Building capacity
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Transcript of Building capacity
Models for developing capacity: inside or out?
Gabriel Rada (@radagabriel)[email protected] Health Care Program, Pontificia Universidad Católica de ChileEpistemonikos Foundation (@epistemonikos)Santiago, Chile
Late ‘90s
Evidence-based Health Care ProgramPontificia Universidad Católica de Chile
Ordered by question?
• The traditional approach
• Ontologies
What’snext?
Our first 4 Cochrane reviews
Title to ProtocolProtocol to ReviewPublished review/up-to-dateUpdate needed
Barriers
Academic contracts for teachingNo protected times
Underpaid Need to make a living with clinicalpractice
Very few national research grants
Difficulties to assemble review teams
We need more capacity
Title to ProtocolProtocol to ReviewPublished review/up-to-dateUpdate needed
What are we going to do with the Chilean PhDs?
EVOLUTION
Homo medicus
Ho·mome·di·cusnoun \ˌhō-(ˌ)mō-ˈmē-di-kus/
: eminence-based doctor. Read a paper once and didn’t like it.
Homo evidence
Ho·mo e·vi·dencenoun \ˌhō-(ˌ)mō-ˈē-vi-dēns/
: evidence-based doctor. Makesresearch-informed decisions, and thinks research is useful butcomplicated
Homo synthesis
Ho·mo syn·the·sisnoun \ˌhō-(ˌ)mo- sin-ˈtē-sis-/
: a mutation of the homo evidencethat sparkled interest in synthesising research in order tohelp others.
Ho·mo Co·chra·nenoun \ˌhō-(ˌ)mō-ˈcō-krēn, especially British /
: the species of human that are able tocomplete a high quality Cochrane review ontime
BUILD +++ CAPACITY IN-HOUSE
Homo medicus
Homo evidence
TEACHING EBMCHANGING CURRICULUM DISSEMINATING EVIDENCEADVOCATING FOR EVIDENCE
TEACHING EVIDENCE SYNTHESISSTRUCTURED SUMMARIESRAPID REVIEWS
Homo evidence
Homo synthesis
Cochrane output
Key messages
• Conducting reviews requires more than a fewpeople that have the capacity
• There are no shortcuts to build capacity inside if there is no research infrastructure, resources and tradition
• Generating the appropriate environment for those returning from their training abroad is key to succeed
MANY THANKS