There’s a triple target that I often splurge about evidence based medicine being the ‘combination of patient preference, clinical expertise and best-available research’ which in context addresses an EBM-is-copying-the-trial critique. The #RealEBM hashtag (go on … give it a go ..) is addressing this quite eloquently and has been graven in stone by the superb @RichardLehman1 in […]
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Nice and easy doesn’t do it.
With very little need to comment – this model of getting research into practice by dr prof Trish Greenhalsh – can be used to slap down anyone who turns to you and claims all you need to get X, Y or Z working is just … You’re welcome. […]
Guest Post: Being a Clinical Academic
Fresh from all sorts of Deep Thinking and engaging with a broad range of research, it’s time to turn back to thinking about Turning the Tide and increasing the number of paediatrician types actively doing research as a large chunk of their jobs – clinical academics. Where training systems are in place, and encouragement is […]
Guest Post: How do you decide that a child has sepsis (or not)?
ROUND TWO OF DELPHI NOW OPEN: https://www.surveymonkey.co.uk/r/NDLYDFZ This Guest Post is asking for your help – your thoughts – on the identification of an Unwell Child. Please – read on and link to the survey at the end …. The introduction of Paediatric Sepsis 6 along with the recently released guidance notes has caused clinicians […]
Guest Blog: Introduction to Trans*
There has never been a time in which it is more important for healthcare professionals to be knowledgeable about LGBT (and specifically transgender) issues. This is not limited to adult medicine – many transgender individuals are aware of their feelings from a young age. What follows are a few general definitions (adapted from my post […]
Collecting patients’ views
There’s a hugely understandable drive to make health care centre around the person with the health condition and include them in their care, rather than place the focus on the operator of the health machinery or the accountant that balances the cash flows. There’s the recent launch of the Me First! initiative from the UK, for […]
A Patient I’ll Always Remember
It’s been a feature of Schwartz rounds in many institutions to have, as a break from the team-based, thematic presentations, the odd session where a few folk offer to sit on the panel and talk to the title “A Patient I’ll Always Remember” (For those who don’t have them, Schwartz rounds are sessions focussed on […]
The Emperor’s New Biomarker
Please tell me that I’m not the only one, who hearing about the magical properties of S100, CD64, microbiomology or ILx (where x >8, probably prime, and is instantly forgettable) recalls the scam of the century as told by Hans Christian Andersen in 1837. Well. There may be more to biomarkers of disease than just […]
Getting from the diamond to the drug chart
“Come out of the dark and into the light – use systematic reviews in your clinical practice.” (OK, so that’s probably NOT a direct quote.) It’s been battered on about for a while in this blog that systematic reviews give you – probably – the best idea of if a treatment, diagnostic test or prognostic […]
Gender sensitive medicine
Last year the worldwide Movember charitable organisation, in addition to having a LOT to answer for when it came to ridiculous photographs on social media and scratchy snogging, held a symposium on Boys’/Mens’ Mental Health. Crashing into this again recently made me sit up and ask “Do we paediatrician types alter our consultations / clinics […]