Implementation of Evidence Based Medicine in Clinical Teaching and Practices
|
|
|
- Reynard Dickerson
- 6 years ago
- Views:
Transcription
1 Implementation of Evidence Based Medicine in Clinical Teaching and Practices Pisake Lumbiganon, MD, MS (Penn) Professor of Ob & Gyn President, Royal Thai College of Obstetricians and Gynecologists Convenor, Cochrane Thailand Director, WHO Collaborating Centre on Research Synthesis in Reproductive Health Faculty of Medicine Khon Kaen University, Thailand 11/8/2017 Professor Pisake Lumbiganon 1
2 Conflict of Interest None 11/8/2017 Professor Pisake Lumbiganon 2
3 11/8/2017 Professor Pisake Lumbiganon 3
4 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 4
5 11/8/2017 Professor Pisake Lumbiganon 5
6 Clinical question PICO P = Population I = Intervention C = Comparison O = Outcomes 11/8/2017 Professor Pisake Lumbiganon 6
7 Clinical question Is rapid negative pressure application as effective and safe as stepwise method? 11/8/2017 Professor Pisake Lumbiganon 7
8 How can we get evidences? Asking teachers Reading textbook Finding guidelines Attending scientific conferences Attending workshops Searching and reviewing papers Conducting research 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 8
9 Quality of Evidence Ia. Research synthesis of RCT Ib. At least one properly designed RCT IIa. At least one well designed controlled trial without randomization IIb. At least one well-designed cohort study III. Evidence obtained from case control or descriptive studies IV. Opinion of respected authorities. [National Institute for Health and Care Excellence (NICE), 2004] 11/8/2017 Professor Pisake Lumbiganon 9
10 11/8/2017 Professor Pisake Lumbiganon 10
11 11/8/2017 Professor Pisake Lumbiganon 11
12 What is Cochrane evidence and how can it help you? For 20 years, Cochrane has produced systematic reviews of primary research in human health care and health policy, These are internationally recognized as the highest standard in evidence-based health care resources. 11/8/2017 Professor Pisake Lumbiganon 12
13 What are Cochrane Systematic reviews? They investigate the effects of interventions for prevention, treatment, and rehabilitation. They also assess the accuracy of a diagnostic test for a given condition in a specific patient group and setting. They are published online in the Cochrane Library. 11/8/2017 Professor Pisake Lumbiganon 13
14 What are Cochrane Systematic reviews? Each systematic review addresses a clearly formulated question; for example: Can antibiotics help in alleviating the symptoms of a sore throat? 11/8/2017 Professor Pisake Lumbiganon 14
15 To answer this question We search for and collate all the existing primary research on a topic that meets certain criteria; Then we assess it using stringent guidelines, to establish whether or not there is conclusive evidence about a specific treatment. 11/8/2017 Professor Pisake Lumbiganon 15
16 What are Cochrane Systematic reviews? Cochrane Reviews are peer reviewed and dynamic; We update them regularly to incorporate new research. This ensures that you can base treatment decisions on the most up-to-date and reliable evidence. 11/8/2017 Professor Pisake Lumbiganon 16
17 11/8/2017 Professor Pisake Lumbiganon 17
18 11/8/2017 Professor Pisake Lumbiganon 18
19 11/8/2017 Professor Pisake Lumbiganon 19
20 11/8/2017 Professor Pisake Lumbiganon 20
21 11/8/2017 Professor Pisake Lumbiganon 21
22 11/8/2017 Professor Pisake Lumbiganon 22
23 11/8/2017 Professor Pisake Lumbiganon 23
24 11/8/2017 Professor Pisake Lumbiganon 24
25 11/8/2017 Professor Pisake Lumbiganon 25
26 11/8/2017 Professor Pisake Lumbiganon 26
27 11/8/2017 Professor Pisake Lumbiganon 27
28 11/8/2017 Professor Pisake Lumbiganon 28
29 11/8/2017 Professor Pisake Lumbiganon 29
30 11/8/2017 Professor Pisake Lumbiganon 30
31 11/8/2017 Professor Pisake Lumbiganon 31
32 Steps of a Cochrane systematic review STEP 1: formulate the question STEP 2: put together a team and register the title STEP 3: write a protocol STEP 4: locate and select studies STEP 5: assess studies for risk of bias STEP 6: retrieve data STEP 7: analyse and present results STEP 8: interpret results and write review STEP 9: improve and update review 11/8/2017 The Thai Cochrane Network 32
33 11/8/2017 Professor Pisake Lumbiganon 33
34 Systematic review Included one trial involving 94 women. Duration of vacuum procedure was reduced in rapid application group minutes ( 95% confidence interval to -3.37) There were no significant differences in Maternal and fetal morbidity Not enough evidence to recommend (Suwannachat B 2008) 11/8/2017 Professor Pisake Lumbiganon 34
35 11/8/2017 Professor Pisake Lumbiganon 35
36 What should we do next? Randomized controlled trial Sample size : 660 Multi-centre 11/8/2017 Professor Pisake Lumbiganon 36
37 11/8/2017 Professor Pisake Lumbiganon 37
38 11/8/2017 Professor Pisake Lumbiganon 38
39 11/8/2017 Professor Pisake Lumbiganon 39
40 11/8/2017 Professor Pisake Lumbiganon 40
41 11/8/2017 Professor Pisake Lumbiganon 41
42 11/8/2017 Professor Pisake Lumbiganon 42
43 11/8/2017 Professor Pisake Lumbiganon 43
