24 episodes
Richard Lehman on Evidence Based Medicine Richard Lehman & Raj Mehta
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- Health & Fitness
A lifetime of insights - patient care, philosophy, history, and grappling with how evidence based medicine (EBM) should impact the practice of medicine.
Find us on Twitter:
@RichardLehman1
@raj_mehta
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E22: A brief history of statistics
Richard and Raj discuss some of the History of Statistics, and how it informs the practice of EBM today.
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E21: Patients' Role in Generating Evidence
Richard and Raj discuss how patients can be involved in the process of generating evidence, from determining patient centered outcomes to prioritizing types and goals of research.
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E20: Tipping Points in EBM
Richard & Raj discuss decision making in EBM, and the tipping points that change clinical practice.
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E19: Overdiagnosis
Richard & Raj discuss Overdiagnosis, starting with the difficulty of defining the term to the practical challenges in every day clinical practice.
Links on Overdiagnosis:
https://www.bmj.com/content/344/bmj.e3502
https://academic.oup.com/jnci/article/102/9/605/894608 -
E18: Screening and Population Health
References:
1. Wilson JM, Jungner YG. [Principles and practice of mass screening for disease]. Bol Oficina Sanit Panam. 1968;65(4):281-393.
2. Mant D, Fowler G. Mass screening: theory and ethics. BMJ. 1990;300(6729):916-918. doi:10.1136/bmj.300.6729.916
Discussion Timestamps:
0:15 Population Health and Screening History
6:44 Population Health Math
11:41 Screening for Blood Pressure
13:36 Wilson Criteria Difficulty
15:09 Blood Pressure and Screening Programs
22:10 Prostate Cancer Screening
28:27 Colon Cancer Screening
30:06 Colonoscopy Higher Rates of Adenoma Detection