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

Thanks for flagging this SlideShare!

Oops! An error has occurred.

Integration of EMB Tools and Curriculum

  • 957 views
Published

 

Published in Health & Medicine
  • 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
957
On SlideShare
0
From Embeds
0
Number of Embeds
1

Actions

Shares
Downloads
0
Comments
0
Likes
1

Embeds 0

No embeds

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.