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

STRANGE TITLE

FOR GPs

You will understand at the end!

Today and afterwards…

• A bit about ‘Peer Learning’

• A bit about ‘Evidence-based medicine (EBM)’

• And then,…..

Peer learning

“Peer learning is an educational practice in which students interact with other students to attain educational goals.”

SHIFT

school GPs

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

Medical school teaching

is not enough

Knowledge and skills are declining

Unless CMEs and CPDs keep you alive!!

CME and CPD

We need CPDs

We need to

for our life long learning!

Education is no longer passive,

but active process.

Let me introduce

[1.]

Textbooks are for the

students!

Problem solving is better and fancier

than reading a textbook.

• 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?

We answer ourselves with our knowledge and experience.

We solve those problems with our knowledge and experience.

Is it good enough for the patient?

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.

“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

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%

The best evidence is located at the top of the pyramid.

Unfiltered

Expert Opinion

Filtered

Formulating a Clinical Question

Patient, population, or problem

Intervention, prognostic factor, or exposure

Comparison or intervention

Outcomes to measure or be achieved

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

PICO

When together,…

• It is just a start. Not the end!

What we will do….

I.• Organizing and learning the activities

II.• Working collaboratively

III.• giving and receiving feedback

IV.• evaluating their own learning

Be practical…

• 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.