Hello list members,
We have recently given a symposium on EBM and critical appraisal at a
national meeting of CL psychiatrists here in the US. It generated quite a
bit of interest and we are planning our proposal for a follow up at next
year's meeting. A big part of the fun in EBH work as I see it is its
continued push for further development.
I wonder if anyone has experimented with doing a "live" EBH teaching
symposium in which--(after a short, clear, concise and well structured
"basics of EBM--the 5 step process" introduction with large lettered
handouts showing the essential steps given to participants):
(1) the audience is stimulated to provide a patient scenario and
question (as Scott Richardson has taught us in uproarious and energetic
style);
(2) then we, the panel (in our case 3 for now) with laptop, LCD and
continued audience participation further formulate the question as needed;
...and (3) --deep breath--do a hierarchial search---> Cochrane on CD, Best
Evidence, anything else developing out there? followed by either (a) a Pub
Med (or other) modem connected search by ourselves followed by a librarian
on the panel who does the thing for us AFTER we have exhausted our growing
but still clinician-level capabilities
OR (b) a PubMed connected search via modem by ourselves AND a
librarian at a remote location who is kept privy to the entire process by
real time email who can then help us out by working out a higher level of
the search which we can then put in.
We might well be able to engineer 2 modem connections in a
hotel/conference site, but won't have a roomful of computers at our
disposal. We could have 2 LCDs and screens--one for communication with
librarian and one for searching.....(smile)
One aim of this, of course (other than to entertain and at the same time
avoid losing too much sleep or hair before or after the event) is to
improve the understanding of medical librarian consultation and make sure
the "show can go on" from there.
As for the next steps--the critical appraisal and application to patient,
we could be flexible and go several ways---if an available article is
discovered it could be faxed to us and we could copy for all during coffee
break and we could also be ready with another case and article if this
didn't happen.
I would highly value any ideas or experience you might have and will send
back a compilation/summary to the list. Would also greatly value any list
discussion.
thank you very much,
Ati Yates
______________________
Ati Yates, M.D.
Internal Medicine and Psychiatry
Michigan State University
Mailing address: 6092 Beechwood Drive,
Haslett, MI 48840
Phone: W 517 353 4362
H 517 339 5037
Fax: 517 339 5569
2nd Fax: 517 432 3603
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