Evidence-Based Medicine
|
|
|
- Cora Miller
- 5 years ago
- Views:
Transcription
1 Evidence-Based Medicine Is EBM just a pack of lies, damned lies, and statistics? Oregon Rural Heart Attack Care Project Webinar February 5, 2008
2 What the Experts Say About This Webinar 2 The long-range contribution of statistics depends not so much upon getting a lot of highly trained statisticians into industry medicine as it does in creating a statistically minded generation of physicists, chemists, engineers, and others clinicians who will in any way have a hand in developing and directing caring for the production processes patients of tomorrow. Shewhart h & Deming There are three kinds of lies: lies, damned lies, and statistics. Mark Twain
3 3 Agenda How We Got Here Evidence-Based Medicine What? How to Avoid EBM Statistics A Mercifully Brief Review Bias in Research RCTs to Evaluate QI? Not so fast! Discussion
4 4 The Age of Enlightenment Scientific Method John Locke (17 th century) Positivism Auguste Comte (19 th century)
5 Empiricism Oregon Rural Heart Attack Care Project 5 Source:
6 Scientific Method Oregon Rural Heart Attack Care Project 6 1. Use your experience 2. Think up an explanation 3. Predict an outcome 4. Test your idea
7 PDSA = Scientific Method 7
8 Does Empiricism = EBM? 8 Empiricism Knowledge through the senses, not inherited Experimental or Experiential? Dual etymology Evidence-Based Medicine Both! And more.
9 EBM Definition Oregon Rural Heart Attack Care Project 9 EBM is a conscientious, explicit, and judicious use of the current best evidence in making decisions about the care of individual id patients. The practice of EBM integrates individual clinical expertise, best external evidence, and patient values and expectations. ti David Sackett, et al Note: The term Evidence-Based Medicine is attributed to McMaster University epidemiologists in the early 1990s
10 EBM Definition Oregon Rural Heart Attack Care Project 10 Not cook-book medicine Not cost-cutting healthcare Not just randomized trials
11 Why EBM Oregon Rural Heart Attack Care Project 11 We can t keep up with the literature Clinical questions during 3.2/10 encounters We often rely on low-quality information Standards often become myths We often practice anecdotally Sources: White, B. Making Evidence-Based Medicine Doable in Everyday y Practice. FPM. Vol. 11. February Davidoff, et al. Evidence-Based Medicine; A New Journal. BMJ. Vol
12 How to Avoid EBM (or understanding the way some docs think) 12 Good Bad Levels of Belief Class 0 Class 0a Class 1 Class 2 Class 3 Class 4 Class 5 Things I believe Things I believe despite the available data Randomized controlled clinical trials that agree with what I believe Other prospectively p collected data Expert opinion Randomized controlled clinical trials that don t agree with what I believe What you believe that I don t Source: Shaughnessy and Slawson. Easy Ways to Resist Change. BMJ. Vol December 2004.
13 How to Avoid EBM (or understanding the way some docs think) Don t pay attention 2. Attack the data 3. Maintain absolute confidence 4. Follow the pack 5. Defer to the expert 6. Bring in the lawyers 7. Blame patients 8. Show how much you ve change 9. Pull rank 10. Simply refuse Source: Shaughnessy and Slawson. Easy Ways to Resist Change. BMJ. Vol December 2004.
14 14 The Most Basic of Statistics Validity accurate Reliability repeatable P-Value Not as good as we think! Number Needed to Treat Number Needed to Harm
15 Empiricism or Bias? Oregon Rural Heart Attack Care Project 15 Ignore it Jeffries. It s unscientific. S ource:
16 16 Bias in Research (when EBM ain t EBM) Confounding Selection / Exclusion Relative v. Absolute Risks Data Dredging g Disease Oriented Evidence Publication
17 A Better Check on Bias? 17 S ource: ity.acs.org
18 Don t Believe Everything Your Read 18 Question: Problem Patient Population Intervention Comparison Outcomes Number Statistics Source: White, B. Making Evidence-Based Medicine Doable in Everyday Practice. FPM. Vol. 11. February 2004.
