Centre for Evidence-Based Medicine - The Paul Glasziou Files
By firstname.lastname@example.org (Olive Goddard)
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A series of interviews with proponents of evidence-based medicine and evidence-based practice from around the world. Experts in their fields answer important questions about how they are using and incorporating EBM into their busy day-to-day schedules. These recordings provide a unique insight of how the latest clinical evidence can be used to influence medical practice in the real world.
||What are the BestBets? an interview with Kevin Mackway-Jones||Professor Kevin Mackway-Jones is a consultant in the Emergency Department at Manchester Royal Infirmary. In the 1990's he and others in the department developed Best Bets (www.bestbets.org) which answer a carefully worded 3-part question, using a structured approach to finding and reviewing the literature. Each BET - and there are now over 1,500 - is designed specifically for Emergency Medicine. The BET method allows the use of lower quality research, list shortcomings of the evidence used, and have a clinical "bottom line" for the busy physician. In this interview he describes his own interest in EBM and the development and future of BestBets.||3 6 10||Free||View In iTunes|
||From sceptic to EBM mentor: an interview with Richard Nicholl||Dr Richard Nicholl is a full-time neonatologist at level 2 premature babies unit in Northwich Park Hospital in London. He first heard the term EBM in 1995 as a new consultant, and has now embedded in the units work, and acts as a mentor and role model to his trainees. He describes how EBM works on rounds, in journal clubs, and keeping a full record of sessions. He is also adamant about the need to make sure the evidence is useable.||4 5 10||Free||View In iTunes|
||The evolution of the ACP Journal Club and beyond: an interview with Brian Haynes||Brian Haynes, from McMaster University, is one of the founders of the EBM movement. To help clinicians keep abreast of the small number of essential research articles in the flood of literature, he developed the ACP journal club in the 1990's. He talks here about structured abstracts, the ACP journal, the "Number Needed to Read", Evidence UpDates and managing the problems of keeping up to date.||26 3 10||Free||View In iTunes|
||Applying evidence in a hectic outpatient clinic: an interview with Hywell Williams||Hywel Williams is a consultant dermatologist in the NHS and Foundation Professor of Dermato-Epidemiology at the University of Nottingham. In this interview he talks about the variety of evidence resources needed to keep up to date, and how the NHS Specialist Library houses many of these. Optimistically he suggests the conversation has changed and that "every third word is evidence", but that training in EBM is still insufficient.||9 3 10||Free||View In iTunes|
||Educational Prescriptions in physician training: an interview with Ian Scott||Dr Ian Scott, a physician at the Princess Alexandra Hospital in Brisbane, Australia, has been practicing EBM since 1994, and now trains a new generation of young physicians in the bedside use of EBM. He describes dropping the "evidence cart" approach, and instead focusing on "educational prescriptions" in ward rounds to help trainees learn about the processes of EBM. But this required some EBM training sessions for junior staff starting in the department.||4 3 10||Free||View In iTunes|
||Trials-based practice: an interview with Bob Phillips||Dr Bob Phillips, a paediatric oncologist in Leeds, talks about EBM when many of the patients are enrolled in clinical trials. For common cancers much of the chemotherapy is guided by protocols from current or recent trials, but some patients don't fit, and some questions are not addressed. Bob was a co-founder of Evidence-Based On-Call, an evidence resource for acute medicine, before he trained in oncology.||21 12 09||Free||View In iTunes|
||PICO Rounds - An interview with Yaser Faden||Dr Yaser Faden is a consultant in maternal-fetal medicine in Jeddeh, Saudi Arabia. In this interview he describes their weekly "PICO rounds" where residents bring answers to the questions that have arisen during the daily handover meetings. But lack of undergraduate EBM training has required that the residents attend a workshop to acquire the skills needed for the PICO rounds.||4 12 09||Free||View In iTunes|
||Interview with Dr Per Vandvik||Dr Per Vandvik is a Norwegian hospital physician and an exponent of Evidence-Based Practice (EBP). This interview was recorded at an Evidence-Based Medicine (EBM) workshop in Holmsbu, Norway. Dr Vandvik talks about how EBM does (and doesn't) work at his district hospital, and how this evolved over the last three years.||1 7 09||Free||View In iTunes|