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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
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