Digital Platform for Evidence-Based Medicine in Hematology (non-malignant and malignant conditions) in a Developing Country

Blood ◽  
2020 ◽  
Vol 136 (Supplement 1) ◽  
pp. 31-31
Author(s):  
Juliana Rocha ◽  
Renata L Stanzione ◽  
Gabriela Fernandes Aranha ◽  
Dida Capobianco ◽  
Jose Claudio Cyrineu Terra ◽  
...  
Keyword(s):  
Medical Education ◽  
Developing Country ◽  
Medical Practice ◽  
Evidence Based Medicine ◽  
Continuous Process ◽  
Digital Transformation ◽  
Evidence Based ◽  
Access To Information ◽  
Digital Platform ◽  
Based Medicine

Introduction: The SARS-COV2 pandemic has transformed several aspects of our daily lives, we have already experienced profound changes in our society and behavior, and it was only possible to keep part of the gear of life functioning thanks to technology. But it is not possible to talk about technology without talking about digital transformation. The technology applied to medicine provides health professionals with greater access to information and tools that convey evidence-based medicine are essential. Among them we can mention databases such as Medline, PubMed, Embase, Cochrane and UpToDate platform. The COVID 19 pandemic has further accelerated this digital transformation process, instituting changes that are here to stay. Objectives: Today in Brazil, we have an average of 7,000 oncologists and 3,000 hematologists. We know that access to information in a foreign language, even English, is still a problem. The excess of information, and the difficulty of reading scientific publications critically, are another obstacle in medical education in a developing country. The objective of this project is to expand access to information, in continues medical education model, to improve public and private health in the area of hematology. Methods: The hematology team at Hospital Israelita Albert Einstein (HIAE), associated with the HIAE digital transformation laboratory, developed a healthtech platform, called hematolog.app, aiming to make available several updated technical content in different formats: podcasts, videos , discussion of clinical cases, analysis of scientific articles in the form of visual abstracts, reviews of relevant topics in text format. The initiative is supported by the most important national hematology Societies. Discussion: We know that healthtech platforms have transformed medical practice. An online survey of clinicians at the Massachusetts General Hospital and Brigham and Women's Hospital described the following effects among UpToDate users: 95% reported that UpToDate was integral for making decisions, 94% reported that they had changed diagnosis, 95% reported that UpToDate led to a change in patient management, 97% said UpToDate helps them provide the best care for their patients, 90% reported that UpToDate makes them a better doctor, 96% reported made them more comfortable with their decisions. PubMed makes it possible to identify references and summaries of articles from the Medline database, maintained by the National Library of Medicine. PubMed provides several tools to make the search more efficient, unknown to most doctors. Conclusion: The development of hematolog.app aims to create a digital platform that integrates specialists in the area, creating a continuous process of education, and integrating professionals in a developing country, seeking to standardize medical practice in different regions and health services in Brazil, creating an interconnected social network and practicing evidence-based medicine. Disclosures No relevant conflicts of interest to declare.

Introduction

2018 ◽  
Author(s):  
Jacob Stegenga
Keyword(s):  
Medical Practice ◽  
Evidence Based Medicine ◽  
Inductive Inference ◽  
Formal Theory ◽  
Practice Research ◽  
Evidence Based ◽  
Master Argument ◽  
Medical Interventions ◽  
Concepts Of Disease ◽  
Based Medicine

This chapter introduces the book, describes the key arguments of each chapter, and summarizes the master argument for medical nihilism. It offers a brief survey of prominent articulations of medical nihilism throughout history, and describes the contemporary evidence-based medicine movement, to set the stage for the skeptical arguments. The main arguments are based on an analysis of the concepts of disease and effectiveness, the malleability of methods in medical research, and widespread empirical findings which suggest that many medical interventions are barely effective. The chapter-level arguments are unified by our best formal theory of inductive inference in what is called the master argument for medical nihilism. The book closes by considering what medical nihilism entails for medical practice, research, and regulation.

scholarly journals A Survey Based Feedback Analysis of the Current Medical Teaching Methodology and Trends in Medical Research Practice in a South Indian Medical Institute

2018 ◽  
Vol 6 (1) ◽  
pp. 6-17
Author(s):  
Supreeth Nekkanti ◽  
Sagarika Manjunath ◽  
Arun Mahtani ◽  
Archana Meka ◽  
Tanushree Rao
Keyword(s):  
Medical Education ◽  
Healthcare System ◽  
Education System ◽  
Evidence Based Medicine ◽  
Skills Training ◽  
Current Medical ◽  
Medical Institute ◽  
Teaching Methodology ◽  
Evidence Based ◽  
Based Medicine

Background: The spine of a good healthcare system is the medical education received by its doctors. As medicine is evolving, the same can be inferred regarding the delivery of medical education. This study was conducted among 541 students in a prestigious medical college in India. The aim of the study was to find out lapses in our current medical education system and steps to improve it.  Methods: A total of 541 medical students were included in this study. The only inclusion criteria being that they should be in their 2nd year MBBS or above. A questionnaire of 20 questions was given to each student and they were asked to mark the answers they felt was most appropriate. The questionnaire dealt with issues faced in our current education system regarding teaching methodology, clinical postings, research, evidence based medicine and steps to improve the healthcare system. Data was collected, analysed and statistically evaluated using Microsoft Excel and SPS version 21.0.  Results: Majority of the students felt that classroom strength should not be more than a hundred students. They felt that more innovative teaching methods and discussions should be included. Students laid emphasis on research, clinical skills training and evidence based medicine. They felt that the healthcare system also needs tweaking in terms of funding and practicing evidence based medicine to be on par with healthcare systems across the world.  Conclusion: The results in this study, resonates with the results of various other studies regarding delivery of medical education. It also takes into account the holistic approach of improving medical education and healthcare rather than focusing on one single aspect.

scholarly journals VIOLATING THE BASIC TENETS OF CARE – LOOKING BACK ON YEARS OF EVIDENCE BASED MEDICINE FROM AN ONCOLOGIST'S VIEWPOINT

2020 ◽  
pp. 86-88
Author(s):  
Bishan Basu
Keyword(s):  
Medical Practice ◽  
Evidence Based Medicine ◽  
Healthcare Systems ◽  
Evidence Based ◽  
Short Time Span ◽  
Short Period ◽  
History Of ◽  
Pros And Cons ◽  
Short Time ◽  
Based Medicine

Evidence-Based Medicine (EBM) came into fashion nearly three decades ago. However, over this short period, this system of medical philosophy has come to dominate the medical practice worldwide. Never in the history of medicine could a single way of medical practice could dominate the healthcare systems of diverse countries like EBM did, that too within such short time span. But, it is high time we should ponder over the pros and cons of EBM and if this way of medical practice is to be allowed to continue, we should consider integration of additional inputs from the traditional ways of medicine. Though article focusses upon the cancer care, the conclusions derived can be applied to any other disciplines of healthcare.

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