Greetings from Canada,
Do you have an Evidence-Based Medicine curriculum that you could share with us electronically?
Next week, a number of teachers of EBM will gather at the 4th International meeting of Teachers and Developers in Evidence Based Health Care in Taormina, Sicily (www.ebhc.org).
A key topic to be addressed is curriculum content for teaching EBM to students, practitioners, and policymakers. If you have examples of complete or partial curricula that you have developed or found useful, we would like to collate examples to facilitate our discussions of what should be included in EB curriculum.
If you don't have a curriculum to share per se, we would be delighted to benefit from your ideas regarding:
*What do you think is the most important content to be included in EB curriculum for students? For practitoners? For policymakers?
*Do you have any tools, tips, or tricks that you have found useful for teaching EBM/EBP/EBHC?
Many thanks,
Janet
Janet Martin, PharmD, MSc(HTA&M)
Director, High Impact Technology Evaluation Clinic (HiTEC)
Co-Director, Evidence-Based Perioperative Clinical Outcomes Research Group (EPiCOR)
Assistant Professor, Department of Anesthesia and Perioperative Medicine, University of Western Ontario
Room C1-202, 339 Windermere Road
London Health Sciences Centre
London, Ontario
N6A 5A5
Tel: 519-685-8500 x 35882
Fax: 519-663-2968
Email: [log in to unmask]
Sent from wireless handheld device.
-----Original Message-----
From: "Ghosh, Amit K., M.D." <[log in to unmask]>
To: <[log in to unmask]>
To: Ghosh, Amit K. M.D. <[log in to unmask]>
Sent: 10/24/2007 9:47:37 AM
Subject: Re: EBM for public consumption
I agree with Neal. While we have worked very hard to teach and learn EBM
there lies several barriers. There is resistance to learn EBM or change
practice among physicians, we struggle with numbers and conditional
probabilities ( if test 1 is negative and test 2 is positive , how does
it effect the post test probability).
The struggle is intense while trying to communicate risks to patients.
Patient's silence does not mean acceptance of the information or even
understanding of it.
Here is a math I run with my patient who will see me only once a year
for 1 hour
Visit to my Doctor: 60 mts
Frequency of visit : once/ a year
Minutes in a day : 24 X 60 mts
Minutes in a month : 24 x 60 x 30
Minutes in a YEAR : 24 x 60 x 30 X 12
How of my time am I spending with my doctors??
60 divided by 24 x 60 x 30 X 12 = 0.011%
[ Note the year has 365 days , I have simplified this for the patient-
the actual number is even smaller!]
The challenge is to get everything out to the patient in that time that
will influence their life for the whole year!!
I tell the patient that they are the REAL doctor as they have to be
responsible for their health the remaining 99.99% of time of the year!
Even teh best of EBM cannot fix that but better strategies might be able
to narrow the gap. maybe that is where knowledge management will step
in.
Amit
Amit K. Ghosh, MD, FACP, FASN
Associate Professor of Medicine
Associate Program Director,
General Internal Medicine Research Fellowship
Mayo Clinic College of Medicine
200 First Street SW
Rochester, MN,
USA 55905
Phone : 507-538-1128 (Clinical)
507-284-4967 (Administrative)
Fax: 507-284-4959
Email: [log in to unmask] <mailto:[log in to unmask]>
________________________________
From: Evidence based health (EBH)
[mailto:[log in to unmask]] On Behalf Of Maskrey Neal
Sent: Wednesday, October 24, 2007 7:51 AM
To: [log in to unmask]
Subject: Re: EBM for public consumption
This is great stuff.
I read yesterday....
"A third of Americans use alternative therapies that are either not
science based or completely untested... According to a 2006 survey,
60% believe in extra sensory perception, a third believe that astrology
is somewhat scientific, 49% believe humans did not evolve from an
earlier animal species and 54% cannot explain how an experiment is
conducted". [Beyond the Teachable Moment. Alan I Leshner. JAMA 2007;
298: 1326-1328.]
Set against that context, it perhaps isn't surprising the EBM has had
hard time being universally accepted as a worthwhile pursuit.
So I'd applaud all efforts at EBM for the public / patients, despite the
difficulties and (sometimes) adaptations involved in translation from
pure science to e.g. newspaper prose.
Best wishes to all
Neal
Neal Maskrey
Director of Evidence Based Therapeutics
National Prescribing Centre
Liverpool UK.
________________________________
From: Evidence based health (EBH)
[mailto:[log in to unmask]] On Behalf Of Eddy Lang
Sent: 24 October 2007 03:03
To: [log in to unmask]
Subject: EBM for public consumption
Greetings!
I was recently asked to join forces with a medical writer to develop a
weekly column for our city's newspaper.
While uncomfortable with that notion I did agree to collaborate on a
series that would take a critical look at a high profile study appearing
in the lay press and then try to provide an understandable analysis with
practical recommendations for the readership.
The products of this first effort can be accessd at the link below and
deals with what was a highly publicized study from the New England
Journal of Medicine about screening techniques in colon cancer.
http://www.canada.com/montrealgazette/news/arts/index.html
I'd be interested to know if anyone on this listserve has experience
with communicating EBM to the general public in this way or if you have
any thoughts or suggestions related to this kind of initiative.
Best wishes,
Eddy Lang
Montreal, Canada
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