This week, Aebhric OKelly talks with Antonio from European Medics about their work and focus on guerrilla, austere, and remote medicine. European Medics started as a community of passionate individuals in emergency medicine and has grown to focus on education and enhancing medicine. European Medics is currently working on creating training material and educative resources for their Advanced Guerrilla First Responder (AGFR) course. European Medics (EURMED) is focused on providing evidence-based guidance in unconventional and guerrilla medicine. Guerrilla medicine overlaps with other fields, such as wilderness medicine, medical support for irregular warfare, and disaster relief. The goal is to be better prepared for future conflicts and disasters and to save lives. Takeaways European Medics started as a community of passionate individuals in emergency medicine and has grown to focus on education and enhancing medicine. They are currently working on creating training material and educative resources for their Advanced Guerrilla First Responder (AGFR) course. European Medics has a podcast with multiple shows, including medical basics, field clinic, and long-format discussions with subject matter experts. Their goal is to provide training and education in austere and remote medicine to enhance the capabilities of healthcare providers in resource-limited environments—European Medics evidence-based guidance in unconventional and guerrilla medicine. EURMED has published a paper on gorilla medicine and plans to publish more papers on the topic. EURMED aims to be a neutral ground for the medical community to exchange experiences and provide expert medical education. The future of guerrilla medicine is seen as an integrated part of forward medicine, focusing on providing care to civilians affected by conflicts. Guerrilla medicine overlaps with other fields, such as wilderness medicine, medical support for irregular warfare, and disaster relief. The goal is to be better prepared for future conflicts and disasters and to save lives. Chapters 00:00 Introduction and Background 03:10 European Medics: Community and Education 06:12 The Advanced Guerrilla First Responder Course 09:02 Podcast: Medical Basics and Field Clinic 23:02 Publishing Concepts and Lessons Learned in Ukraine 27:11 The Future of European Medics 29:13 European Medics: A Neutral Ground for Medical Education 31:37 Expanding European Medics to the United States 36:48 Guerrilla Medicine and Overlapping Fields 41:37 The Clandestine Nature of Guerrilla Medicine 44:45 Preparing for Future Conflicts and Disasters 46:51 Advice for New Medical Professionals https://lnkd.in/eTqP6Hxr
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In Canada, Shortage of Medical Laboratory Technologists and Radiology Technicians Continues to Delay Care Insights learned from Canada’s experience may benefit clinical laboratories and anatomic pathology groups in the US as well Canada continues to face a severe shortage of skilled healthcare professionals, especially among medical laboratory technologists (MLTs) and radiology technicians (RTs). According to the Canadian Society for Medical Laboratory Science (CSMLS), “In 2010, the Canadian Institute for Health Information (CIHI) identified that approximately half of all MLTs would be eligible to retire in 10 years, with the greatest impact felt in Canada’s rural and remote communities.” Today, “This staffing concern is currently affecting the professional community across all provinces and territories resulting in the decrease of workers, dramatically impacting organizations and their employees.” One thing true of government-run healthcare programs is that they consistently underinvest in building new facilities, upgrading older facilities, and training/retaining enough physicians, nurses, and clinical laboratory/radiology workers. This is seen in the UK, Canada, New Zealand, and Australia, where varies combinations of facility, physician, and other healthcare professional shortages generate... Read the Dark Daily article at https://hubs.ly/Q02f85_20
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Today, we're thrilled to welcome Franz Wiesbauer MD MPH to our Advisory Board. His extensive background in cardiology, medical education, and healthcare technology, combined with over a decade of experience in clinical practice and medical entrepreneurship, uniquely qualifies him to drive our innovation strategy forward! 💭Your Professional Journey in Medical Technology: "My journey in healthcare began with a deep-seated interest in cardiology and a commitment to patient care. After my medical studies at the Medical University of Vienna and further specialization at Johns Hopkins University, I dove into the world of online medical education in 2010. In 2014, I founded Medmastery, a platform dedicated to teaching essential clinical skills to medical professionals globally. My work has always been at the intersection of medicine and technology, focusing on cardiac imaging, intensive care, and lipid disorders. This unique blend of clinical expertise and technological innovation forms the foundation of my professional journey." 