Quality Improvement Reports

The fool wonders, the wise (women) ask… about tropical diseases in their practice

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.38257.549653.55 (Published 28 October 2004) Cite this as: BMJ 2004;329:1023
  1. Michael L Green, associate professor of medicine (michael.green@yale.edu)1
  1. 1 Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520, USA
  1. Correspondence to: M Green, Yale Primary Care Residency Program, Waterbury Hospital, 64 Robbins Street, Waterbury, CT 06721, USA
  • Accepted 20 September 2004

Lockwood and colleagues have shared their seven year experience of integrating evidence based medicine into their practice at the Hospital for Tropical Diseases in London.1 Consultants, assigned as “chairs” in rotation, identify emerging clinical questions, search the literature for clinical research studies, assign articles to participants, and distribute materials in advance of a bimonthly “EBM meeting.” During these two hour meetings, the group appraises the evidence and strives to reach a consensus about its implications for their practice.

Reviewing their experience, the group classified the outcome of each meeting, citing examples that resulted in a change in practice, confirmed or clarified existing practice, …

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