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As mention above that the typical Indian medical education system has still not adopted the new approach of EBES. The question rises that what is the need of EBES? The answer is not simple but complicated. Typical medical and paramedical education is based on lecture and text book based education. The students are reading text books which are never standardized in our country. The students are reading only those text books which are liked by their teachers. But the fact is that many text books are based on old facts. When they come in market, there may be many changes in the evidence. The one example is the concept of intermittent therapy of tuberculosis. This intermittent therapy of tuberculosis (DOTs therapy) was tested and implemented in country in 1997 but it took years to come in book. There is big gap in what are we teaching in medical college and what is the actual practice? The EBES will reduce this gap and give practical teaching method to all students.
What is EBES?
Evidence Based Education System
The integration of professional wisdom with the best available empirical evidence in making decisions about how to deliver instruction
Conceptually it may not be new but it is certainly new in medical and paramedical education system. Here the education system is going to change. It will be more based on the fact and current knowledge available at international, national and local level. Critical evaluation of available information and taking judgment for the treatment of patients, making protocol for hospital or making implementing public health programme. The concept is based on the motto “think globally and act locally”.
The purpose of EBES is to fill the gap between traditional educational strategies and research based practices. This can be fulfilled by following approaches
- Promotion of learning culture
- Regular evaluation of teaching by peers.
- Creating tangible reward system to recognize and encourage teaching excellence.
- Faculty development program on adult learning principles.
Tuesday, January 25, 2011
Friday, January 7, 2011
Concept note on EBES
The knowledge and skills obtained during the training in a medical college, during undergraduate and post graduate courses are insufficient to carry on lifelong successful clinical practice. To make clinical decisions, the practicing physician, even today is largely dependent on his obsolete knowledge and expertise derived from unsystematic observations made during his training, which can be as old as his medical course itself.
Evidence based medicine (EBM) simply means the need for judicious use of current, objective information in making decisions about the care of individual patients. The term was coined to encourage proficiency in judgments by individual clinicians based not only on “experience” but also on experience informed by results acquired in systematic approach. In other words, it is nothing but more scientific and sophisticated version of “Biostatistics and Epidemiology” of recent past. Thus the EBM is known to all professionals in medical fraternity. But the typical Indian medical education system has still not adopted the concept in teaching. The Evidence based education system (EBES) is the system of teaching evidence based stream to students. In this system students are learning the various aspect of current available information and critically evaluate the use of this information for practical implementation. EBES is the optimal integration of best research evidence with clinical expertise and patient values. The essential feature is that the practitioners, when faced with any problem/dilemma in the clinical context of a patient, should be able to: perform a literature search; identify the evidence available pertaining to the clinical condition; critically evaluate it; and determine the “Best Evidence” to diagnose/treat/manage the patient. The key element in this cycle is the ability of the clinician to search and retrieve the literature in the shortest possible time in an efficient manner. The adoption of EBM is all the more imperative since the ‘Internet Revolution’ has provided access to medical literature, not only to the medical world but also to the common man as well. The time-honored undergraduate and postgraduate curricula need to be revamped to train the graduate as a lifelong, self-directed learner by imparting the skills required for practice of EBM.
Evidence based medicine (EBM) simply means the need for judicious use of current, objective information in making decisions about the care of individual patients. The term was coined to encourage proficiency in judgments by individual clinicians based not only on “experience” but also on experience informed by results acquired in systematic approach. In other words, it is nothing but more scientific and sophisticated version of “Biostatistics and Epidemiology” of recent past. Thus the EBM is known to all professionals in medical fraternity. But the typical Indian medical education system has still not adopted the concept in teaching. The Evidence based education system (EBES) is the system of teaching evidence based stream to students. In this system students are learning the various aspect of current available information and critically evaluate the use of this information for practical implementation. EBES is the optimal integration of best research evidence with clinical expertise and patient values. The essential feature is that the practitioners, when faced with any problem/dilemma in the clinical context of a patient, should be able to: perform a literature search; identify the evidence available pertaining to the clinical condition; critically evaluate it; and determine the “Best Evidence” to diagnose/treat/manage the patient. The key element in this cycle is the ability of the clinician to search and retrieve the literature in the shortest possible time in an efficient manner. The adoption of EBM is all the more imperative since the ‘Internet Revolution’ has provided access to medical literature, not only to the medical world but also to the common man as well. The time-honored undergraduate and postgraduate curricula need to be revamped to train the graduate as a lifelong, self-directed learner by imparting the skills required for practice of EBM.
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