19 EBM Resources Oregon Rural Heart Attack Care Project Cochrane Collaboration 2. The Journal of Family Practice 3. InfoRetriever and Daily POEMs 4. Primary Care Abstracts
20 20 When an RCT Doesn t Work When you can t control bias! Such as: Complex social environments Chaotic situations Hospitals? QI Projects? Try making your marriage better with a randomized controlled trial!
21 Discussion Oregon Rural Heart Attack Care Project 21
22 Thank You North 91 st Avenue St. Joseph, MN (320) (320) (cell) com
Critical point learning
Critical point learning Reflection as a method of continuing professional development and life long learning EBM Day to day clinical practice involves solving questions in a peer supported environment
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
Evidence-based Laboratory Medicine. Prof AE Zemlin Chemical Pathology Tygerberg Hospital
Evidence-based Laboratory Medicine Prof AE Zemlin Chemical Pathology Tygerberg Hospital Content Definition History Challenges Steps Appraising evidence Tools Criticism Barriers although the laboratory
When Passion Obscures the Facts: The Case for Evidence-Based Testing
When Passion Obscures the Facts: The Case for Evidence-Based Testing Stuart Reid, 2010 Stuart Reid Testing Solutions Group 117 Houndsditch London EC3 UK Tel: 0207 469 1500 Fax: 0207 623 8459 www.testing-solutions.com
Does executive coaching work? The questions every coach needs to ask and (at least try to) answer. Rob B Briner
Does executive coaching work? The questions every coach needs to ask and (at least try to) answer Rob B Briner 1 Some of The Questions 1. What are the general claims made for executive coaching and what
Quality Improvement Methodology, Workflow Redesign and Outcomes Management
Quality Improvement Methodology, Workflow Redesign and Outcomes Management Jeffrey Hummel, MD, MPH Medical Director for Clinical Informatics, Qualis Health and UW Medicine Neighborhood Clinics July 28,
SOCQ121/BIOQ121. Session 2. Evidence and Research. Department of Social Science. endeavour.edu.au
SOCQ121/BIOQ121 Session 2 Evidence and Research Department of Social Science endeavour.edu.au Review What is knowledge? How has knowledge changed over time? Name some of the complementary medicine modalities
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)
Evidence-based medicine: Too much evidence?
DISCLAIMER: The content of this presentation may not accurately reflect current legal or regulatory requirements, industry standards, or professional best practices. ISMPP is providing access to this presentation
What were the 10 path-breaking discoveries in medicine in the last 500 years?
What were the 10 path-breaking discoveries in medicine in the last 500 years? Top 10 discoveries in medicine in the last 500 years 1. Human Anatomy: Andreas Vesalius 1538 2. Blood circulation: William
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
Behaviorism: An essential survival tool for practitioners in autism
Behaviorism: An essential survival tool for practitioners in autism What we re going to do today 1. Review the role of radical behaviorism (RB) James M. Johnston, Ph.D., BCBA-D National Autism Conference
Evidenced-Based Medicine: Where Does it Fit in Foot and Ankle Surgery?
Sean T. Grambart, DPM, FACFAS Ankle and Foot Surgery Carle Clinic Association Evidenced-Based Medicine: Where Does it Fit in Foot and Ankle Surgery? MODULE: Calcaneal Fracture Evidence-Based Medicine The
HOW TO DEVELOP A RESEARCH PROTOCOL
Research and Evidence Based Medicine Committee 2010-2011 HOW TO DEVELOP A RESEARCH PROTOCOL Evidence-Based Medicine The conscientious, explicit, and judicious use of current best evidence in making decisions
A Wolf in Sheep s Lab Coat
A Wolf in Sheep s Lab Coat Pseudoscience in the 21 st Century Adapted from files.criticalteaching.org Pseudo = fake pseudopod Can you break this word down?) Science =? Pareidolia A psychological phenomenon
Dr. Engle has received an unrestricted educational grant for the MD Anderson Pain Medicine Fellowship.