44 11/8/2017 Professor Pisake Lumbiganon 44
45 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 45
46 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 46
47 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 47
48 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 48
49 11/8/2017 Professor Pisake Lumbiganon 49
50 What is evidence based? The process of systemically: finding, appraising, and using research findings as the basis for clinical decisions. [National Institute for Health and Care Excellence (NICE), 2004] 11/8/2017 Professor Pisake Lumbiganon 50
51 What is Evidence-based clinical practice? Evidence-based clinical practice therefore involves integrating: individual clinical practice and the best available evidence from research with patient preferences [National Institute for Health and Care Excellence (NICE), 2004] 11/8/2017 Professor Pisake Lumbiganon 51
52 Archie Cochrane 1979 It is surely a great criticism of our profession that we have not organised a critical summary, by specialty or subspecialty, adapted periodically, of all relevant randomized controlled trials. 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 52
53 Quality of Evidence I. Evidence obtained from at least one properly designed randomized controlled trial II-1. Evidence obtained from well designed controlled trial without randomization II-2. Evidence obtained from well-designed cohort or case control studies, preferably from more than one center or research group II-3. Evidence obtained from multiple time series with or without intervention III. Opinion of respected authorities. 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 53
54 Randomized controlled trials New intervention Yes No Population at risk R Outcomes Yes Standard intervention No 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 54
55 The problems Health personnel need updated information Textbooks are out of date sooner Journals are disorganized and limited Too much information ( good and bad ) Time limitation Knowledge and performance deteriorates 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 55
56 The Slippery Slope Knowledge of current best care r = p< CEBM web site: years since graduation 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 56
57 Research findings Research synthesis Clinical practice guideline Audit 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 57
58 Research synthesis The results of a particular research study cannot be interpreted with any confidence unless they have been considered together with the results of other studies addressing the same or similar questions Research synthesis is the process through which two or more research studies are assessed with the objective of summarizing the evidence relating to a particular question. 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 58
59 Research synthesis is needed not only to reflect the cumulative nature of science, but also because: the volume of research is overwhelming the quality of research is very variable access to reports of research is haphazard, and often biased # most studies are too small 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 59
60 08/11/60 Professor Pisake Lumbiganon Faculty of Medicine, KKU 1 60
61 Life-long learning Routine to Research Clinical question (PICO) Literature search Systematic (Cochrane review) Comprehensive search Risk of bias assessment Data synthesis and interpretation Evidence generation Appropriate study design Collaboration (multicentre study) Update evidence Implementation Role model of teachers Take home message 11/8/2017 Professor Pisake Lumbiganon 61
Evidence-Based Reproductive Health Care Professor E. Oluwole Akande WHO Consultant
Evidence-Based Reproductive Health Care By Professor E. Oluwole Akande WHO Consultant At The Regional workshop on the Training of Core Group of RH Experts and sharing of RH best practices. Johannesburg,
Building the Evidence for Global Public Health
School of Population Health University of Melbourne Building the Evidence for Global Public Health Exploratory Meeting of the Proposed Cochrane Public Health Collaborative Review Group Monday 29th October
The Cochrane Collaboration s response to the aftermath of the tsunami
The Cochrane Collaboration s response to the aftermath of the tsunami Pisake Lumbiganon, MD, MS Professor in Ob & Gyn Thai Cochrane Network Khon Kaen University Khon Kaen, Thailand 13/05/48 Thai Cochrane
Trusted evidence. Informed decisions. Better health. Cochrane Systematic Reviews & Meta analyses
Trusted evidence. Informed decisions. Better health. Cochrane Systematic Reviews & Meta analyses Assoc. Prof. Dr Norhayati Mohd Noor MBBS, MCommMed (Family Health), PhD USM Cochrane Coordinating Centre
Lorne A. Becker MD Emeritus Professor SUNY Upstate Medical University. Co-Chair, Cochrane Collaboration Steering Group
Lorne A. Becker MD Emeritus Professor SUNY Upstate Medical University Co-Chair, Cochrane Collaboration Steering Group Many different types Vary in Complexity Trustworthiness of conclusions http://www.ahrq.gov/clinic/uspstf/uspscopd.htm
What is the Cochrane Collaboration? What is a systematic review?
