Day two

Another morning full of presentations. Again it was a lot of talking and a lot of information. I can recommend to keep an eye on the website for the presentations to become online. Here some highlights.
After the openening presentation Jolita Bekhof talked about the weekly EBM-seminar at the department of Pediatrics of the Isala Clinic in Zwolle, the Netherlands. They have almost the same organization for this seminar as at the department of internal medicine (of the same hospital) which I visited once a month ago. Every week there’s is a Pico formulated and the CAT is presented 1-3 weeks later. At the department of Pediatrics one in 5 CATs resulted in change of daily clinical practice.
A nice, interactive and inspiring presentation was from Neal Maskrey of the National Prescribing Center in Liverpool, UK. Why is it so difficult to Get Research In Practice (GRIP)? Why has the young science of Evidence Based Medicine been most succesful in devising detailed methodologies for appraising research and least succesful at changing clinical practice practice to mirror the evidence? Cognitive psychology can come to help in explaining. Doctors are human beings. Human beings make decisions after brief reading and talking with others. So be careful on what you read and with whom you talking! Maskrey named a book, I certainly want to read: ‘Irrationality’ from Stuart Sutherland