Journal article
The fool wonders, the wise (women) ask... about tropical diseases in their practice: commentary
British Medical Journal, Vol.329(7473), pp.1023-1023
01 Oct 2004
Abstract
Lockwood and colleagues have shared their seven year experience of integrating evidence based medicine into their practice at the Hospital for Tropical Diseases in London. Consultants, assigned as "chairs" in rotation, identify emerging clinical questions, search the literature for clinical research studies, assign articles to participants, and distribute materials in advance of a bimonthly "EBM meeting". During these two hour meetings, the group appraises the evidence and strives to reach a consensus about its implications for their practice. Reviewing their experience, the group classified the outcome of each meeting, citing examples that resulted in a change in practice, confirmed or clarified existing practice, or identified a need for more evidence. The latter outcome often provided the impetus for a new research project. In addition to these concrete changes in practice, Lockwood and colleagues qualitatively observed a cultural shift in their institution. Physicians, in this new atmosphere of inquiry, aimed to base their decision making on "evidence rather than tradition". Importantly, the authors turned inwards and evaluated the process of their particular model of evidence based practice. And they kindly offer these lessons learnt, mid-course corrections, and general guidelines to readers inspired to adopt it. (Quotes from original text)
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Details
- Title
- The fool wonders, the wise (women) ask... about tropical diseases in their practice: commentary
- Creators
- Michael Green
- Publication Details
- British Medical Journal, Vol.329(7473), pp.1023-1023
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Anesthesiology and Perioperative Medicine
- Identifiers
- 991020836321504721