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Health research into practice – the role of social media

4 Feb, 16 | by BMJ Clinical Evidence

Stephen MaloneyBy Stephen Maloney

I found it interesting to  learn that the inspiration behind Twitter was when one of the founders, Jack Dorsey, thought it would be revolutionary to be able to send a text message to one number, and have it broadcast to many. I wonder if he could have envisaged the range of content that Twitter would end up disseminating, from valuable clinical evidence, to what celebrities are considering for breakfast. more…

Where’s the evidence for teaching evidence-based medicine?

17 Dec, 15 | by BMJ Clinical Evidence

Dragan Ilic photoBy Dragan Ilic

The term evidence-based medicine (EBM) was first coined in the 1990s, with the aim of promoting the greater integration of evidence with clinical experience and patient values in medical decision making. EBM has since blossomed into an inter-disciplinary field, being adopted across medicine, nursing, allied health, health policy, and biomedical and health research. What initially began as EBM, has since evolved into evidence-based practice (EBP), evidence based clinical practice (EBCP) and evidence-based health care (EBHC). The last decade has seen the discipline embedded as a foundation unit across many medical, nursing and health science courses.
As someone who has been involved with the teaching of EBM to medical students for over a decade, I’ve always been curious to identify new strategies that may improve the student learning experience. more…

GATE – a Graphic Appraisal Tool for Epidemiological studies

12 Nov, 15 | by BMJ Clinical Evidence

Rod Jackson head shotBy Rod Jackson

The Graphic Appraisal Tool for Epidemiological studies (GATE) is a simple, easily remembered toolkit to help you critically appraise epidemiological studies that includes one picture, two equations and three acronyms. GATE uses a picture of a triangle, circle, square and two arrows to represent the generic structure of epidemiological studies. We call this picture ‘the GATE frame.’ All common epidemiological study designs, from randomised controlled trials to case-control studies, can be illustrated using a GATE frame. While the GATE approach to critical appraisal covers the same ground as other critical appraisal guides, its point of difference is its generic graphic framework that emphasises the similarities between all study designs. With GATE, your goal is to ‘hang’ a study on the GATE frame as follows: more…

The Skeptics’ Guide to Emergency Medicine (SGEM)

16 Jul, 15 | by BMJ Clinical Evidence

By Ken Milne

Ken Milne

“It takes 50 years to get a wrong idea out of medicine, and 100 years a right one into medicine”. (Dr. John Hughlings Jackson – British Neurologist)

Dr. Jackson’s quote points out how long it can take for knowledge translation (KT) in medicine. More recent data suggests it can take an average of 17 years for 14% of medical information to reach the patient’s bedside.

This is far too long in the age of social media. Don’t panic! The goal of the Skeptics’ Guide to Emergency Medicine (SGEM) is to shorten that KT window down from over ten years to less than one year. more…

Simply making evidence simple

20 Mar, 15 | by BMJ Clinical Evidence

by James McCormack and Mike Allan

James McCormackMike Allan

In an ideal world in which shared decision making is practiced with impunity, health care providers need—at their fingertips—an appreciation and understanding of (as well as access to) the best available evidence for the main medical conditions they see on a day-to-day basis. more…

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