Cochrane Colloquium Plenary on Capacity building. Includes Gabriel Rada's talk showing the evolution of the Homo Cochrane

1. Models for developing capacity:
inside or out?
Gabriel Rada (@radagabriel)
radagabriel@epistemonikos.org
Evidence-based Health Care Program, Pontificia Universidad Católica
de Chile
Epistemonikos Foundation (@epistemonikos)
Santiago, Chile

3. Late ‘90s

5. Evidence-based Health Care Program
Pontificia Universidad Católica de Chile

6. Ordered by question?
• The traditional approach
• Ontologies
What’s
next?

8. Our first 4 Cochrane reviews
Title to Protocol
Protocol to Review
Published review/up-to-date
Update needed

9. Barriers
Academic contracts for teaching
No protected times
Underpaid Need to make a living with clinical
practice
Very few national research grants
Difficulties to assemble review teams

10. We need more capacity
Title to Protocol
Protocol to Review
Published review/up-to-date
Update needed

11. What are we going to do with the Chilean PhDs?

13. EVOLUTION

14. Homo medicus
Ho·mo me·di·cus
noun ˌhō-(ˌ)mō-ˈmē-di-kus/
: eminence-based doctor. Read a paper once
and didn’t like it.

15. Homo evidence
Ho·mo e·vi·dence
noun ˌhō-(ˌ)mō-ˈē-vi-dēns/
: evidence-based doctor. Makes
research-informed decisions, and
thinks research is useful but
complicated

16. Homo synthesis
Ho·mo syn·the·sis
noun ˌhō-(ˌ)mo- sin-ˈtē-sis-/
: a mutation of the homo evidence
that sparkled interest in
synthesising research in order to
help others.

17. Ho·mo Co·chra·ne
noun ˌhō-(ˌ)mō-ˈcō-krēn, especially British /
: the species of human that are able to
complete a high quality Cochrane review on
time

20. BUILD +++ CAPACITY IN-HOUSE

21. Homo medicus
Homo evidence
TEACHING EBM
CHANGING CURRICULUM
 DISSEMINATING EVIDENCE
ADVOCATING FOR EVIDENCE

22. TEACHING EVIDENCE SYNTHESIS
STRUCTURED SUMMARIES
RAPID REVIEWS
Homo evidence
Homo synthesis

25. Cochrane output

26. Key messages
• Conducting reviews requires more than a few
people that have the capacity
• There are no shortcuts to build capacity inside
if there is no research infrastructure,
resources and tradition
• Generating the appropriate environment for
those returning from their training abroad is
key to succeed

27. MANY THANKS