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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 > > http://ebm.bmj.com/content/early/2013/04/22/eb-2013-101344.extract > > best > Rich > > 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) > ebm.bmj.com > > > -----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, > Tom > > > 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 >> 228-865-3616 >> 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, >> James >> Sent: Tuesday, April 16, 2013 5:43 PM >> To: [log in to unmask] >> Subject: Evidence for learning objectives in continuing health care >> education events >> >> Hello: >> >> 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. >> >> BACKGROUND >> >> 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 > deafening. >> >> 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. >> >> Thanks. >> >> James McCormack, BSc(Pharm), Pharm D >> Professor >> Faculty of Pharmaceutical Sciences >> UBC, Vancouver, Canada >> >> therapeuticseducation.org >> >> 604-603-7898 >> ________________________________ >> 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. 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