1. www.cebm.net 17 th Workshop on Teaching Evidence- Based Practice St Hugh’s College 2010 Dr Carl Heneghan MA, MRCGP, DPhil Director CEBM University of Oxford

2. www.cebm.net About the workshop

3. www.cebm.net Plenaries

4. www.cebm.net Small groups Check your group number Check your room Allocated a facilitator and a co-facilitator You will be in the same small group for the week

5. www.cebm.net Today’s searching session Leaving from Maplethorpe at 3.45pm If you want tea, stop your small group session at 3.30 this afternoon Two minute walk to Oxford Computing Services

6. www.cebm.net PADs Participant Ad Hoc Discussion groups Sign up sheets in the foyer

7. www.cebm.net Weds afternoon Organized tours sign up Ashmolean Museum Bodleian Library Walking tours

8. www.cebm.net Map

9. www.cebm.net Masters Programme Presentations

10. www.cebm.net Pequenos Grupos Confirme o número de seu grupo Confirme sua sala Confirme o facilitador e co-facilitador de seu grupo

11. www.cebm.net To add presentations for CEBM site Send to Olive.goddard@phc.ox.ac.uk Dr Fernando GUTIERREZ

12. www.cebm.net Photocopying Hand to Olive and Mary

13. www.cebm.net Objectives for the Week Your objectives – review Discuss with neighbours

14. www.cebm.net What is evidence-based medicine? “Evidence-based medicine is the integration of best research evidence with clinical expertise and patient values” Patient Concerns Clinical Expertise Best research evidence EBM

15. www.cebm.net “Just in Time” learning The EBM Alternative Approach Shift focus to current patient problems (“just in time” education) Relevant to YOUR practice Memorable Up to date Learn to obtain best current answers Dave Sackett

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18. EBM practice requires: Asking Acquiring Appraising Applying Assessing

19. www.cebm.net Why are you here? Evidence Based Practice And To Teach

20. www.cebm.net Try the following exercise. Sit back, close your eyes,

21. www.cebm.net Try the following exercise. Sit back, close your eyes, and bring to mind the best teachers you ever had. Try to remember what they were like-how they looked, talked and acted, what their classrooms and/or offices were like, how they made you feel as their student. When you're satisfied that you've gotten a good picture of who these people were, open your eyes

22. www.cebm.net Educator and philosopher Parker Palmer: Good teaching isn't about technique. I've asked students around the country to describe their good teachers to me.

23. www.cebm.net Educator and philosopher Parker Palmer: Some of them describe people who lecture all the time, some of them describe people who do little other than facilitate group process, and others describe everything in between.

24. www.cebm.net Educator and philosopher Parker Palmer: But all of them describe people who have some sort of connective capacity, who connect themselves to their students, their students to each other, and everyone to the subject being studied.

25. www.cebm.net What Makes a Good Teacher? 1.Enthusiastic, energetic, excited 2.Highly knowledgeable in their area of expertise 3.Maintains that knowledge base 4.Lifelong learner

26. www.cebm.net What Makes a Good Teacher? 1.Enthusiastic, energetic, excited 2.Highly knowledgeable in their area of expertise 3.Maintains that knowledge base 4.Lifelong learner

27. www.cebm.net Would any of you have agreed to participate in a placebo controlled trial of prophylactic antibiotics for colorectal surgery after 1975?

28. www.cebm.net Reduction of perioperative deaths by antibiotic prophylaxis for colorectal surgery

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30. What Makes a Good Teacher? 1.Enthusiastic, energetic, excited 2.Highly knowledgeable in their area of expertise 3.Maintains that knowledge base 4.Lifelong learner

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41. What Makes a Good Teacher? 1.Enthusiastic, energetic, excited 2.Highly knowledgeable in their area of expertise 3.Maintains that knowledge base 4.Lifelong learner

42. www.cebm.net Working in your table group Write down what you think the content of a one hour session on evidence based therapy should include

43. www.cebm.net Step 5 A session on therapy should include: 1. 2. 3. 4. 5.

44. www.cebm.net Highly knowledgeable and up to date in their subject area, but do not pretend to know it all, willing to learn from pupils and from others Subject Matter Knowledge

45. www.cebm.net NNT

46. www.cebm.net NNT

47. www.cebm.net What Makes a Good Teacher? 1.Enthusiastic, energetic, excited 2.Highly knowledgeable in their area of expertise 3.Maintains that knowledge base 4.Lifelong learner

48. www.cebm.net What Makes a Good Teacher? Good teachers are ‘classroom researchers’ Experiment with teaching strategies

49. www.cebm.net What Makes a Good Teacher? Keep what works Discarding what doesn’t

50. www.cebm.net Reflection and Discussion Do you reflect on your teaching? As a result of this reflection do you alter your approach? How much do you share good practice with colleagues? Life long learning

51. www.cebm.net This week – good teaching 1.Have a sense of purpose 2.Have expectations of success 3.Tolerate ambiguity 4.Demonstrate a willingness to adapt and change 5.Are comfortable with not knowing 6.Reflect on their work 7.Learn from a variety of models 8.Enjoy their work and their students

52. www.cebm.net The Real ‘Three R’s’ of Learning Resilient Reflective Resourceful

53. www.cebm.net FAQ: How Long … ? Proficient? Quickly Mastery? Lifetime Human expertise takes >10,000 hours, >10 years →Deliberate practice

54. www.cebm.net Sum up in one sentence "promote the active engagement of the learner"

55. www.cebm.net Thank you Coffee Small groups