💭Role at AIATELLA: "I am thrilled to bring my expertise in cardiology, medical imaging, and entrepreneurship to AIATELLA. The synergy between AIATELLA’s goals and my background is palpable, and I look forward to making a substantial impact on the organization. My role here is to infuse our strategy with innovative thinking and to ensure that we remain at the forefront of technological advancements in healthcare." 💭Future with AIATELLA: "The mission and team at AIATELLA resonate deeply with my personal and professional aspirations. I am passionate about leveraging technology to enhance patient outcomes and support healthcare providers. My vision for our future together is filled with innovation, growth, and the relentless pursuit of excellence in healthcare." 💭Personal Impact: "As a cardiologist, the impact of cardiovascular disease on patients’ lives has always been a central concern in my work. Through clinical practice and my entrepreneurial ventures, I have had the privilege of contributing to the improvement and saving of many lives. Cardiovascular disease significantly affects patients' quality of life and remains a leading cause of mortality worldwide. At AIATELLA, I see a tremendous opportunity to address these challenges head-on and to make a lasting difference in the lives of patients." 💭Vision for AI in Healthcare: "The potential of AI in healthcare is boundless. From improving diagnostic accuracy to revolutionizing treatment plans, AI stands to transform the healthcare landscape. My vision for AI is centered around enhancing patient care, reducing the administrative burden on healthcare providers, and ultimately bringing the focus back to the patient-physician relationship. AI can streamline processes, improve efficiency, and foster a more personalized approach to healthcare, paving the way for a future where technology and human expertise work hand in hand for the betterment of patient outcomes."
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Point-of-care Ultrasound for Internists It's my great please to invite Dr. Rasha Buhumaid, Designated Institutional Officer at Dubai Health and Vice Dean of GME Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU) to our lecture series which is preparing our learners Sheikh Shakhbout Medical City - SSMC to be ready for #futureofwork Title: Point-of-care Ultrasound for Internists Learning objectives 1. Understand the benefits and applications of point-of-care ultrasound (POCUS) in internal medicine. 2. Identify key considerations for implementing POCUS in an internal medicine setting. Date: 28/02/2024 Time: 2 pm UAE (UTC+4:00) Zoom Registration Link: https://lnkd.in/dPM7qYsH Biography and areas of expertise Dr. Rasha Buhumaid is an Emirati physician of emergency medicine. She is the designated institutional official of Dubai Health, Dubai’s first integrated academic health system. She is also the vice-dean of Graduate Medical Education at Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), which leads the learning mission of Dubai Health, where she oversees 37 training programs and more than 600 trainees across various training sites in Dubai. As assistant professor of emergency medicine at MBRU, she actively contributes to point-of-care ultrasound education in the Middle East region. Dr. Buhumaid completed her residency training in emergency medicine at The George Washington University in Washington D.C. and a fellowship in emergency ultrasound at Massachusetts General Hospital in Boston, United States. She is the president of the Emirates Society of Emergency Medicine. POCUS-assisted physical examination has been standard of care in #emergencymedicine and #criticalcaremedicine for more than 2 decades, but in Internal Medicine we still use the stethoscope which is an instrument of 19th century But there are efforts already occurring across the world including #uaehealthcare to diffuse these established best practices from ED and Critical Care into IM subspecialties Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU) has already started a Fundamentals of Point-of-Care Ultrasound (POCUS) Certificate here in #uaehealthcare More about this course: ⬇ https://lnkd.in/dchDwXGv #POCUS assisted physical examination can improve and enhance front-line #patientcare plus make it sustainable, resilient, and affordable Looking forward to this talk to learn from Dr Rasha's experience and her efforts in #dubai. In addition look forward to meeting like-minded folks from Industry, Academia, and regulators to collaborate on this or any project that helps improve bedside clinical care and the #healthcare ecosystem Department of Health Abu Dhabi, Department of Education And Knowledge - ADEK, Khalifa University, ADIA Lab , Malaffi (Abu Dhabi Health Information Exchange) #kidneycare #patientsafety #healtheducation
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“Point-of-care ultrasound (POCUS) is the new stethoscope” POCUS is a relatively new diagnostic tool proven to be efficient in clinical case management at the point of care by non-imaging specialists. However, it is relatively a new concept that needs to be managed well. It requires a good management plan and protocols including and most importantly a good “training” plan.
