Date: March 2013
- Dr. Chris Carpenter: Director Evidence Based Medicine, Wahington University
- Dr. Greg Polites Course Master Practice of Medicine, Washington University
- Dr. Peter Panagos Director of Stroke Network, Washington University
Case Scenario: Emergency Medicine resident approaches her staff physician after listening to an episode of TheSGEM. The information she is being taught by her supervisor is in conflict with what she had heard on the podcast.
Question: How does she deal with this situation?
Quotes from Ken:
- Disruptive Innovation: Disruptive innovation, a term of art coined by Clayton Christensen, describes a process by which a product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves up market, eventually displacing established competitors.
- The medium is the message: A phrase coined by Marshall McLuhan meaning that the form of a medium embeds itself in the message, creating a symbiotic relationship by which the medium influences how the message is perceived.
- With great power, comes great responsibility: Said to Peter Parker by Uncle Ben. Stan Lee, the writer of Spiderman, may have borrowed this from Voltaire who said it in french years earlier.
- Master/Learner: The cycle is now complete. When I left you I was but the learner. Now I am the master. (Darth Vader)
- Competition: I think it inevitably follows, that as new species in the course of time are formed through natural selection, others will become rarer and rarer, and finally extinct. The forms which stand in closest competition with those undergoing modification and improvement will naturally suffer most.(Charles Darwin)
- Healthy skepticism
- McMaster Evidence Based Clinical Practice
- NYAM TEACH course
- UCSF Evidence Based Diagnostics course
- 21st Century Flexner Report
KEENER KONTEST: This weeks winner was Jacqui Stuart a Nurse Practitioner from Chatham-Kent Health Alliance. She correctly identified the NINDS paper from NEJM 1995 Part 2 had a total of 333 patients. There was a 13% absolute benefit on the modified Rankin scale at 90 days of 13% and an absolute harm of 6% (symptomatic intra cerebral hemorrhage) .
Be sure to listen to the podcast to hear this weeks Keener Kontest question. Email your answer to TheSGEM@gmail.com. Use “Keener Kontest” in the subject line. First one to email me the correct answer will win a cool skeptical prize:)
Remember to be skeptical of anything you learn, even if you heard it on The Skeptics’ Guide to Emergency Medicine. Talk with you next week.