1 What is the Cochrane Collaboration? What is a systematic review? Archie Cochrane (1909-1988) It is surely a great criticism of our profession that we have not organised a critical summary, by specialty
Finola Delamere, Managing Editor Cochrane Skin Group. Centre of Evidence Based Dermatology (CEBD) Nottingham, UK
Finola Delamere, Managing Editor Cochrane Skin Group Centre of Evidence Based Dermatology (CEBD) Nottingham, UK 1 An introduction to the Cochrane Collaboration & the Cochrane Skin Group 2 Rationale for
Department of Neurology and Neurosurgery Clinical and Clinical Research Fellowship Application Form
Department of Neurology and Neurosurgery Clinical and Clinical Research Fellowship Application Form Type of Fellowship Epilepsy Fellowship. Name of Fellowship Supervisor Dr. Bernard Rosenblatt Fellowship
The Cochrane Collaboration, the US Cochrane Center, and The Cochrane Library
The Cochrane Collaboration, the US Cochrane Center, and The Cochrane Library Kay Dickersin, PhD Association for Population/Family Planning Libraries & Information Centers International Boston, Ma 30 March
GRADE. Grading of Recommendations Assessment, Development and Evaluation. British Association of Dermatologists April 2018
GRADE Grading of Recommendations Assessment, Development and Evaluation British Association of Dermatologists April 2018 Previous grading system Level of evidence Strength of recommendation Level of evidence
Systematic reviews and meta-analyses of observational studies (MOOSE): Checklist.
Systematic reviews and meta-analyses of observational studies (MOOSE): Checklist. MOOSE Checklist Infliximab reduces hospitalizations and surgery interventions in patients with inflammatory bowel disease:
Systematic Reviews in healthcare and the Joanna Briggs Institute /Cochrane Collaboration. Fiona Bath-Hextall
Systematic Reviews in healthcare and the Joanna Briggs Institute /Cochrane Collaboration Fiona Bath-Hextall Fiona.bath-hextall@nottingham.ac.uk Remit The importance of Systematic Reviews Who uses systematic
Quality of Clinical Practice Guidelines
Evidence Based Dentistry Quality of Clinical Practice Guidelines Asbjørn Jokstad University of Oslo, Norway 23 Aug 2001 1 PRACTICE GUIDELINES IN MEDLINE 1400 >1300 1200 1000 800 815 600 592 400 374 200
Explosion of knowledge since the 1970 s. Textbooks outdated before publication
Explosion of knowledge since the 1970 s Textbooks outdated before publication 1 Scientific chaos Meta - analyses Systematic reviews Implementation of evidence into practice 2 KNOWLEDGE TRANSFER IN MEDICINE
Controlled Trials. Spyros Kitsiou, PhD
Assessing Risk of Bias in Randomized Controlled Trials Spyros Kitsiou, PhD Assistant Professor Department of Biomedical and Health Information Sciences College of Applied Health Sciences University of
GRADE, Summary of Findings and ConQual Workshop
GRADE, Summary of Findings and ConQual Workshop To discuss Introduction New JBI Levels of Evidence and Grades of Recommendation Moving towards GRADE Summary of Findings tables Qualitative Levels Conclusion
Guideline Development At WHO
Guideline Development At WHO Susan L. Norris, MD MPH MSc Guidelines Review Committee Secretariat September 24, 2015 1 Questions Who has ever used a clinical practice guideline? Who regularly uses clinical
Trick or Treat. In April!