Point-of-care Ultrasound for Internists It's my great please to invite Dr. Rasha Buhumaid, Designated Institutional Officer at Dubai Health and Vice Dean of GME Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU) to our lecture series which is preparing our learners Sheikh Shakhbout Medical City - SSMC to be ready for #futureofwork Title: Point-of-care Ultrasound for Internists Learning objectives 1. Understand the benefits and applications of point-of-care ultrasound (POCUS) in internal medicine. 2. Identify key considerations for implementing POCUS in an internal medicine setting. Date: 28/02/2024 Time: 2 pm UAE (UTC+4:00) Zoom Registration Link: https://lnkd.in/dPM7qYsH Biography and areas of expertise Dr. Rasha Buhumaid is an Emirati physician of emergency medicine. She is the designated institutional official of Dubai Health, Dubai’s first integrated academic health system. She is also the vice-dean of Graduate Medical Education at Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), which leads the learning mission of Dubai Health, where she oversees 37 training programs and more than 600 trainees across various training sites in Dubai. As assistant professor of emergency medicine at MBRU, she actively contributes to point-of-care ultrasound education in the Middle East region. Dr. Buhumaid completed her residency training in emergency medicine at The George Washington University in Washington D.C. and a fellowship in emergency ultrasound at Massachusetts General Hospital in Boston, United States. She is the president of the Emirates Society of Emergency Medicine. POCUS-assisted physical examination has been standard of care in #emergencymedicine and #criticalcaremedicine for more than 2 decades, but in Internal Medicine we still use the stethoscope which is an instrument of 19th century But there are efforts already occurring across the world including #uaehealthcare to diffuse these established best practices from ED and Critical Care into IM subspecialties Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU) has already started a Fundamentals of Point-of-Care Ultrasound (POCUS) Certificate here in #uaehealthcare More about this course: ⬇ https://lnkd.in/dchDwXGv #POCUS assisted physical examination can improve and enhance front-line #patientcare plus make it sustainable, resilient, and affordable Looking forward to this talk to learn from Dr Rasha's experience and her efforts in #dubai. In addition look forward to meeting like-minded folks from Industry, Academia, and regulators to collaborate on this or any project that helps improve bedside clinical care and the #healthcare ecosystem Department of Health Abu Dhabi, Department of Education And Knowledge - ADEK, Khalifa University, ADIA Lab , Malaffi (Abu Dhabi Health Information Exchange) #kidneycare #patientsafety #healtheducation
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We are delighted to announce The Academy of Medical Sciences' Cross-Sector Programme to promote health innovation continues to grow, with the launch of a new networking hub in Northern Ireland to join one already set up in Wales, with HIRANI as the hub host for NI. "HIRANI is delighted to be working in partnership with The Academy of Medical Sciences on this life sciences, cross sector programme that will provide meaningful opportunities to connect researchers, across career stages, from academia, industry, Health and Social Care Northern Ireland and local policy makers.” said HIRANI Chief Operations Manager, Dr. Siobhan McGrath who will be the hub lead. Throughout 2024 and into 2025, HIRANI will host a series of workshops focusing on three key areas: Clinical Research Translation in metabolic disease; Data driven innovation for real world impact and Technologies in mental health. “Our aims are to facilitate conversations to expose new and diverse perspectives in Northern Ireland on ‘real-world’ challenges which impact health equity, and health outcomes, and building through access to funding programmes and partnership with The Academy of Medical Sciences expertise, strong consortia who can find solutions to upskill the workforce to translate medical breakthroughs,” said Dr McGrath. The first event will take place in December 2024 and further details will be published on the HIRANI website www.hira-ni.com, where you can also sign up for our weekly newsletter, and across the HIRANI social channels. The Cross-Sector Programme brings together participants through networking hub events, to collaborate and develop ideas on how to deal with health challenges. Dr Rachel Macdonald, Head of Programmes at the Academy of Medical Sciences, said: "With partner hubs in Northern Ireland and Wales, we look forward to developing thriving networks of people, organisations and community groups interested in medical research from across the UK, centrally connected through the Academy and with each other.” In addition to the programme, the Academy’s Cross-Sector Experience Awards scheme provides the opportunity for people to gain experience, develop news skills and build collaborations outside of their own sector. It does this by funding up to £100,000 for people whose work has a clear link to the improvement of human health to work in a different sector for up to a year. Launched in November 2023, the awards aim to help break down barriers and address a lack of movement between sectors, with applications for the next round due to open in November 2024. They are supported by the Department for Science, Innovation and Technology, NIHR (National Institute for Health and Care Research) and Wellcome. Find out more at https://lnkd.in/eaB3TG2e Department of Health NI Department for the Economy NI
