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In that spirit of creating free tools - available online - this Collaborative is working on putting evidence to compare reasonable options into tables called Option Grids. More in production than listed.... ;) Glyn Professor Glyn Elwyn BA MB BCh MSc FRCGP PhD [log in to unmask] The Dartmouth Center for Health Care Delivery Science | USA The Dartmouth Institute for Health Policy and Clinical Practice | USA *Scientific Institute for Quality of Healthcare | University Nijmegen Medical Centre | Netherlands. * Cochrane Institute for Primary Care and Public Health | Cardiff University | UK @glynelwyn Twitter glynelwyn Skype +1-603-646-2295 Desk +1-603-729-6694 Cell +1-603-646-2553 Robin Paradis Montibello On Thu, Jun 27, 2013 at 9:03 AM, Dawes, Martin < [log in to unmask]> wrote: > Welcome Glyn > You are absolutely right about the patient needing both SDM and EBHC, and > there is some great stuff emerging on how we can effectively teach SDM > For years we have had evidence of the potential for mismatch in beliefs, > desired outcomes, current and desired function and communication between > professionals' and patient in consultations, nikki Britten i think led that > charge. Add to this the difficulty in having at your fingertips evidence > for the 450 different problems seen in primary care, "where did I put that > cates plot for acute otitis media? " and another challenge/opportunity > emerges. Now we have genomics and epigenetics to help personalize > suggestions but that process adds even more complexity, So baby steps and > lots of collaboration and communication. The last is what this list does so > well. > Great to hear from you on this chatty, friendly list. > Martin > > I need to predict survival, know likely side effects, and desired > outcomes, before suggesting prevention medication. > > Sent from my iPad > > On 2013-06-27, at 5:05 AM, "Glyn Elwyn" <[log in to unmask]> wrote: > > > Dear Colleagues > > Just joined this listserv - you may have already seen this - so > apologies for repeats. > > > > A Mayo-led team (Montori/LeBlanc) organised the 7th conference in Lima > (terrific by the way), where Gordon Gyuatt gave an excellent keynote. > > > > Keynote: EBM needs SDM needs EBM with Dr. Gordon Guyatt > > > > http://isdm2013.org/video-archive/ > > > > Others from the EBHC community gave workshops. Interesting to reflect in > 2013 how I got into this SDM area from a kick-off in Oxford-based week-long > events many years ago, where Greenhalgh, Milne, Sackett, and many others > were strong on the need for evidence etc. > > > > High time even more bridges were built between EBHC (sample based data) > and the need to respect individual, yet informed, preferences (personal > level decision making). > > > > There was evidence of culture dissonance for sure - the word > 'recommendation' - weak or strong - was under debate in one workshop where > GRADE was under the spotlight. Yet the mood was one of a genuine attempt to > integrate these population / individual stances somehow. Looking forward to > those conversations. > > > > Glyn > > > > > > > > > > > > Professor Glyn Elwyn > > BA MB BCh MSc FRCGP PhD > > [log in to unmask] > > > > The Dartmouth Center for Health Care Delivery Science | USA > > The Dartmouth Institute for Health Policy and Clinical Practice | USA > > Scientific Institute for Quality of Healthcare | University Nijmegen > Medical Centre | Netherlands. > > Cochrane Institute for Primary Care and Public Health | Cardiff > University | UK > > @glynelwyn Twitter > > > > glynelwyn Skype > > > > +1-603-646-2295 Desk > > +1-603-729-6694 Cell > > +1-603-646-2553 Robin Paradis Montibello >