Trick or Treat. In April! Take one small envelope but Don t open it! Teaching and Leading EBM 2018 Randomization: simple, stratified and block Juan M. Lozano, MD, MSc Describe three methods of randomization:
Evidence-based Laboratory Medicine: Finding and Assessing the Evidence
Find Assess Decide Evidence-based Laboratory Medicine: Finding and Assessing the Evidence Pieter Vermeersch, M.D. Ph.D. Laboratory Medicine, UZ Leuven November 18th 2008 Introduction Archie Cochrane (1908-1988)
A Cochrane systematic review of interventions to improve hearing aid use
A Cochrane systematic review of interventions to improve hearing aid use Fiona Barker f.barker@surrey.ac.uk Department of Healthcare Management and Policy The context Hearing loss is a common long term
Clinical Epidemiology for the uninitiated
Clinical epidemiologist have one foot in clinical care and the other in clinical practice research. As clinical epidemiologists we apply a wide array of scientific principles, strategies and tactics to
Finding the Evidence: a review. Kerry O Rourke & Cathy Weglarz UMDNJ-RWJ Library of the Health Sciences
Finding the Evidence: a review Kerry O Rourke & Cathy Weglarz UMDNJ-RWJ Library of the Health Sciences Evidence Based Medicine Evidence-based medicine is the conscientious, explicit and judicious use of
Searching Effectively and Efficiently for Accurate Answers to Clinical Questions
Searching Effectively and Efficiently for Accurate Answers to Clinical Questions Andrew Schenkel DMD, MS New York University College of Dentistry Richard McGowan MLS New York University Health Sciences
GRADE. Grading of Recommendations Assessment, Development and Evaluation. British Association of Dermatologists April 2014
GRADE Grading of Recommendations Assessment, Development and Evaluation British Association of Dermatologists April 2014 Previous grading system Level of evidence Strength of recommendation Level of evidence
CRITICAL APPRAISAL WORKSHEET
1. THE RESEARCH QUESTION CRITICAL APPRAISAL WORKSHEET 1a. What question did the researchers want to answer? About the magnitude of health problem? About the impact of a therapy of some sort? Any differences
Nielsen, Jane Hyldgård; Rotevatn, Torill Alise; Peven, Kimberly; Melendez-Torres, G. J.; Sørensen, Erik Elgaard; Overgaard, Charlotte
Aalborg Universitet A realist review of the use of reminder systems for follow-up screening and early detection of type 2 diabetes in women with previous gestational diabetes Nielsen, Jane Hyldgård; Rotevatn,
1/24/15. In pursuit of evidence- based prac8ce. Accessibility of Available Evidence. Today s Purpose BUT FIRST... Levels of Evidence (LOE)
Speeding Up the EBP Process: Using Evidence that is Appraised, Available, and Ready To Go In pursuit of evidence- based prac8ce Clinician s best judgment How do we gain access to available evidence? Cailee
Abstract: Learning Objectives: Posttest:
Title of Course: Evidence Based Practice in Communication Disorders CE Credit: 6 Hours (0.6 CEUs) Learning Level: Advanced Author: Christine A. Dollaghan, PhD, CCC SLP Abstract: With this landmark textbook,
Swiss national license for the Cochrane Library
Swiss national license for the Cochrane Library 4th National gathering of Swiss medical librarians Bern, September 9, 2016 Erik von Elm, MD MSc FMH Co-Director Cochrane Switzerland Institut universitaire
School of Dentistry. What is a systematic review?
School of Dentistry What is a systematic review? Screen Shot 2012-12-12 at 09.38.42 Where do I find the best evidence? The Literature Information overload 2 million articles published a year 20,000 biomedical
Geriatric Neurology Program Requirements
Geriatric Neurology Program Requirements Approved November 8, 2013 Page 1 Table of Contents I. Introduction 3 II. Institutional Support 3 A. Sponsoring Institution 3 B. Primary Institution 4 C. Participating
The Cochrane Collaboration is an international organisation that aims to help people make well-informed decisions about healthcare by preparing,
RCTs Cohort studies Case series Animal research & In vitro studies The Cochrane Collaboration is an international organisation that aims to help people make well-informed decisions about healthcare by
Evidence Based Medicine
Course Goals Goals 1. Understand basic concepts of evidence based medicine (EBM) and how EBM facilitates optimal patient care. 2. Develop a basic understanding of how clinical research studies are designed
A research report of the therapeutic effects of yoga for health and wellbeing Prepared at ScHARR for the British Wheel of Yoga
A research report of the therapeutic effects of yoga for health and wellbeing Prepared at ScHARR for the British Wheel of Yoga About The British Wheel of Yoga The British Wheel of Yoga The British Wheel
Systematic Reviews and Meta-analysis in Aquatic therapy
Systematic Reviews and Meta-analysis in Aquatic therapy Prof. Daniel Daly Ben Waller PT, MSc 2nd European Congress on Evidence Based Aquatic Therapy Wednesday 15th April 2015 Systematic Review A systematic
Mayo Clinic Gynecologic Oncology Fellowship (Minnesota) Competency-based goals
Mayo Clinic Gynecologic Oncology Fellowship (Minnesota) Competency-based goals 1. PATIENT CARE (includes surgical skills) To train gynecologic oncology fellows to competency in evaluation, treatment and