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Care by female doctors may reduce death rates and hospital readmissions https://ift.tt/pZ1eryt All over the world, medical students who are women comprise nearly half of all those studying in medical schools after centuries when men were the vast majority in the profession, especially those in the most senior positions. This development is good news for a variety of reasons, including a new discovery from the University of California at Los Angeles that patients have lower rates of mortality and hospital readmissions when treated by female physicians, with female patients benefitting more than their male counterparts, new research suggests. The researchers found that the mortality rate for female patients was 8.15% when treated by female physicians compared to 8.38% when the physician was male – a clinically significant difference. While the difference for male patients was smaller, female physicians still had the edge with a 10.15% mortality rate compared with male doctors’ 10.23% rate. The team found the same pattern for hospital readmission rates. The study has just been published in the peer-reviewed journal Annals of Internal Medicine under the title “Being treated by a female physician associated with lower risk for death.” Patient outcomes should not differ between male and female physicians if they practice medicine the same way, said internal medicine Prof. Yusuke Tsugawa at UCLA’s David Geffen School of Medicine and the study’s senior author – who also happens to be a man. A doctor checks out a patient’s scalp. (credit: MAARIV) “What our findings indicate is that female and male physicians practice medicine differently, and these differences have a meaningful impact on patients’ health outcomes,” Tsugawa said. “Further research on the underlying mechanisms linking physician gender with patient outcomes, and why the benefit of receiving the treatment from female physicians is larger for female patients, has the potential to improve patient outcomes across the board.” The researchers examined Medicare claims data from 2016 to 2019 for 458,100 female and 319,800 male patients. Of those, 142,500 and 97,500 – or about 31% for both – were treated by female doctors. The primary outcomes were 30-day mortality from the date of hospital admission and 30-day readmission from the date of discharge. What are the factors driving the differences? There may be several factors driving these differences, the researchers wrote. They suggest that male doctors might underestimate the severity of their female patients’ illness – prior research has noted that male doctors underestimate their female patients’ pain levels, gastrointestinal and cardiovascular symptoms, and stroke risk, which could lead to delayed or incomplete care. Female doctors may also communicate better with their female patients, making it likelier that these patients provide important information leading to better diagnoses and treatment. Finally, female patients m...
Care by female doctors may reduce death rates and hospital readmissions https://ift.tt/pZ1eryt All over the world, medical students who are women comprise nearly half of all those studying in medical schools after centuries when men were the vast majority in the profession, especially those in the most senior positions. This development is good news for a variety of reasons, including a...
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Research Enthusiast | Co-Founder at SmartQuad | Inspirit AI Ambassador | Sophomore at Westford Academy
Recently, I had the honor of being part of a summer research program at Harvard Medical School. I am thankful to work along with many research professors, med students, and doctors at Harvard Medical School. My experience in this program: 1. This Program allowed me to take part in extensive research in physiology, biology, anatomy, and clinical medicine. I further developed the immersive leadership and anatomical skills I acquired to solve specific medical cases and case studies ranging from gallstones to collapsed lungs in patients. 2. For several inspiring days, I worked with other students at the program to present a life-like interactive patient with a diagnosis and treatment. I acquired various clinical skills crucial for effective patient interaction such as checking the patient's vitals, and the patient’s previous medications, and learning to run medical tests such as X-rays, CT scans, MRIs, blood tests, IV shots, transfusion, etc. 3. Allowing in-person interaction with patients provided me important insight into a skill I know will be essential in my aspiring future medical profession. 4. I was challenged but motivated to productively and efficiently crack different patient cases and successfully diagnose them with medical disorders like constipation, collapsed lung, gallstones, Diabetes from the flu, and trauma cases. 5. With real patient cases I was taught background anatomy by residency students and PhD doctoral professors on topics such as the various body systems cooperating to keep the body alive, the anatomy behind those body stems, the anatomy of the human heart, the process of white blood cells killing beta cells, viruses, parasites, bacterial infections, anatomy of the nervous system. 6. Apart from learning about clinical skills I got to experience performing some of these in a practical sense; this included practicing the skill of intubation of the trachea, giving lifelike practice devices IV drop shots, and properly tying a tourniquet during a serious medical scenario, First aid to stop bleeding, and CPR. 7. I also listened to a surgeon guest speaker who talked about their journey from high school to college then med school and finally residency. She also gave us a detailed overview of their specialty. 8. One part of the program that I thought was very useful was the Stop the Bleed and CPR section. In this section, I got to perform CPR, use an AED, make a tourniquet, and use gauze. All of the class was tested on this and we got our CPR certification and Stop the Bleed. Overall participating in this program is a prestigious opportunity that offered me a unique blend of academic rigor and hands-on research experience in the field of medical sciences and a transformative experience that not only enriched my understanding of medical sciences but reinforced my motivation to go into the medical field. #HMS#Medical#Research#HarvardMedicalSchool
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University of Washington - School of Medicine trainees met with Horizon Air to discuss aviation industry safety protocols and create takeaways for leading their own teams. Learn more in the original post below from UW Medicine.