Mitchell Engle, MD, PhD Dr. Mitchell Engle earned his medical degree and a Ph.D. in Pharmacology from the University Of Iowa Carver College Of Medicine. His Ph.D. research examined the role of the spinal
A general treatment approach
Chapter 2 A general treatment approach Using the rubric of evidence-based medicine Evidence-based medicine (EBM) is not just about the evidence, but how to use it in a meaningful way [1]; practicing EBM
In 1980, a new term entered our vocabulary: Attention deficit disorder. It
In This Chapter Chapter 1 AD/HD Basics Recognizing symptoms of attention deficit/hyperactivity disorder Understanding the origins of AD/HD Viewing AD/HD diagnosis and treatment Coping with AD/HD in your
we ve got fine tuning possibilities, and that s certainly possible with modifying the enzymes that synthesize or degrade the endogenous cannabinoids
The CCIC Podcast February 24, 2015 This month: Prof. Steve Alexander Interview by Dr. Mark A. Ware www.ccic.net/podcast Introduction Hello and welcome to the CCIC Podcast. The CCIC Podcast is a series
CONCEPTUAL FRAMEWORK, EPISTEMOLOGY, PARADIGM, &THEORETICAL FRAMEWORK
CONCEPTUAL FRAMEWORK, EPISTEMOLOGY, PARADIGM, &THEORETICAL FRAMEWORK CONCEPTUAL FRAMEWORK: Is the system of concepts, assumptions, expectations, beliefs, and theories that supports and informs your research.
UCSD EXPERIENCE, DESIGNING AND IMPLEMENTING CORRECTIVE ACTIONS. Derek Brown
UCSD EXPERIENCE, DESIGNING AND IMPLEMENTING CORRECTIVE ACTIONS Derek Brown 2 Design and implementation of corrective actions Outline 1. Designing corrective actions Something has gone wrong, what are you
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
Evidence Based Practice
Evidence Based Practice RCS 6740 7/26/04 Evidence Based Practice: Definitions Evidence based practice is the integration of the best available external clinical evidence from systematic research with individual
How to Think Straight About Psychology
How to Think Straight About Psychology A Quick and Dirty Overview of Stanovich s Wonderful Book. Chapter 1 Freud problem general public s link of Freud to psychology most psychologists don t find his theory
Cognitive Self-Change: Thinking Controls Behavior THINKING REPORTS
Cognitive Self-Change: Thinking Controls Behavior THINKING REPORTS August 2015 Thinking Controls Behavior Thoughts / feelings control the way we act We can control how we act by controlling our ways of
Washington, DC, November 9, 2009 Institute of Medicine
Holger Schünemann, MD, PhD Chair, Department of Clinical Epidemiology & Biostatistics Michael Gent Chair in Healthcare Research McMaster University, Hamilton, Canada Washington, DC, November 9, 2009 Institute
Less is more: Guidelines
ESIM Summer School June 20 Friday, 2014 Less is more: Guidelines Primiano Iannone, MD Head of Emergency Department Ospedali del Tigullio, Lavagna (GE) Italy layout What is a clinical guideline Why do we
Obedience to Authority/ Social Order in Emergency Situations
Obedience to Authority/ Social Order in Emergency Situations Aug. 30, 2006 http://www.iastate.edu/~soc.134 2006 David Schweingruber Professor of Old Testament (150 volts) E: It s absolutely essential to
Practice Improvement, Evidence-Based Medicine and Clinical Prevention John Epling, MD, MSEd, FAAFP Professor and Chair, Department of Family
Practice Improvement, Evidence-Based Medicine and Clinical Prevention John Epling, MD, MSEd, FAAFP Professor and Chair, Department of Family Medicine, SUNY Upstate Medical University Disclaimer Although
Survival analysis. EPIB Clinical Epidemiology. Date: May 9 to June 3 8:35 11:40. Session 9: Evidence-Based Medicine. Dr. J.
