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Introduction to peer group learning through EBM
Dr. Aung Pyi Soe
M.B.,B.S (YGN) , Dip Med Sc (Family Medicine)
Hexagon Medical Training Center
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STRANGE TITLE
FOR GPs
You will understand at the end!
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Today and afterwards…
• A bit about ‘Peer Learning’
• A bit about ‘Evidence-based medicine (EBM)’
• And then,…..
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Peer learning
“Peer learning is an educational practice in which students interact with other students to attain educational goals.”
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SHIFT
school GPs
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Peer learning
• a two-way, reciprocal learning activity
• mutually beneficial
• Involve the sharing of knowledge, ideas and experience between the participants
• a way of moving beyond independent to interdependent or mutual learning
Peer Learning in Higher Education: Learning From & With Each Other, edited by David Boud, Ruth Cohen & Jane Sampson
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Medical school teaching
is not enough
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Knowledge and skills are declining
Unless CMEs and CPDs keep you alive!!
CME and CPD
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We need CPDs
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We need to
for our life long learning!
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Education is no longer passive,
but active process.
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Let me introduce
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[1.]
Textbooks are for the
students!
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Problem solving is better and fancier
than reading a textbook.
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• Is there the same effectiveness among oral colchicine, oral prednisolone and intra-articular steroid in treating a gout patient with peptic ulcer?
• What is the best antihypertensive in a type II diabetic patient with chronic kidney disease?
• How and when can I start antibiotics to a child presenting with cough and sorethroat?
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We answer ourselves with our knowledge and experience.
We solve those problems with our knowledge and experience.
Is it good enough for the patient?
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Evidence based healthcare
“When we intervene in the lives of
others we should do so on the basis
of the best evidence available
regarding the likely consequences
of that intervention”
G Macdonald, 1998
Macdonald, G. (1998). Promoting Evidence-Based Practice in Child Protection. Clinical Child Psychology and Psychiatry, 3 (1), 71–85.
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“Evidence-Based Medicine
is the conscientious, explicit, and judicious
use of current best evidence integrating with owns clinical expertise and available resources in making decisions about the care of individual patients.”
PatientConcerns
Clinical Expertise
Best research evidence
EBM
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But, we have a problem!
• In order to keep up to date, clinicians would have to read 17 articles a day, 365 days a year
• Research is of variable quality
• Only an estimated 1% is judged clinically relevant
• Need to find the 1%
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The best evidence is located at the top of the pyramid.
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Unfiltered
Expert Opinion
Filtered
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Formulating a Clinical Question
Patient, population, or problem
Intervention, prognostic factor, or exposure
Comparison or intervention
Outcomes to measure or be achieved
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Example
Patient, population, or problem
• In patients with Bell’s palsy
Intervention, prognostic factor, or exposure
• Adding acyclovir to steroid
Comparison or intervention
• steroid
Outcomes to measure or be achieved
• Better improvement
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PICO
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When together,…
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• It is just a start. Not the end!
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What we will do….
I.• Organizing and learning the activities
II.• Working collaboratively
III.• giving and receiving feedback
IV.• evaluating their own learning
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Be practical…
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• START A facebook group. Post a closed group for GPs Ahlone. Post a question for clinical problem. We will sort out with evidence based medicine ourselves.