Epidemiologic Methods for Evaluating Screening Programs. Rosa M. Crum, MD, MHS Johns Hopkins University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
CONTINUING EDUCATION & MEMBER USER GUIDE. QUALITY ASSURANCE PROGRAM Continuous Learning. Continuing Education & e-portfolio
CONTINUING EDUCATION & MEMBER USER GUIDE QUALITY ASSURANCE PROGRAM Continuous Learning Continuing Education & e-portfolio Your CE Cycle 15 pts CATEGORY 1: Core Courses PER -YEAR CYCLE 90 45 pts CATEGORY
Quality of Clinical Practice Guidelines
Evidence Based Dentistry Quality of Clinical Practice Guidelines Asbjørn Jokstad University of Oslo, Norway 07/04/2005 1 Justification for developing guidelines Demand for effectiveness and efficacy studies
Eighteen years later: Is Evidence-based Practice really adult? Professor Paul Glasziou University of Oxford
Eighteen years later: Is Evidence-based Practice really adult? Professor Paul Glasziou University of Oxford Sicily 2009 Who are we? I have been to a previous Sicily meeting I teach EBHC I use EBHC in clinical
Pedram Bral, M.D. Maimonides Medical Center Brooklyn, New York
Pedram Bral, M.D. Maimonides Medical Center Brooklyn, New York 2-Year Program Optional Degrees: MPH MBA MS Other: None Number of Faculty: GYN Faculty: 4 UROGYN Faculty: 2 REI Faculty: 1 ONCOLOGY Faculty:
LIHS Mini Master Class
Alexandru Nicusor Matei 2013 CC BY-NC-ND 2.0 Grading the evidence Liz Mitchell Liz Mitchell University of Leeds 2015. This work is made available for reuse under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike
EQUATOR Network: promises and results of reporting guidelines
EQUATOR Network: promises and results of reporting guidelines Doug Altman The EQUATOR Network Centre for Statistics in Medicine, Oxford, UK Key principles of research publications A published research
Canadian Cochrane Network & Centre. Copyright 05/12/2009 by Phil Hahn
Systematic Reviews and The Cochrane Library Phil Hahn Queen s University Co-site Representative Canadian Cochrane Network & Centre Copyright 05/12/2009 by Phil Hahn Archie Cochrane It is surely a great
The European Board of Urology
Page 1 of 15 The European Board of Urology Sub-specialty certification application: Prostate cancer, A - General information A1 - APPLICATION IDENTIFICATION 1a. Application code blank 1b. EBU internal
Book Review: The Role of Education in the Rational use of Medicines
Article ID: WMC002475 ISSN 2046-1690 Book Review: The Role of Education in the Rational use of Medicines Corresponding Author: Dr. P Ravi Shankar, Professor, Medical Education, Pharmacology, KIST Medical
Business Plan. July 2016 to June Trusted evidence. Informed decisions. Better health.
Business Plan July 2016 to June 2017 Trusted evidence. Informed decisions. Better health. Business Plan for Cochrane Australia (2016-2017) 2 Cochrane vision Our vision is a world of improved health where
Evidence Based Medicine. Feb 18, 2009 Dr Ayham Moty
Evidence Based Medicine Feb 18, 2009 Dr Ayham Moty The new paradigm, probabilistic thinking current paradigm: the biomedical model the body can be approached as an engineering problem. the new paradigm:
Evidence-based practice
CHAPTER 1 Evidence-based practice 1.1 Why evidence-based practice? We all like to think we are practicing medicine based on the best evidence available. However, we sometimes do things in medicine for
Formulation of a Focused Clinical Question Using PICO University of Mary Department of Physical Therapy Michael G. Parker, PhD, PT, FACSM, Professor
Formulation of a Focused Clinical Question Using PICO University of Mary Department of Physical Therapy Michael G. Parker, PhD, PT, FACSM, Professor How do Clinical Questions Happen? Clinical questions
Complete Summary GUIDELINE TITLE. Cervical cytology screening. BIBLIOGRAPHIC SOURCE(S)
Complete Summary GUIDELINE TITLE Cervical cytology screening. BIBLIOGRAPHIC SOURCE(S) American College of Obstetricians and Gynecologists (ACOG). Cervical cytology screening. Washington (DC): American
Evidence-Based Integrative Therapies for Common Problems in Family Medicine. Pamela Wiseman MD Associate Professor of Family Medicine
Evidence-Based Integrative Therapies for Common Problems in Family Medicine Pamela Wiseman MD Associate Professor of Family Medicine Learning Objectives As a result of this session, the participant will
Copyright GRADE ING THE QUALITY OF EVIDENCE AND STRENGTH OF RECOMMENDATIONS NANCY SANTESSO, RD, PHD
GRADE ING THE QUALITY OF EVIDENCE AND STRENGTH OF RECOMMENDATIONS NANCY SANTESSO, RD, PHD ASSISTANT PROFESSOR DEPARTMENT OF CLINICAL EPIDEMIOLOGY AND BIOSTATISTICS, MCMASTER UNIVERSITY Nancy Santesso,
PROSPERO International prospective register of systematic reviews
PROSPERO International prospective register of systematic reviews Strains on the market: an investigation of the probiotic strains in the Canadian food supply and a review of their health effects Mary
Systematic Review & Course outline. Lecture (20%) Class discussion & tutorial (30%)
Systematic Review & Meta-analysisanalysis Ammarin Thakkinstian, Ph.D. Section for Clinical Epidemiology and Biostatistics Faculty of Medicine, Ramathibodi Hospital Tel: 02-201-1269, 02-201-1762 Fax: 02-2011284
What s Practical in the Daily Practice of Evidence-Based Medicine?
