great that you are doing this, trisha.
are you planning to recruit a random sample of GPs? good luck with
participation rates!
i'll bet you a dinner (either at the Xi'an here in oxford or the
roadkill cook-off in canada) that the results will not be importantly
different, but there's only one way to find out.
cheers
dls
............................................................................
Prof David L. Sackett
Director, NHS R&D Centre for Evidence-Based Medicine
Consultant in Medicine Editor, Evidence-Based Medicine
Nuffield Department of Medicine, University of Oxford
Level 5, John Radcliffe Hospital, Oxford OX3 9DU, England
Phone: +44-(0)1865-221320 Fax: +44-(0)1865 222901
Email: [log in to unmask] WWW: http://cebm.jr2.ox.ac.uk
............................................................................
On Fri, 16 Oct 1998, Dr Trisha Greenhalgh wrote:
> Hi Sharon
>
> This protocol looks really good, though I'm sure it will be refined through
> feedback from the various lists.
>
> I remain concerned that the study questions centre on the questions and case
> mix seen in secondary care. That's fine, and absolutely ap[propriate, for
> secondary care practitioners. I have fielded quite a lot of discussion on
> how to adapt this study design to the different questions and case mix of
> primary care, and we have tentatively decided to fix up a meeting at the 4th
> London workshop on teaching EBHC (north London, 1st-5th feb 99), to discuss
> a suitable protocol. I'll advertise that meeting (open to all) again on the
> ebh list nearer the time and post its outcome on the list.
>
> I and others from primary care are particularly concerned about the validity
> of the sampling frame suggested in your proposal to give generalisable
> results to "ordinary" primary care. Some of us feel that through the use of
> primary care research networks we may be able to establish a valid sampling
> frame for primary care practitioners, but that our findings may be invalid
> (and results unpublishable) if we recruit clinicians only via special
> interest groups on the internet.
>
> Personally, I'm going to have a go at using your own sheets in a primary
> care setting with a pocket spirometer, and see what happens. This as well
> as, not instead of, hoping to orchestrate a parallel (but different) study
> in primary care. Hope to be able to compare and share notes before long!
>
> trish
>
> At 16:57 16/10/98 +0100, you wrote:
> >
> >Dear Old, New, and Potential members of the Society for the Critical
> >Appraisal of the Reliability of the Examination (CARE)
> >
> >1. A draft of the protocol and forms for our first CARE Study, COAD#1
> >(designed both to test the system and to determine the accuracy of a <2
> >minute exam in diagnosing chronic obstructive airways disease) has been
> >placed on
> >http://cebm.jr2.ox.ac.uk/care/protocol-5oct98.html
> >
> >2. Please look it over.
> >
> >3. AND PLEASE FORWARD THIS MESSAGE TO ANYBODY ELSE YOU THINK MIGHT BE
> >INTERESTED IN PARTICIPATING IN THIS STUDY.
> >
> >4. If you're interested in becoming one of the collaborators on CARE-COAD
> >#1, please email us ([log in to unmask])any
> >suggestions for improving the study BY 0700
> >Greenwich Mean Time Monday October 26th. You should also organise
> >spirometry right NOW, while waiting for the final protocol.
> >
> >5. We'll have a revised protocol plus your sign-up forms on line not later
> >than 29 October. You can join that day and start entering patients at
> >once.
> >
> >6. Since this is our first "go" at this enterprise, we'd suggest you aim
> >for getting your 12 patients entered within 2 weeks (rather than our
> >eventual target of just one) by 15 November. We'll close the books on 30
> >November.
> >
> >7. History teaches us that we can expect some spectacular goofs in this
> >initial attempt to carry out international net-based research, and we hope
> >that you (and we!) can maintain our equilibrium and senses of humour as we
> >live through it together.
> >
> >We're really looking forward to hearing from you and bringing you on board
> >as a collaborator in this project.
> >
> >Sharon Straus
> >Finlay McAlister
> >Dave Sackett
> >Douglas Badenoch
> >Jon Deeks
> >Brian MacDonald
> >
> >
> >
> >
> >
> >
> Dr Trish Greenhalgh
>
> Senior lecturer in primary health care
> Unit for Evidence-Based Practice and Policy
> Department of Primary Care and Population Sciences
> University College London and Royal Free Schools of Medicine
> Whittington Campus
> London N19 5NF
>
> Personal Assistant and Unit Administrator (Marcia Rigby): + 44 (0) 171 288 3246
> Fax: + 44 (0) 171 281 8004
> web http://www.ucl.ac.uk/primcare-popsci/uebpp/uebpp.htm
> email [log in to unmask]
>
>
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