Course: EPIB 679-001 Clinical Epidemiology Survival analysis Date: May 9 to June 3 8:35 11:40 Session 9: Evidence-Based Medicine Dr. J. Brophy Log Rank Test Log Rank Test Log Rank Test Cox PH Model Cox
HEPATITIS C LESSONS PART 4
PURPOSE To help group members understand who they should tell and who they may want to tell about their condition. Also includes strategies for telling people. FACTS ABOUT TELLING PEOPLE YOU HAVE HEPATITIS
Tip sheet. A quick guide to the dos and don ts of mental health care and inclusion. 1. Ask questions. Practical tips
A quick guide to the dos and don ts of mental health care and inclusion Much of the rejection felt by those in church with mental health problems comes from accidental actions and words, delivered with
fact sheet 1 Using evidence to guide decision making What is evidence based practice? Why is evidence important?
fact sheet 1 Using evidence to guide decision making Every child is different and intervention options for supporting a child with an Autism Spectrum Disorder (ASD) are also many and varied. Deciding on
The Evidence Is So Clear. The Evidence Is So Clear
The Evidence Is So Clear 1 Evidence-Based Medicine is at the Heart of DynaMed Plus As described by Izet Masic, Milan Miokovic and Belma Muhamedagic, evidence-based medicine (EBM) is, the conscientious,
MOTIVATIONAL INTERVIEWING IN MIHP Application challenges and strategies. Steven J. Ondersma, PhD School of Medicine & MPSI Wayne State University
MOTIVATIONAL INTERVIEWING IN MIHP Application challenges and strategies Steven J. Ondersma, PhD School of Medicine & MPSI Wayne State University Challenge Relevant core skills Specific strategies THE CURIOUS
Obedience to Authority
Obedience to Authority Jan. 9, 2005 http://www.iastate.edu/~soc.34 2005 David Schweingruber Milgram s experiment Experiment: research method designed to elicit some sort of behavior, typically conducted
Is therapy a realistic option at the present time? Felipe Fregni LEASE DO NOT COPY. Spauding Neuromodulation Center Harvard Medical School
Is therapy a realistic option at the present time? Felipe Fregni Spauding Neuromodulation Center Harvard Medical School Arguments supporting therapeutic use of tdcs Questions to be answered: Is there a
Tutorial. Understanding the Task. People don t often read editorials critically, believing the writer may know more about the subject than they do.
Tutorial D I S TI N G U I S H I N G F AC T S FR O M E X P E R T O P I N I O N S E D I TO R I A L R E AD I N G M E D I C AL C AR E TH A T S N O T E VE N FI T FO R A H O R S E M AR G A R E T WE N T E Understanding
Introduzione al metodo GRADE
Introduzione al metodo GRADE Atto Billio MD, MSc EBHC Ematologia e TMO-Bolzano Gruppo linee guida SIE Critique of EBM De-emphasizes patient values Doesn t account for individual variation Devalues clinical
CONQUERING INSOMNIA & ACHIEVING SLEEP WELLNESS
CONQUERING INSOMNIA & ACHIEVING SLEEP WELLNESS "Sleep is the golden chain that ties health and our bodies together." ~ Thomas Dekker ~ Under recognized & Under treated Insomnia Facts Negatively Affects
A-Z of Mental Health Problems
Mental health problems can cover a broad range of disorders, but the common characteristic is that they all affect the affected person s personality, thought processes or social interactions. They can