What s Practical in the Daily Practice of Evidence-Based Medicine? Steven R. Craig, MD, FACP 2013-2014 Organization & Objectives of Presentation Review on-line EBM resources (Emphasis on Hardin Electronic
Strategic Plan
Strategic Plan 2015 18 President s message The Royal College of Psychiatrists is committed to improving the lives of people with mental illness. This strategic plan is based on the top three priorities
The Joanna Briggs Institute Reviewers Manual 2014
The Joanna Briggs Institute Reviewers Manual 2014 Summary of Findings Tables for Joanna Briggs Institute Systematic Reviews www.joannabriggs.org Joanna Briggs Institute Reviewers Manual: 2014 edition/supplement
Guidelines for Writing and Reviewing an Informed Consent Manuscript From the Editors of Clinical Research in Practice: The Journal of Team Hippocrates
Guidelines for Writing and Reviewing an Informed Consent Manuscript From the Editors of Clinical Research in Practice: The Journal of Team Hippocrates 1. Title a. Emphasize the clinical utility of the
Strategic Plan - Jan Dec 16 (southasia.cochrane.org)
Strategic Plan - Jan 2015- Dec 16 (southasia.cochrane.org) Our Network Centre s C o c h r a n e S o u t h A s i a C a r m a n B l o c k, 2 n d F l o o r, C h r i s t i a n M e d i c a l C o l l e g e,
practice is here to stay - it s time to
Evidence-based practice is here to stay - it s time to empower dentists to implement the concept Asbjørn Jokstad Prosthodontics Faculty of Dentistry, University of Toronto 1 The graduate Head/ Staff/ Demonstrator
The QUOROM Statement: revised recommendations for improving the quality of reports of systematic reviews
The QUOROM Statement: revised recommendations for improving the quality of reports of systematic reviews David Moher 1, Alessandro Liberati 2, Douglas G Altman 3, Jennifer Tetzlaff 1 for the QUOROM Group
CONSUMERS PROTECTION PERFORMANCE OF HEALTH PERSONNEL IN SUB-DISTRICT HEALTH PROMOTING HOSPITALS
2014 Bali, Indonesia Global Illuminators, Kuala Lumpur, Malaysia. CONSUMERS PROTECTION PERFORMANCE OF HEALTH PERSONNEL IN SUB-DISTRICT HEALTH PROMOTING HOSPITALS, KHON KAEN PROVINCE. 1 SumaleeLarangsitand
ADEA Program Objectives. ADEA Program Objectives. ADEA Program Objectives. ADEA Program Objectives 10/5/2012
Cheryl Straub-Morarend DDS David Holmes DDS, MS Teresa Marshall PhD Engaging the Private Sector in Evidence-Based Dentistry ADEA Program Objectives ADEA Program Objectives Share gleaned from a survey of
Quick Literature Searches
Quick Literature Searches National Pediatric Nighttime Curriculum Written by Leticia Shanley, MD, FAAP Institution: University of Texas Southwestern Medical Center Case 1 It s 1:00am and you have just
Consumers Protection Performance of Health Personnel in Sub-district Health Promoting Hospitals, Khon Kaen Province
Available online at www.globalilluminators.org GlobalIlluminators FULL PAPER PROCEEDING Multidisciplinary Studies Full Paper Proceeding GTAR-2014, Vol. 1, 536-547 ISBN: 978-969-9948-30-5 GTAR-14 Consumers
Psychological Aspects of Sexual Dysfunctions
Psychological Aspects of Sexual Dysfunctions Tamara Melnik, PhD Researcher and Professor of Internal Medicine and Evidence-Based Medicine at Federal University of Sao Paulo and Cochrane Collaboration Outline
Evidence-based Practice in Dentistry
