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Table of Contents
EDITORIAL
Year : 2013  |  Volume : 1  |  Issue : 2  |  Page : 68-69

Evidence-based practice –new direction in medical education


Professor & Head, Department of Medicine, SBKS Medical Institute & Research Center, Sumandeep Vidyapeeth, Piparia, Vadodara-391760, Gujarat, India

Date of Web Publication21-Aug-2018

Correspondence Address:
Jitendra D Lakhani
Professor & Head, Department of Medicine, SBKS Medical Institute & Research Center, Sumandeep Vidyapeeth, Piparia, Vadodara-391760, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2347-6486.239496

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How to cite this article:
Lakhani JD. Evidence-based practice –new direction in medical education. J Integr Health Sci 2013;1:68-9

How to cite this URL:
Lakhani JD. Evidence-based practice –new direction in medical education. J Integr Health Sci [serial online] 2013 [cited 2021 Nov 30];1:68-9. Available from: https://www.jihs.in/text.asp?2013/1/2/68/239496



The world is changing and we are learning new ways of living. In today’s technologically advanced world of computers and internet, there is explosion of information of all kinds. Electronic data, guidelines and medical information are available round the clock at bedside and in doctor’s consulting office through smart phones, tablets and computers. Lay people also have easy access to information – most of which might not be reliable. Media, computers and internet have information which may be conflicting. Patients get confused about available information and are not able to judge right, partly right and wrong notifications. Even scientific journals also have conflicting reports.

The question which may arise in one’s mind is - why medical world today is insisting that doctors should practice medicine which is evidence based? The answer is, being evidence based yet combined with clinical experience and patient’s preferences, therapy decided by EBM is rational, authentic, most feasible and thus, very effective. The support for gathering evidence is available through electronic records, randomized controlled trials, meta-analysis and critically appraised studies which can be easily accessed even bedside through modern gadgets. This can be a great help in day to day practice provided that one is equipped with skills of getting right kind of information within short time, such that precious time for decision making and patient counseling is not imperiled. EBM teaches to select the most reliable and useful information of the available and make it applicable to the individual patient.

Evidence based Medicine (EBM) is one of the most revered tool of today’s era that all healthcare personnel like doctors, dental surgeons, nurses, physiotherapists, pharmacists and healthcare administrators should be able to use. Effective application of this contrivance, ‘EBM practice’ known as EBP (evidence based practice) is admired by academicians, administrators and economists all over the world because it is rational, predictable and financially prudent; information is based on recent evidences and so has practical applicability. EBP if used in day to day management of patients is definitely useful in a given patient and also in decision making for community.

Rich body of knowledge and treatment strategy which may be derived through hypothesis, pathogenic mechanism and expert’s experience may not be untrue but today’s medical world needs validation. Evidence has to be generated for objectivity. Imperialism would be replaced with evidence based concepts. Tomorrow’s health professionals may face this paradigm shift as the highest challenge. Priming the concept of EBM in learning phase will make them more confident and skillful. Community acceptance also may be better when evidence based care is practiced.

Visionaries, Administrators and Medical Educators of Sumandeep Vidyapeeth, have taken a lead in the technology based medical education by incorporating EBM as part of curricula in all medical and paramedical courses. The university has adapted EBES (Evidence Based Education System) - a system by which evidence based education is integrated with conventional medical teaching with a vision to empower tomorrow’s health care professionals in technologically advanced system of medicine. To inculcate culture and concept of EBM in medical and paramedical undergraduate students may need innovations. Practice of EBM may be targeted at needs of an individual and also of community. Again the evidence generation at both local and global level is a work of tomorrow’s health professionals. At Sumandeep Vidyapeeth, medical students are involved in the community project done under banner of “Evidence Generating Community Health Project” (EviGenCHIP),a process by which scientific evidence is generated by taking up community problem and finding out best solution which is based on the philosophy of PSBH (Problem Solving for Better Health which was pioneered by “Dreyfus Health Foundation, New York”

Our idea is to let “EBM” and “Evidence based healthcare” be domain of everybody and not of few medical intellectuals. EBM is not an expert’s prefecture or a new subspecialty. Let us not make it a “holy cow”, which is worshipped only, but use to its fullest for better healthcare and decision making – for community.





This article has been cited by
1 Evidence-based education system: Self-reflection and a case study from an undergraduate medical student of Sumandeep Vidyapeeth
HarshS Dave,SomJ Lakhani,JayRajeshkumar Patwa,Niraj Pandit
Journal of Integrated Health Sciences. 2019; 7(2): 52
[Pubmed] | [DOI]



 

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