• Save
Integration of EMB Tools and Curriculum
Upcoming SlideShare
Loading in...5
×

Like this? Share it with your network

Share
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
No Downloads

Views

Total Views
1,725
On Slideshare
1,608
From Embeds
117
Number of Embeds
2

Actions

Shares
Downloads
0
Comments
0
Likes
1

Embeds 117

http://dr3939.twbbs.org 116
http://webcache.googleusercontent.com 1

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide
  • http://www.onlineplus.com.tw/Events/080916.html http://www.mmh.org.tw/taitam/medical_edu/mmhedu/edu_20080916.htm

Transcript

  • 1. 實證工具 與 教學課程 之 結合 長庚醫院.基隆分院 風濕過敏免疫科.實證中心 楊宗翰醫師
  • 2.
    • Clinical Medicine
    • 實證工具
    • 教學課程
    • 結合
    • 總結
  • 3. 教學課程 - Clinical Medicine
  • 4. 教學課程 - Clinical Medicine 用
  • 5. Clinical Medicine
    • Student
    • Clerk
    • Intern
    • Resident
    • Fellow
    • Reciting
    • Applying
    • Studying
  • 6. Clinical Medicine Data Subjective Objecitive Hypothesis Generation & Diagnosis Confirm Diagnosis by testing Plan in Treatment & Advice Write present illness to suggest the diagnosis and differential Write assessment In diagnosis & treatment Look it up and present it to seek other’s opinion
  • 7. Clinical Medicine Comprehension, Application Analysis, Synthesis, Evaluation Collection Analysis Synthesis Evaluation Value, Cost-Benefit Experience, Intuition, Bias Evidence Knowledge Reasoning
  • 8.
    • Clinical Medicine
    • 實證工具
    • 教學課程
    • 結合
    • 總結
  • 9. 實證工具 – 生活五步驟
    • 問: Question Log Book
    • 查: Databases
    • 讀: Appraisal Tools & Calculators
    • 用: Biological & Pathophysiological Knowledge
    • 審:…
  • 10. 問: Question Log Book
  • 11.  
  • 12. 查: Databases
    • Background
    • Basics: Books
    • Drugs: Micromedex
    • Clinical Medicine:
      • Books
      • Dynamed
      • MD Consults
      • Uptodate
    • Foreground
    • Secondary
      • EBM reviews, …
    • Primary
      • CENTRAL
      • PudMed/Medline
      • EMBASE, CIHNAL
  • 13. 讀: Appraisal Tools & Calculators
    • Appraisal Tools
      • Type of Articles Dx/Rx/Ex/Px
      • CASP
      • JAMA - Worksheets
      • Oxford – RAMboo
    • Calculators
      • Risk Calculators
        • Stroke
        • CV/MI
        • Osteoporotic fracture
      • Stat Calculators
        • 95% CI & p-value
        • NNT/NNH
        • Sen/Spe/PPV/NPV/LR
  • 14. 用 & 審
    • Communication
    • Hx/PE, Reasoning
    • patient value
    • preference
    Biology & Pathophysiology Evidence Expectation Expertise
  • 15.
    • Clinical Medicine
    • 實證工具
    • 教學課程
    • 結合
    • 總結
  • 16. 122 activities / a mo @ KCGMH
  • 17. Schedules
    • Morning Meeting
      • Case x 3, M&M x1, Lecture x1
    • Block
      • EKG, CXR, ABG, GI (NG, digital, LFT)
    • OPDs
    • Rounds
  • 18.
    • Clinical Medicine
    • 實證工具
    • 教學課程
    • 結合
    • 總結
  • 19.
  • 20.
  • 21. Lectures
  • 22. Rounds
  • 23. Meetings
  • 24. Summary
    • Clinical Medicine
    • 實證工具
    • 教學課程
    • 結合
    • 總結
  • 25. Intern
    • Basic Clinical Skills (History, PE)
    • Basic Knowledge (Anatomy, Physiology, Pathology, Pathophysiology, *ologies)
    • Use “Current Best Evidence” to care our patients.
    • Integration of Evidence, Expertise, Expectation.
    • 5 steps
      • 問,查,讀,用,審
  • 26. Resident
    • The center of clinical medicine
      • Reasoning , Evidence , & Knowledge
    • P resent your cases
      • 34 items in 5 minutes
    • Asking questions about your cases
      • P.I.C.O.
    • Finding answers
      • Secondary > Primary sources
  • 27. Fellow
    • Search
      • Using Medline or Clinical queries
      • MeSH or keywords
      • Focus or explode
      • Limit and combination
      • Boolean search
    • Appraise
      • Critical appraisal.
      • Knowledge of Epi & Biostat
    • Browse the Journal.
      • Up to minutes …
    • Journal Club
  • 28. Teachers
    • Using their eyes to watch …
    • Using their minds to feel …
    • Using their brain to teach …
    • Finally , just using their mouth ...
  • 29.