Evidence-based Practice in Dentistry Why Bother? Asbjorn Jokstad Institute of Clinical Dentistry, University of Oslo, Norway 1 The graduate Advertising - producers -colleagues Teachers Curriculum Publications
PROSPERO International prospective register of systematic reviews
PROSPERO International prospective register of systematic reviews Preventing falls and associated mortality in older people: an umbrella review of systematic reviews Mukesh Dherani, Stefanie Buckner, Daniel
Corporate Medical Policy Investigational (Experimental) Services
Corporate Medical Policy Investigational (Experimental) Services File Name: Origination: investigational_(experimental)_services 1/1996 Description of Procedure or Service BCBSNC defines the terms "investigational"
Evidence Based Medicine
Hamadan University of medical sciences School of Public Health Department of Epidemiology Evidence Based Medicine Amin Doosti-Irani, PhD in Epidemiology 10 March 2017 a_doostiirani@yahoo.com 1 Outlines
Frequently Asked Questions: Pediatric Rehabilitation Medicine Review Committee for Physical Medicine and Rehabilitation ACGME
Frequently Asked Questions: Pediatric Rehabilitation Medicine Review Committee for Physical Medicine and Rehabilitation ACGME Question Institutions What are examples of close collaboration between the
Training in Obstetric Sonography for Radiology Residents and Fellows in the United States
Claudia J. Kasales 1 Carol C. Coulson 2 David Mauger 3 Jocelyn D. Chertoff 1 Amy Matthews 3 Received October 12, 2000; accepted after revision April 10, 2001. 1 Department of Radiology, The Dartmouth Hitchcock
Essential Skills for Evidence-based Practice Understanding and Using Systematic Reviews
J Nurs Sci Vol.28 No.4 Oct - Dec 2010 Essential Skills for Evidence-based Practice Understanding and Using Systematic Reviews Jeanne Grace Corresponding author: J Grace E-mail: Jeanne_Grace@urmc.rochester.edu
PROSPERO International prospective register of systematic reviews
PROSPERO International prospective register of systematic reviews Effectiveness of progressive muscle relaxation training for adults diagnosed with schizophrenia: a systematic review protocol Carlos Melo-Dias,
Evidence-based medicine and guidelines: development and implementation into practice
Evidence-based medicine and guidelines: development and implementation into practice PD Dr D. Aujesky, MSc MER Médecin-adjoint Service de Médecine Interne CHUV 1 Goals To discuss the basics of evidence-based
Outline. What is Evidence-Based Practice? EVIDENCE-BASED PRACTICE. What EBP is Not:
Evidence Based Practice Primer Outline Evidence Based Practice (EBP) EBP overview and process Formulating clinical questions (PICO) Searching for EB answers Trial design Critical appraisal Assessing the
Evidence Based Medicine From Clinical trials to Clinical Practice. Mohamed Meshref M.D, DES( Lyon) Faculty of Medicine Cairo University
Evidence Based Medicine From Clinical trials to Clinical Practice Mohamed Meshref M.D, DES( Lyon) Faculty of Medicine Cairo University EBM: Topics to discuss Introduction to EBM Levels of evidence The
Policy and Procedures on Evidence-Based Practice
Policy and Procedures on Evidence-Based Practice Policy The ACRM American Congress of Rehabilitation Medicine strives to apply the highest standards of rigor to the evaluation of research evidence and
Does bilateral upper limb training improve upper limb function following stroke?
