TEACHING EBM IN RESOURCEPOOR SETTINGS: Obstacles and Future Directions

1
TEACHING EBM IN RESOURCE-POOR SETTINGS
Obstacles and Future Directions

• Leonila F. Dans MD MSc University of
  the Philippines Manila 31 October 2009

2
(No Transcript)
3
(No Transcript)
4
PROBLEMS IMPLEMENTING EBM
5
PROBLEMS IMPLEMENTING EBM
6
DATA ACCESS IN THE PHILIPPINES

• DATA FROM COCHRANE WE NEED TO PAY, DATA
  FROM DRUG COMPANIES ARE FREE
• Rare instance WE are NOT a poor country!

7
(No Transcript)
8
APPROACH TO TEACHING
Short Workshop
Lectures
SGD, PBL
Self-Directed Learning
Drs made to pay
9
(No Transcript)
10
APPROACH TO TEACHING
Short Workshop
Trainors Training
NO reading
Lectures
SGD, PBL
Self-Directed Learning
Drs made to pay
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
TACKLE BOXES
15
APPROACH TO TEACHING
Short Workshop
Trainors Training
Res Training Program
NO reading
Lectures
SGD, PBL
Self-Directed Learning
Drs made to pay
16
(No Transcript)
17
EBM RESIDENCY PROGRAM Teaching Strategies
1. Annual EBM Workshop 2. Bedside Rounds 3.
Outpatient Audits 4. Weekly Journal Clubs 5.
Dissemination Strategies
18
OBJECTIVE STRUCTURED CLINICAL EXAM (OSCE)

• Station 1 - History and Physical exam
• Station 2 - Laboratory and Interpretation
• Station 3 - Management
• Station 4 - Literature Search
• Station 5 - (Time to Appraise)
• Station 6 - Discussion of Appraisal
• Station 7-9 - 2nd case

19
FUTURE DIRECTIONS

• Publish Locally

20
(No Transcript)
21
FUTURE DIRECTIONS

• Publish Locally

• Learn From Other Countries

• Continue Faculty Development

• Infiltrate CPG Development

• Infiltrate Public Health Insurance

• Lay Education

• Inequities in Info Access

• Retire (the paradigm shift is completed)

22
(No Transcript)
23
HOW RELEVANT IS EBM IN RESOURCE-POOR SETTINGS?
24
(No Transcript)
25
(No Transcript)
26
Poverty should NOT be an obstacle to EBM.
Its the reason for EBM!