'The best laid schemes o' mice an' men': a workshop to teach the application of evidence based medicine in low- and middle-income countries

Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors
Rakesh Narendra ModiEugene Yee Hing Tang

Abstract

Background Evidence-Based Medicine (EBM) is often an ideal, with beginnings in positivist science. More recent relativism, rights and ethics have challenged a binary view of EBM. Medical volunteering is a paradigm as GPs and trainees often run EBM projects in low- and middle-income countries (LMICs), which require significant contextual adaptation. We created a workshop to enable GPs and GP trainees to reflect on and plan for the factors important in the application of EBM in LMICs. We describe the first running at the 21st WONCA Europe Conference. Aim To enable GPs/trainees to plan for various factors when applying EBM in LMICs in order to promote mutual gains. Method A 75-min workshop with GPs/trainees was conducted using a variety of methods including didacticism, before and after brainstorming, vignettes, voting, role-play and feedback. Key-points highlighted were ethics, economics, politics, culture and relationships. Results Feedback was positive with recommendations to offer the workshop to all GPs/trainees. Lessons learnt were broad-ranging and important. Conclusion/Recommendation This is an effective workshop. More work is needed to bridge the 'EBM gap' in LMICs from both volunteers and recipients. This workshop should...Continue Reading

References

Nov 24, 2005·JAMA : the Journal of the American Medical Association·Steven D Pearson, Michael D Rawlins
May 24, 2011·Journal of Clinical Epidemiology·Peter TugwellLeanne Idzerda
Dec 6, 2012·JAMA : the Journal of the American Medical Association·Regina KulierKhalid S Khan
Dec 14, 2012·Journal of Medical Ethics·Ramin Asgary, Emily Junck
May 29, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Omnia ElnawawyGerda Pohl
Mar 21, 2015·BMJ : British Medical Journal·Graham F MooreJanis Baird
Feb 24, 2016·The Medical Clinics of North America·Geren S Stone, Kristian R Olson
Mar 5, 2016·Journal of Clinical Epidemiology·Lisa M Puchalski RitchieSharon E Straus
Apr 2, 2016·Bulletin of the World Health Organization·Eva A RehfuessUNKNOWN CEBHA+ consortium
Sep 4, 2016·Health Policy and Planning·Deepthi WickremasingheBilal Iqbal Avan
Jan 11, 2017·International Journal of Mental Health Systems·Mary DochertyGraham Thornicroft
Jun 7, 2017·Archives of Disease in Childhood·Mike EnglishNewton Opiyo

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