2015 NADTA Conference Pre-Education Committee Book Club Everyday Bias, Howard J. Ross, Suggested Group Discussion Questions
2015 NADTA Conference Pre-Education Committee Book Club Everyday Bias, Howard J. Ross, Suggested Group Discussion Questions 1. After reading this book, which research examples stand out the most in your
The Zero Suicide Initiative for Healthcare. Richard McKeon, Ph.D. Chief, Suicide Prevention Branch
The Zero Suicide Initiative for Healthcare Richard McKeon, Ph.D. Chief, Suicide Prevention Branch SAMHSA Support for Zero Suicide Initiative SPRC Zero Suicide Academies, Learning Collaboratives, Toolkit/website-over
How to do a quick search for evidence
bs_bs_banner doi:10.1111/jpc.12514 VIEWPOINT David Isaacs Department of Infectious Diseases & Microbiology, Children s Hospital at Westmead, Sydney, New South Wales, Australia Abstract: Doctors quote lack
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
Critical Appraisal. Dave Abbott Senior Medicines Information Pharmacist
Critical Appraisal Dave Abbott Senior Medicines Information Pharmacist Aims Identify key components of clinical trial design and apply these to a critical appraisal of the literature Be able to work out
Dr. Sonia Oveisi Assistant Professor of Qazvin University of Medical Science RESOURCES FOR EBM 6/2/2014 1
Dr. Sonia Oveisi Assistant Professor of Qazvin University of Medical Science RESOURCES FOR EBM 6/2/2014 1 Definitions of EBM EBM is the conscientious, explicit, and judicious use of current best evidence
How to CRITICALLY APPRAISE
How to CRITICALLY APPRAISE an RCT in 10 minutes James McCormack BSc(Pharm), Pharm D Professor Faculty of Pharmaceutical Sciences, UBC Vancouver, BC, Canada medicationmythbusters.com CRITICAL APPRAISAL
Lets Talk about Down Syndrome & Family Mental Health. Yona Lunsky, PhD CPsych October 28, 2017
Lets Talk about Down Syndrome & Family Mental Health Yona Lunsky, PhD CPsych October 28, 2017 What is mental health? Whose mental health are we talking about? Whose mental health are we talking about?
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,
The Cochrane Collaboration
The Cochrane Collaboration Version and date: V1, 29 October 2012 Guideline notes for consumer referees You have been invited to provide consumer comments on a Cochrane Review or Cochrane Protocol. This
Suicide.. Bad Boy Turned Good
Suicide.. Bad Boy Turned Good Ross B Over the last number of years we have had a few of the youth who joined our programme talk about suicide. So why with all the services we have in place is suicide still
Content. Evidence-based Geriatric Medicine. Evidence-based Medicine is: Why is EBM Needed? 10/8/2008. Evidence-based Medicine (EBM)
Content Evidence-based Geriatric Medicine Patricia P. Barry, MD, MPH Review of evidence-based medicine (EBM) and evidence-based practice (EBP) Use of guidelines in evidence-based practice Relevance of
Quantitative Evaluation
Quantitative Evaluation Research Questions Quantitative Data Controlled Studies Experimental Methods Role of Statistics Quantitative Evaluation What is experimental design? What is an experimental hypothesis?
Helping Your Asperger s Adult-Child to Eliminate Thinking Errors
Helping Your Asperger s Adult-Child to Eliminate Thinking Errors Many people with Asperger s (AS) and High-Functioning Autism (HFA) experience thinking errors, largely due to a phenomenon called mind-blindness.