Does bilateral upper limb training improve upper limb function following stroke? Prepared by: Alison Pearce Occupational Therapist Bankstown-Lidcombe Hospital NSW, Australia alison.pearce@swsahs.nsw.gov.au
Robert M. Jacobson, M.D. Department of Pediatric and Adolescent Medicine Mayo Clinic, Rochester, Minnesota
How to Conduct a Systematic Review: A Workshop 24 th Annual Primary Care Research Methods & Statistics Conference, San Antonio, Texas Saturday, December 3, 2011 Robert M. Jacobson, M.D. Department of Pediatric
Evidence based dentistry and bibliometry Asbjørn Jokstad Departments of Prosthetics and Oral Function Dental Faculty University of Oslo
Evidence based dentistry and bibliometry Asbjørn Jokstad Departments of Prosthetics and Oral Function Dental Faculty University of Oslo Information Explosion in Dentistry Tremendous growth in scientific
EVIDENCE-BASED HEALTH CARE
EVIDENCE-BASED HEALTH CARE AND OTHER MYTHS OF A MODERN AGE Peggy Mancuso, PhD, CNM, RN. 1 An Overview of EBM 2 Evidence-Based Health Care Definition Conscientious, explicit, judicious use Current best
Research & Teaching AWARDS. Morris F. Collen Research Awards Teaching Awards for Excellence
Research & Teaching AWARDS 2015 Morris F. Collen Research Awards Teaching Awards for Excellence The TPMG Research and Teaching Awards were established in 2003 to acknowledge the extraordinary accomplishments
The ASRM Committee Opinion on PGT for Aneuploidy Our Conclusions and How We Drew Them. Alan Penzias, MD
The ASRM Committee Opinion on PGT for Aneuploidy Our Conclusions and How We Drew Them Alan Penzias, MD Chair, Practice Committee American Society for Reproductive Medicine Development of US National Guidelines:
Contents. What does a nutritionist do? 2. Specialist competencies in Nutrition 3. Underpinning Nutrition Subject Knowledge 4
THE NUTRITION SOCIETY OF AUSTRALIA (INC.) www.nsa.asn.au Specialist Competencies in Nutrition Science A summary of the speciic competencies for registration as an Animal Nutritionist as deemed essential
Statement in support of nomination for election to the Cochrane Board Fergus Macbeth MA DM FRCR FRCP MBA
Statement in support of nomination for election to the Cochrane Board Fergus Macbeth MA DM FRCR FRCP MBA Now retired from clinical practice as an oncologist, I have been involved in evidence based healthcare
Brachytherapy in Africa
Brachytherapy in Africa Deanine Halliman PhD Sr. Director Medical Affairs Elekta Brachytherapy Burden of cervical cancer in Africa est. 2012 incidence per 100,000 women Bouassa M, et al. Cervical cancer
Organization Country From To Physical Therapy Collage, Misr University for science and technology
Personal Information Name: Amira Hussin Hussin Mohammed Academic Position: Lecturer Administrative Position: Director Manager of Quality Assurance Unit, Faculty of Physical Therapy, Delta University for
Guideline Development at the American College of Physicians. American College of Physicians
Guideline Development at the American College of Physicians Melissa Starkey, PhD American College of Physicians Institute of Medicine Committee on Preventive Services for Women March 9, 2011 Who is ACP?
Clinical Governance Advice No. 1 Development of RCOG Green-top Guidelines May 2015 Minor updates: June 2015 these are highlighted in yellow
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Clinical Governance Advice No. 1 Development of RCOG Green-top Guidelines May 2015 Minor updates:
Introductory: Coding
Introductory: Coding Sandra Jo Wilson Editor, Education Coordinating Group Associate Director, Peabody Research Institute Research Assistant Professor, Dept. of Special Education Vanderbilt University,
The role of MTM in Overviews of Reviews
Deborah Caldwell The role of MTM in Overviews of Reviews d.m.caldwell@bristol.ac.uk Comparing Multiple Interventions Methods Group Keystone, 2010 Why we need overviews of reviews Explosion in RCTs necessitated
NCEPOD - Measuring the Units; A review of patients who died with alcohol-related liver disease
NCEPOD - Measuring the Units; A review of patients who died with alcohol-related liver disease Hospital Number Admission to hospital 5. Trusts should ensure that medical patients are reviewed by a consultant
The diagnosis of Chronic Pancreatitis
The diagnosis of Chronic Pancreatitis 1. Background The diagnosis of chronic pancreatitis (CP) is challenging. Chronic pancreatitis is a disease process consisting of: fibrosis of the pancreas (potentially
Department of Neurology and Neurosurgery Clinical and Clinical Research Fellowship Application Form
Department of Neurology and Neurosurgery Clinical and Clinical Research Fellowship Application Form Type of Fellowship Neuromuscular Medicine Name of the Fellowship Supervisors: Dr. Bernard Brais Dr. Colin
dietitian? nutritionist?
dietitian? nutritionist? nutrition therapist? diet expert? Registered Dietitians (RDs) are the only qualified health professionals that assess, diagnose and treat diet and nutrition problems at an individual
Perspectives on evidence-based work and health
Perspectives on evidence-based work and health Nordic Conference in Work & Rehabilitation 2018 Gro Jamtvedt, Fakulty of Health Sciences Advisory Board or Work and Health 2nd Oct 2018 ENDRE BUNNTEKST VIA
Critical appraisal: Systematic Review & Meta-analysis
Critical appraisal: Systematic Review & Meta-analysis Atiporn Ingsathit MD.PhD. Section for Clinical Epidemiology and biostatistics Faculty of Medicine Ramathibodi Hospital Mahidol University What is a
The detection and management of pain in patients with dementia in acute care settings: development of a decision tool: Research protocol.
The detection and management of pain in patients with dementia in acute care settings: development of a decision tool: Research protocol. Aims and Objectives of the overall study The aim of this study