Hesham Al-Inany, M.D.
It is well documented
that physicians have difficulty keeping up with the huge amount of medical information
they are faced with and managing it effectively to help optimize the care they
deliver to their patients.
Evidence-based medicine
is being recognized worldwide as an important skill that aim at improving the
way physicians practice medicine, teach medicine, and do scientific research.
There is a real need to develop a national evidence based medicine center in
every country in the Middle
East. Till
now there are individual activities here and there, e.g the author of this
article has coordinated four EBM workshops and this has resulted in increased
awareness of the importance in EBM. However, there are other people doing the
same and may be more. In the same time, dissemination of information and
acquiring the skills of EBM requires more than workshops. It required
establishing an EBM center.
The center should be an
independent body whose aim is to promote evidence-based medicine in a national
perspective. The main objective of the Center is to promote the teaching,
learning, practice and evaluation of Evidence-Based Medicine.
Distinguished
scholars will be assembled and should work with a group of recognized experts
in EBM and Healthcare policy. They will be required to develop and teach
structured courses and informal seminars for program trainees. In addition, a
monthly Journal Club will be initiated. Healthcare decision-making will be
informed by high quality, timely research evidence.
Building on the
enthusiasm of individuals should be spirit of the future center by involving
and supporting people of different skills and backgrounds as Faculty, trainees
and local healthcare professionals interested in developing their clinical
research and analysis skills may participate in the educational activities of
the center. In addition, authorized bodies together with pharmaceutical and
industrial companies should support and assist in recruitment and training as
well as in development of a data analysis and clinical research consultation
service for the Center.
One basic mission for
the national EBM center is to develop a curriculum for at least a couple of
years. The curriculum of the EBMCenter for Training and
Clinical Research should be of high quality, dynamic and problem focused. It
will develop training modules, which optimize its ability to access information
globally. It will include seminars, discussion groups and periodic Journal
Club.
The different items that
should be included in the curriculum for health professionals are:
-
Computer
skills and search methodologies
-
Biostatistics
related to clinical trial design and analysis Bioethics
-
Clinical
trial design, including RCT, Case-control and Cohort studies
-
Research
Design with focus on individual research projects
-
Quality
of evidence and Meta analysis
-
Decision
analysis
-
Cost-effectiveness
analysis
-
Health
service research and the analysis of secondary databases
-
Presentation
and publication skills
-
Medical
/ Legal issues in health delivery
-
Health
economics and finance
-
Setting
up an evidence-based clinical practice
It is very clear that
there will be many obstacles, but the reward for establishing EBM center is
much more and deserves all the efforts and time: for tomorrow better health.
© Copyright 2004 - Middle East Fertility Society