Evidence Based Medicine
THE ROYAL AUSTRALIAN COLLEGE OF GENERAL PRACTITIONERS Evidence Based Medicine Summary Statement Aim Background Position of the RACGP Recommended Role for Individual GPs Strategies References Notes Summary
BRAIN MAXIMIZATION ACTION CARDS
1 BRAIN MAXIMIZATION ACTION CARDS The purpose of these Action Cards is to get you on the right track to priming your brain for positive change. You will learn techniques on how to identify thoughts that
FIGURE 1-The Cognitive Model. Core belief. I m incompetent. Intermediate belief. If I don t understand something perfectly, then I m dumb
FIGURE 1-The Cognitive Model Core belief I m incompetent Intermediate belief If I don t understand something perfectly, then I m dumb Situation Automatic thoughts Reactions Reading this book This is too
Grading the Evidence Developing the Typhoid Statement. Manitoba 10 th Annual Travel Conference April 26, 2012
Grading the Evidence Developing the Typhoid Statement Manitoba 10 th Annual Travel Conference April 26, 2012 Disclosure of Potential Conflict of Interest Alexandra Henteleff MEd, BN, RN Certificate in
Introduction Stanovich, Chapter 1
Introduction Stanovich, Chapter 1 A. Exercises 1. Write a brief characterization of each of the following professionals: A. Psychologist B. Astrologist C. Scientist 2. List the most interesting psychologist
APPLYING EVIDENCE-BASED METHODS IN PSYCHIATRY JOURNAL CLUB: HOW TO READ & CRITIQUE ARTICLES
University of Miami Scholarly Repository Faculty Research, Publications, and Presentations Department of Health Informatics 7-26-2017 APPLYING EVIDENCE-BASED METHODS IN PSYCHIATRY JOURNAL CLUB: HOW TO
Living well today...32 Hope for tomorrow...32
managing diabetes managing managing managing managing managing managing diabetes Scientific research continually increases our knowledge of diabetes and the tools to treat it. This chapter describes what
SUPPORTED LODGINGS. Providing a bridge to independent living for young people. Supported Lodgings
SUPPORTED LODGINGS Providing a bridge to independent living for young people Supported Lodgings A message from the supported lodgings team at Hull City Council Thank you for your interest. In our area
0457 GLOBAL PERSPECTIVES
CAMBRIDGE INTERNATIONAL EXAMINATIONS International General Certificate of Secondary Education MARK SCHEME for the May/June 2014 series 0457 GLOBAL PERSPECTIVES 0457/33 Paper 3 (Written Paper), maximum
Attention and Concentration Problems Following Traumatic Brain Injury. Patient Information Booklet. Talis Consulting Limited
Attention and Concentration Problems Following Traumatic Brain Injury Patient Information Booklet Talis Consulting Limited What are Attention and Concentration? Attention and concentration are two skills
Evidenced-Based Medicine: Where Does it Fit in Foot and Ankle Surgery?
Jeffrey R. Baker, DPM, AACFAS Weil Foot & Ankle Institute Des Plaines, IL Evidenced-Based Medicine: Where Does it Fit in Foot and Ankle Surgery? MODULE: Bimalleolar Equivalent Ankle Fracture Evidence-Based
SkillBuilder Shortcut: Levels of Evidence
SkillBuilder Shortcut: Levels of Evidence This shortcut sheet was developed by Research Advocacy Network to assist advocates in understanding Levels of Evidence and how these concepts apply to clinical
Section 4 - Dealing with Anxious Thinking
Section 4 - Dealing with Anxious Thinking How do we challenge our unhelpful thoughts? Anxiety may decrease if we closely examine how realistic and true our unhelpful/negative thoughts are. We may find
1. Before starting the second session, quickly examine total on short form BDI; note
SESSION #2: 10 1. Before starting the second session, quickly examine total on short form BDI; note increase or decrease. Recall that rating a core complaint was discussed earlier. For the purpose of continuity,
PARENTAL EMPOWERMENT IN THE FACE OF ANOREXIA NERVOSA CYNTHIA ROUSSO 24 MARCH 2017 IEDC
PARENTAL EMPOWERMENT IN THE FACE OF ANOREXIA NERVOSA CYNTHIA ROUSSO 24 MARCH 2017 IEDC PHSYICALLY HEALTHY EMOTIONALLY HEALTHY USE ADAPTIVE STRATEGIES TO MANAGE ANXIETY AND STRESS HEALTHY INTERPERSONAL