University of Washington - School of Medicine trainees met with Horizon Air to discuss aviation industry safety protocols and create takeaways for leading their own teams. The half-day experiential exchange offered three main clinical takeaways - 🛩️ Team resource management: “While crew resource management practices are already used for clinical emergencies such as a code blue (cardiac or respiratory arrest), there is room to expand their application into other settings. For instance, the sterile cockpit rule could be applied during key portions of invasive procedures,” says Chen Wu, MD, faculty director, UW Housestaff Quality & Safety Committee. The sterile cockpit rule refers to a recent addition to crew resource management policy in aviation forbidding distracting conversations during critical tasks. 👩✈️ Procedure checklists: In addition to observing Horizon training pilots carry out normal and emergency procedures in the flight simulator, participants donned virtual reality headsets and stepped into a three-dimensional copy of the Embraer 175 flight deck to start the engines and complete other actions by following the manufacturer checklist. The checklist ensures critical steps are performed correctly each and every time. “One setting where the challenge-response format is already well-established is during the start of every operation across our UW Medicine training hospitals,” says Byron Joyner, MD, vice dean of Graduate Medical Education. 🧘 Mindfulness and self-care practices: The Horizon Air trainers emphasized the impacts meditation and a full-day staff retreat have had on boosting employee well-being. “My colleagues and I learned a lot from this experience and the lessons learned could not be more relevant to both our clinical practice as well as our lives outside of medicine,” says Sean McCue, MD, resident, Anesthesiology & Pain Medicine. Thank you to Horizon Air for this unique and memorable experience for our residents, fellows and faculty. We appreciate you. Pictured here: Hailey Silverii, fellow, Pediatric Urology, (left seat) and Cindy Hamra, associate dean of Operations and Administration, UW Graduate Medical Education, (right seat) in a flight simulator.
