Episoder
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Richard and Raj discuss Palliative care
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Richard and Raj discuss some of the History of Statistics, and how it informs the practice of EBM today.
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Mangler du episoder?
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Richard and Raj discuss how patients can be involved in the process of generating evidence, from determining patient centered outcomes to prioritizing types and goals of research.
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Richard & Raj discuss decision making in EBM, and the tipping points that change clinical practice.
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Richard & Raj discuss Overdiagnosis, starting with the difficulty of defining the term to the practical challenges in every day clinical practice.
Links on Overdiagnosis:
https://www.bmj.com/content/344/bmj.e3502
https://academic.oup.com/jnci/article/102/9/605/894608
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References:
1. Wilson JM, Jungner YG. [Principles and practice of mass screening for disease]. Bol Oficina Sanit Panam. 1968;65(4):281-393.
2. Mant D, Fowler G. Mass screening: theory and ethics. BMJ. 1990;300(6729):916-918. doi:10.1136/bmj.300.6729.916
Discussion Timestamps:
0:15 Population Health and Screening History
6:44 Population Health Math
11:41 Screening for Blood Pressure
13:36 Wilson Criteria Difficulty
15:09 Blood Pressure and Screening Programs
22:10 Prostate Cancer Screening
28:27 Colon Cancer Screening
30:06 Colonoscopy Higher Rates of Adenoma Detection
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Richard and Raj discuss the potential future role of AI in EBM and medicine
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James Mccormack, from https://therapeuticseducation.org/ , discusses personalized, one-agent-at-a-time approach to medication management.
He also has helped to create several decision based websites:
Overall CVD
cvdcalculator.com
Heart failure
https://hfmedchoice.com/
Diabetes
https://decisionaid.ca/diabetes/
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Richard and Raj discuss the history of Hypertension and how it lead up to modern day challenges of managing high blood pressure.
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richard and raj discuss the changing approach to managing diabetes over the years.
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Richard and Raj discuss the role of meta-analysis in EBM, in light of the recent controversial cochrane report on masks (physical interventions) in respiratory infections.
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Richard and Raj discuss personalized medicine in primary care
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Richard and Raj discuss common challenges and errors that may occur in diagnostic reasoning.
Reference:
https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2923.2009.03507.x
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Richard and Raj discuss the cognitive process of diagnosis, and reflect on the different ways physicians make diagnosis beyond the standard approaches taught in EBM.
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Raj and Richard continue their discussion on Diagnosis
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References:
Diagnostic strategies used in primary care.BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b946 (Published 20 April 2009)Cite this as: BMJ 2009;338:b946
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1. Lehman R, Tejani AM, McCormack J, Perry T, Yudkin JS. Ten Commandments for patient-centred treatment. Br J Gen Pract. 2015;65(639):532-533. doi:10.3399/bjgp15X687001
https://bjgp.org/content/65/639/532
2. Yudkin JS, Lipska KJ, Montori VM. The idolatry of the surrogate. BMJ. 2011;343(dec28 1):d7995-d7995. doi:10.1136/bmj.d7995
https://www.bmj.com/content/343/bmj.d7995
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