Dr Anita Rose Director of Clinical Service: Consultant in Neuropsychology & Rehabilitation
Dr Anita Rose Director of Clinical Service: Consultant in Neuropsychology & Rehabilitation Hope this finishes soon as I am hungry Did I lock my car when I left it in the car park? Will today finish in
BASIC VOLUME. Elements of Drug Dependence Treatment
BASIC VOLUME Elements of Drug Dependence Treatment Module 2 Motivating clients for treatment and addressing resistance Basic counselling skills for drug dependence treatment Special considerations when
Managing Living With Risk
Agenda What is Considered Risky? Managing Living With Risk Dr. Samir K. Sinha MD, DPhil, FRCPC Peter and Shelagh Godsoe Chair in Geriatrics and Director of Geriatrics, Sinai Health System and University
Working with Difficult Patients
New York State Collaborative Care Initiative PCMH Grantee Webinars 2014 Working with Difficult Patients Anna Ratzliff, MD, PhD University of Washington 2012 Webinar Objectives Identify common difficult
The Truth About Addiction And Recovery By Archie Brodsky, Stanton Peele
The Truth About Addiction And Recovery By Archie Brodsky, Stanton Peele If you are looking for the ebook The Truth About Addiction and Recovery by Archie Brodsky, Stanton Peele in pdf form, in that case
Mapping the Informed Health Choices (IHC) Key Concepts (KC) to core concepts for the main steps of Evidence-Based Health Care (EBHC).
KC No KC Short Title KC Statement EBHC concept EBHC sub concept EBHC statement EBHC Step Reported 1.01 Treatments can harm Treatments may be harmful Explain the use of harm/aetiologies for (rare) adverse
Assertive Communication
Assertive Communication Listed below are some of the key features of the three main communication styles: Passive Aggressive Assertive Apologetic You statements I statements Overly soft or tentative voice
PCQN QI Collaborative. Anxiety Screening & Improvement July 25, 2017
PCQN QI Collaborative Anxiety Screening & Improvement July 25, 2017 Agenda Review data PDSA worksheet - updates Case discussions Next steps 7/25/2017 2 PCQN Anxiety Data - Inpatient 12/1/2016 7/19/2017
The Key to Great Leadership
The Key to Great Leadership Learning Objectives What is leadership? Everything DiSC Workplace Discovering Your DiSC Style Understanding Other Styles Building More Effective Relationships Q & A 2 What is
Navigating the Diverse Tribal Workplace
Navigating the Diverse Tribal Workplace What are Some of the Areas in which We are Diverse? Closest Friends Exercise 3 What do you think? Will a man who grew up in a poor, white, Methodist family have
A Resource About Personality Disorder By People With Lived Experience. Section 07. Living Your Life. Now that I know what I m dealing with...
Much More Than A Label A Resource About Personality Disorder By People With Lived Experience Section 07 Living Your Life Now that I know what I m dealing with... Much More Than A LABEL A Resource About
Observer OPTION 5 Manual
Observer OPTION 5 Manual Measuring shared decision making by assessing recordings or transcripts of encounters from clinical settings. Glyn Elwyn, Stuart W Grande, Paul Barr The Dartmouth Institute for
Suggested topics to review with your students
Working with Students: Building Blocks for Motivational Interviewing and Brief Intervention Strategies Jason R. Kilmer, Ph.D. University of Washington Associate Professor Psychiatry & Behavioral Sciences
"PCOS Weight Loss and Exercise...
"PCOS Weight Loss and Exercise... By Dr. Beverly Yates Dr. of Naturopathic Medicine, PCOS Weight Loss Expert & Best Selling Author Table of Contents Introduction... 2 If You Are Dieting Do You Need To
Seema Khan, MD, FRCPC, Bridgepoint Active Healthcare Susan MacRae, RN, M.Ed, RP, Women s College Hospital
THE INTERPERSONAL AND MINDFULNESS GROUP (I AM GROUP): USING INTERPERSONAL AND MINDFULNESS- BASED GROUP PSYCHOTHERAPY TO ENHANCE THE SENSE OF BELONGING (FOR DIVERSE AND MEDICALLY COMPLEX PATIENTS) IN AN
EBM e Medicina Veterinaria: un modo di affrontare i problemi clinici e prendere decisioni da un altra prospettiva. Veterinary Art vs.
