Thanks for sharing this excellent piece in the EBM journal.
The attached paper from the Annals shows how we dealt with financial and intellectual conflict of interest in the ACCP AT9 guidelines.
I found this very helpful in my role as chapter editor in this particular guideline and it might serve as a model for future efforts to manage conflicts of interests.
Per Olav Vandvik, MD, Ph.D
On Apr 24, 2013, at 3:35 PM, Richard Saitz wrote:
> A brief piece re evidence and conflicts of interest (especially
> nonfinancial), appears here and may be of interest
> Richard Saitz MD, MPH, FACP, FASAM
> Editor, Evidence-Based Medicine
> Professor of Medicine & Epidemiology
> Boston University Schools of Medicine & Public Health
> Boston Medical Center
> 801 Massachusetts Avenue, 2nd Floor
> Boston, MA 02118
> 617 414 7744 (direct)
> 617 414 4676 (fax)
> -----Original Message-----
> From: Evidence based health (EBH)
> [mailto:[log in to unmask]] On Behalf Of Tom Yates
> Sent: Wednesday, April 17, 2013 2:22 PM
> To: [log in to unmask]
> Subject: Re: Evidence for learning objectives in continuing health care
> education events
> Hi Pat,
> I'm aware of no evidence that disclosure removes bias. My view is that it is
> best, where possible, to get people without a stake in the topic under
> discussion to summarise the evidence.
> My conflict of interest is that I'm trying to get an accreditation scheme
> off the ground for CME delivered independent of industry and by unconflicted
> speakers - see www.conflictfreeconferences.com.
> People says its not possible but there is loads of good stuff out there -
> e.g. GP Update in the UK and the Therapeutics Initiative in Canada.
> All the best,
> On 17/04/2013, Patricia Warner <[log in to unmask]> wrote:
>> Agreed, speakers must complete disclosures of relevant financial
>> information concerning biases. If there is possible biases, the CME
>> has a policy designed to deal with that. And at the end of the
>> presentation, the learners are asked whether or not they perceived any
> bias and if so, what.
>> If the speaker did not adhere to the policy, the speaker will not ever
>> be able to speak at one of our events again.
>> Patricia "Pat" Warner, MLIS
>> Hospital Librarian/CME Coordinator
>> Memorial Hospital at Gulfport
>> 4500 13th St
>> PO Box 1810
>> Gulfport MS 39502
>> 228-865-3135 (fax)
>> From: Evidence based health (EBH)
>> [[log in to unmask]] on behalf of Makretsov, Nikita
>> [PH] [[log in to unmask]]
>> Sent: Wednesday, April 17, 2013 12:19 PM
>> To: [log in to unmask]
>> Subject: Re: Evidence for learning objectives in continuing health
>> care education events
>> Hello James,
>> The bigger question is whether the CME is free from ANY industrial
>> bias. The objectives could still be very lovely.
>> Nik (Nikita) A. Makretsov,
>> University of British Columbia
>> Department of Pathology and Laboratory Medicine
>> 1081 Burrard St, Vancouver, BC, V6Z1Y6
>> -----Original Message-----
>> From: Evidence based health (EBH)
>> [mailto:[log in to unmask]] On Behalf Of McCormack,
>> Sent: Tuesday, April 16, 2013 5:43 PM
>> To: [log in to unmask]
>> Subject: Evidence for learning objectives in continuing health care
>> education events
>> Not sure if this question is appropriate for this list serve but maybe
>> the answer will be interesting to some of the group.
>> MY QUESTION
>> Does providing participants at continuing health care educational
>> events with a list of 2-3 objectives for each talk improve knowledge
>> uptake or provide any measurable useful outcome? Is there is any
>> evidence that participants even use them etc?
>> I have had a quick look and have been unable to find any evidence but
>> I may not be looking in the right places.
>> 1) I give dozens of different "evidence-based" talks a year and for
>> each one of them as part of an educational accreditation process I'm
>> "forced" to create 2-3 learning objectives which need to be
>> prominently displayed on my handout and presented at the beginning of
>> my talk. While it is not a huge amount of work, when you have to do it
>> dozens of times for different topics it is an added administrative
>> burden especially given that I often do talks for no honourarium.
>> However, if there was evidence that people really used them or if it
> improved outcomes I would have no problem doing it.
>> 2) I recently asked 100's of participants at 2-3 conferences if any of
>> them ever used these learning objectives and not one of them said they
>> did. Maybe it was a biased sample but the lack of a yes response was
>> Does anyone know of any evidence that providing objectives improves
>> any educational experience (even in a health care curriculum) or is it
>> purely a philosophy whose benefit is taken for granted.
>> James McCormack, BSc(Pharm), Pharm D
>> Faculty of Pharmaceutical Sciences
>> UBC, Vancouver, Canada
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