (In a sense, every patient we see is a mini
research project)
I am concerned that we are still teaching and graduating medical students
who are focused on learning 'facts' to pass tests and satisfy attending
doctors, rather than on gaining an appreciation for, and an ability to grasp
and use knowledge.
Best regards,
Jim Freeman
>>> "Dr. Abdelhamid Attia" <[log in to unmask]> 12/2/2006 7:00:40 PM
>>>
Dear List Members,
We have just finished a faculty development program by conducting Basic
and
Advanced EBM workshops for the faculty staff members (Faculty of
Medicine -
Cairo University) and would like to extend our activity to integrate
evidence based medicine in the undergraduate curriculum.
I know that this is a hard way to go thus I would like to know your
experiences and what is the best way to do it?
My questions are:
- Do you have a curriculum that defines what to be taught to the 1st,
2nd,
3rd, 4th, 5th, and 6th year students?
- Should we arrange for workshops for the students or lectures, small
group
assignments or tutorial classes and computer lab practice or what?
- Is there a web site or perhaps written material that you can send me
or
refer me to?
I also would like to know the opinions of others even if they did not
integrate EBM in their undergraduate curricula.
Your help would be much appreciated.
Abdelhamid Attia
Prof. Ob & Gyn, Cairo University
EBM Center Director - the Medical Education Development Center - Cairo
University
President - Arab Federation Of EBM
www.afebm.com
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