EBM e Medicina Veterinaria: un modo di affrontare i problemi clinici e prendere decisioni da un altra prospettiva. EBM and Veterinary Medicine: a different way to deal with clinical problems and decision
KAP KEYS Based on TIP 34 Brief Interventions and Brief Therapies for Substance Abuse. Knowledge Application Program. KAP Keys.
KAP KEYS Based on TIP 34 Knowledge Application Program KAP Keys For Clinicians Based on TIP 34 Brief Interventions and Brief Therapies for Substance Abuse KAP KEYS Based on TIP 34 2 Introduction These
Positive Psychologists on Positive Psychology: Alex Linley
, A. (2012). Positive Psychologists on Positive Psychology: Alex Linley, International Journal of Wellbeing, 2(2), 83 87. doi:10.5502/ijw.v2i2.4 EXPERT INSIGHT Positive Psychologists on Positive Psychology:
The Fallacy of Taking Random Supplements
The Fallacy of Taking Random Supplements Healthview interview with Dr. Paul Eck Healthview: We can see from our conversations that you are totally against people taking random supplements even if people
Intro to Evidence Based Medicine
Intro to Evidence Based Medicine Dr Hasan Nugud Consultant Paediatric Surgeon 4/18/2015 EBM Resources 1 Outline What is EBM? Why do we need it? How to use EBM in daily practice The five steps Formulating
Com 400 Dr. Raz. Media Effects and Cultural Approaches to Research
Com 400 Dr. Raz Media Effects and Cultural Approaches to Research Review Theory an idea or set of ideas that is intended to explain facts or events Some guiding questions What are different ways to study
The Power of Feedback
The Power of Feedback 35 Principles for Turning Feedback from Others into Personal and Professional Change By Joseph R. Folkman The Big Idea The process of review and feedback is common in most organizations.
Problem Situation Form for Parents
Problem Situation Form for Parents Please complete a form for each situation you notice causes your child social anxiety. 1. WHAT WAS THE SITUATION? Please describe what happened. Provide enough information
SHARED DECISION MAKING WORKSHOP SMALL GROUP ACTIVITY LUNG CANCER SCREENING ROLE PLAY
SHARED DECISION MAKING WORKSHOP LUNG CANCER SCREENING ROLE PLAY Instructions Your group will role play a Shared Decision Making (SDM) conversation around lung cancer screening using the provided scenario.
People s Panel today. You can use your views and experiences to help us help other young people.
Aged 16-25? Help us design new advice and support for children and We re Mind, the mental health charity. If you re Aged aged between 16-16 25? and 25, we d Help like you us to apply design to join our
The True Meaning of Evidence-Based Practice. Written by Pathways Authors Friday, 01 December :00 - Last Updated Monday, 26 March :30
Chiropractors that run evidence-based practices are able to provide patients with adjusting techniques, recommendations, and advice for wellness and health management that reflect knowledge and experience
Heinrich Deconstructed
Heinrich Deconstructed (and reconstructed!) A Safety Revolution in Progress ENFORM Banff 2013 Petroleum Safety Conference, May 2013 Wayne Pardy - Quality Plus Inc. 1 Pick a Causation Theory! Domino Theory
Motivational Interviewing
Motivational Interviewing By: Tonia Stott, PhD What is Motivational Interviewing? A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence
P.I.E.C.E.S. Dementia Care Series Approach September, 2011
P.I.E.C.E.S. Dementia Care Series September, 2011 1 Objectives: The learner will be able to discuss: what is meant by approach strategies to use to facilitate positive interactions (approach) What would