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Human Intelligence era energized. Sharpen diagnostic skills & focused attention advancements. Worldwide wonderful clinical working comprehensive: NEJM Collection of case-based clinical practice scenarios: Clinical Practice: View a clinical problem you see all the time through the lens of a seasoned expert. Images in Clinical Medicine: Refresh your awe of visually amazing medical images. Clinical-Problem Solving: Shadow an expert’s clinical reasoning as patient data is presented sequentially. Interactive Medical Cases: Test your diagnostic and therapeutic skills through an evolving case with step-by-step exercises (and get immediate feedback, too!). Case Records of the Massachusetts General Hospital: Follow the management of a challenging case and gain an expert’s insights into medical decision-making, differential diagnosis, and treatment options. Clinical Decisions: Use your experience to determine which of two expert opinions you think is best and see how your choice compares with other readers’ opinions. https://lnkd.in/gPgcnw_Y Special Clinics The implementation & potential impacts of ‘Special clinics’ are presented within the context of the “4SAs”, a favoured teaching mnemonic: 1) Scientific Approach: medical education rules & regulations reflecting scientific reasoning in support of “Special clinics”, 2) Setting Advantages: contribute towards increasing the capacity to comprehensively treat complex disorders in the outpatient setting, avoiding hospitalization and its associated risks, as well as expenditure, 3) Sophistication Advantages: tools and techniques to ensure advanced clinical skills teaching, including novel outpatient technologies, understanding the need for focussed study & practice, and exploiting the advantages of internationalization of medical education, 4) Successes and Advancements https://lnkd.in/gnVrxRye Asthma Clinic “A new health system for the 21st century should be based on the best scientific knowledge” the Institute of Medicine, US. Conclusion: Establishing an asthma clinic and progressive expertise leads to significant beneficial results. https://lnkd.in/d4ZbAQjK @rashtrapatibhvn @PMOIndia @MoHFW_INDIA @aiims_newdelhi @NMC_IND @iiscbangalore @DeptHealthRes @IITKgp #Med Science Tech @DBTIndia @DAEIndia @NITIAyog @IndiaDST @DrJitendraSingh @PrinSciAdvGoI @karandi65 @DghsIndia @iapindia @moayush #G7 #G20 #SDGs #MedTwitter #NEJM #GINA #asthma #clinical #cases #clinics #competence #sophistication #skills #attitudes #data #GenerativeAI #ChatGPT #ArtificialIntelligence #AI #MachineLearning #ML #special #clinics #outpatient #teaching #training #education #proficiency #MedicalEducation #research #MedicalResearch #publishing #innovation #symposia #innovations #technology #SpecialClinics
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I ghostwrite educational email courses for healthcare leaders | Physician researcher | Academic Coach | Forever curious about leadership and academia
What's a research question? It's a gap in a field you can potentially solve through research. In essence, there's a PROBLEM where YOU, the researcher, can help SOLVE it. Let's break this process down into 5 steps: [clinical research edition] 💡STEP 1 – START FROM WHERE YOU ARE You're a diamond mine of ideas💎 Consider your - • work context: patient care, medical education, administration, etc. • work location: hospital, clinic, outpatient surgical centers, etc. • work processes: OR, hospital discharge, clinic follow up, etc. These daily tasks might contain your research question. 💭STEP 2 – BRAINSTORM/ MIND MAP • Think about the clinical question pathway: incidence, risk factors, diagnosis, prognosis, intervention etc • What are the pain points of your target population: poor knowledge, inconvenient treatment, etc? • For Medical Education, think about baseline knowledge/perception, how to evaluate trainees, and pre/post-intervention impacts. • For work processes, follow the journey. Where are there inefficiencies or difficulties? 🔎STEP 3. THE LITERATURE SEARCH • Find a highly cited, recently published REVIEW paper. • This is efficient because the authors have already synthesized the literature for you. • What data is already available? • What if if seems like there is NO GAP? 📚STEP 3B. THE LITERATURE SEARCH (find an ANGLE) • The goal is to find the nuances and a new angle. • Read original investigations. Start with the reference cited in the review paper. • Then, search for more in pubmed/google scholar. New tools: - Research rabbit - Litmaps Basically, once you have an article, they will help you link to different research papers that are either similar or have been cross-referenced. Now - don't overthink the tools. Just pick one and move on. The important thing is to READ the papers. Ask: "Could I study this in a different population, different context, or using better study methods?" Different context: If a medication has been used for treatment, can it be effective for prevention? If an intervention was used in outpatient setting, what about inpatient setting? Different study methods Could I use a more robust statistical methods to study this? Qualitative studies, for example, can offer a nuanced understanding of patient decision-making. 📝 STEP 4. STRUCTURE THE QUESTION USING A FRAMEWORK • Intervention: use PICO (Population, Intervention/exposure, Control, Outcomes) • prevalence/incidence/experiences: use PIC (Population, Interest, Context) • Prognosis/outcomes: use PEO (Population, Exposure, Outcome) STEP 5. PASS THE “SO WHAT” TEST • Make sure your question or results are meaningful to people in your field. • Once you have the research question, ask "So what?" • What can people DO with THAT information? • Chat with colleagues or experts in your field to bounce off your ideas. • Develop 2-3 potential impacts of your research. Remember: Readers don't want more data, they want solutions to their clinical/research problem.
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3wGreat PODCAST as always, The gorrilla medicicne is very similiar to what we are having to do in Kenya.