How Why The Golden Circle What How Why It is estimated that the - - PowerPoint PPT Presentation

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How Why The Golden Circle What How Why It is estimated that the - - PowerPoint PPT Presentation

Oct 10, 2022 535 likes •1.14k views

The Golden Circle What How Why The Golden Circle What How Why It is estimated that the doubling time of medical knowledge in 1950 was 50 years in 1980, 7 years in 2010, 3.5 years In 2020 it is projected to be 0.2 years

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What How Why

The Golden Circle

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What How Why

The Golden Circle

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It is estimated that the doubling time of medical knowledge

  • in 1950 was 50 years
  • in 1980, 7 years
  • in 2010, 3.5 years
  • In 2020 it is projected to be 0.2

years—just 73 days

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A group of respiratory medicine experts have called for an

  • verhaul of how asthma and
  • ther airways diseases are

categorized and treated.

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“We believe that the most important cause

  • f this stagnation is a continued reliance
  • n outdated and unhelpful disease labels,

treatment and research frameworks, and monitoring strategies, which have reached the stage of unchallenged veneration and have subsequently stifled new thinking.”

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“This commission feels it is time for a new era in asthma management, where it is more about getting the right treatment to the right patients – so, a precision medicine approach rather than the one-size-fits-all approach we’ve been doing up until now.”

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Porter & Jick

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Porter & Jick

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“Everybody heard it

  • everywhere. It was Porter

and Jick. We all used it. We all thought it was gospel.”

Porter & Jick

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Porter & Jick

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Porter & Jick

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What How Why

The Golden Circle

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Keep current with new asthma knowledge Learn to evaluate the strength of the evidence Promote implementation of new knowledge into practice Improve patient outcomes

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What How Why

The Golden Circle

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Begin by reading the introduction, not the abstract

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Identify the BIG QUESTION

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Summarize the background in five sentences or less

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Identify the SPECIFIC QUESTION(S)

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Identify the approach

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Now read the methods section

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Read the results section

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Do the results answer the SPECIFIC QUESTION(S)?

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Read the conclusion/discussion /Interpretation section

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Now, go back to the beginning and read the abstract

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Lea earning Activ ctivity ty

Working in dyads or triads, take one of the articles on your table and read the abstract aloud. Then try to answer the following questions:

  • What is the BIG QUESTION?
  • What work has been done before to answer the BIG QUESTION?
  • What, according to the authors, needs to be done next?
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Checklist for the methods section

  • f a paper
  • Who is the study about?
  • Was the design of the study sensible?
  • Was the study adequately controlled?
  • Was the study large enough and continued

for long enough, and was follow up complete enough, to make the results credible?

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Checklist for the methods section

  • f a paper
  • Who is the study about?
  • Was the design of the study sensible?
  • Was the study adequately controlled?
  • Was the study large enough and continued

for long enough, and was follow up complete enough, to make the results credible?

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Th Three pri principles of

  • f evid

idence-based hea healt lth car are

  • 1. Some evidence is more credible, more believable. We have more

confidence in some types of evidence than others.

  • 2. We need systematic summaries of the highest-quality evidence

available

  • 3. Evidence by itself never tells you what to do. It’s always evidence in

the context of values and preferences.

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Checklist for the statistical aspects of a paper

  • Have the authors set the scene correctly?
  • Consider paired data, tails, and outliers
  • Consider correlation, regression and

causation

  • Consider probability and confidence
  • Have the authors expressed their results in

terms of the likely harm or benefit that an individual patient can expect?

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Checklist for a Qualitative Research Paper

  • What are the results?
  • Are the results valid?
  • Will the results help me in

caring for my patients?

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Lea earning Activ ctivity ty

Again, working in dyads or triads, take the same article as before and answer the following question: If a quantitative study,

  • Was the study large enough and continued long enough, and was

follow-up complete enough, to make the results credible? If a qualitative study,

  • What methods did the researcher use to analyze the data—and what

quality control measures were implemented?

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Sea earchin ing Too

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Journal Table

  • f Contents
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Sea earchin ing Too

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Google Scholar

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Sea earchin ing Too

  • ols

ls PubMed

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Sea earchin ing Too

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PubCrawler

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Sea earchin ing Too

  • ols

ls

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Sea earchin ing Too

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ls

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Sea earchin ing Too

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Sea earchin ing Too

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“Twitter is an underutilized resource in science, but it’s great—if you follow the right people—for keeping your finger on the pulse of new work that is coming out.” Anonymous

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Organiz izin ing Too

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Mendeley

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Organiz izin ing Too

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Papers

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Organiz izin ing Too

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ReadCube

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Organiz izin ing Too

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JabReb

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Reading is to the mind what exercise is to the body.

Joseph Addison