----- Original Message -----
From: Per Olav Vandvik [[log in to unmask]]
Sent: 24/04/2013 16:01 ZE2
To: [log in to unmask]
Subject: Re: Evidence for learning objectives in continuing health care education events
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
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
The BMJ Group is one of the world's most trusted providers of medical information for doctors, researchers, health care workers and patients group.bmj.com. This email and any attachments are confidential. If you have received this email in error, please delete it and kindly notify us. If the email contains personal views then the BMJ Group accepts no responsibility for these statements. The recipient should check this email and attachments for viruses because the BMJ Group accepts no liability for any damage caused by viruses. Emails sent or received by the BMJ Group may be monitored for size, traffic, distribution and content. BMJ Publishing Group Limited trading as BMJ Group. A private limited company, registered in England and Wales under registration number 03102371. Registered office: BMA House, Tavistock Square, London WC1H 9JR, UK.
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
>> This email may contain information covered under the Mississippi
>> Privacy Law (Miss. Code Ann. § 75-24-29), the Privacy Act of 1974 (5
>> U.S.C. § 552a) and/or the Health Insurance Portability and Accountability
> Act of 1996 (Pub.
>> L. No. 104-191) and its accompanying regulations. Healthcare
>> information is personal and sensitive and must be protected in
>> accordance with these provisions. If this email contains healthcare
>> information, it is being disclosed to you only after appropriate
>> authorization from the patient or under circumstances that do not
>> require patient authorization. You, the recipient, are obligated to
>> maintain it in a safe, secure and confidential manner. Re-disclosure
>> without additional patient authorization, unless otherwise permitted by
> law, is prohibited.
>> **********PRIVATE AND CONFIDENTIAL**********
>> If you are not the intended recipient of this email, be advised that
>> any use, disclosure, copying, distribution or taking any action in
>> reliance on the contents of the information contained therein is
>> strictly prohibited. If you have received this email in error, please
>> contact the sender immediately by reply email and then destroy/delete
>> all copies of the original message and any attachment(s) thereto.
> This email has been scanned by the Symantec Email Security.cloud service.
> For more information please visit http://www.symanteccloud.com