Dr. Journal Club

Join us as we discuss the highly debated Cochrane Review on interventions to promote using masks to prevent the spread of COVID19. 

Jefferson T, Dooley L, Ferroni E, Al-Ansary LA, van Driel ML, Bawazeer GA, Jones MA, Hoffmann TC, Clark J, Beller EM, Glasziou PP, Conly JM. Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev. 2023 Jan 30;1(1):CD006207. doi: 10.1002/14651858.CD006207.pub6. PMID: 36715243; PMCID: PMC9885521.

https://www.cochrane.org/news/statement-physical-interventions-interrupt-or-reduce-spread-respiratory-viruses-review

https://www.ndprimarycare.org/

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Join us as we briefly review the findings from the GRADE Diabetes trial. Learn more in our Basic and In Depth videos on this study on www.DrJournalClub.com. 

GRADE Study Research Group; Nathan DM, Lachin JM, Bebu I, Burch HB, Buse JB, Cherrington AL, Fortmann SP, Green JB, Kahn SE, Kirkman MS, Krause-Steinrauf H, Larkin ME, Phillips LS, Pop-Busui R, Steffes M, Tiktin M, Tripputi M, Wexler DJ, Younes N. Glycemia Reduction in Type 2 Diabetes - Microvascular and Cardiovascular Outcomes. N Engl J Med. 2022 Sep 22;387(12):1075-1088. doi: 10.1056/NEJMoa2200436. PMID: 36129997; PMCID: PMC9832916.

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Join us as we discuss a fascinating new paper from Minna Johansson, Gordon Guyatt, and Victor Montori. Do we need to account for clinician time in developing guidelines? There is something about addressing time that forces prioritization. Did this simple idea just change everything? 

https://pubmed.ncbi.nlm.nih.gov/36596571/
Johansson M, Guyatt G, Montori V. Guidelines should consider clinicians' time needed to treat. BMJ. 2023 Jan 3;380:e072953. doi: 10.1136/bmj-2022-072953. PMID: 36596571.

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Join us for a great discussion about the upcoming PIE conference (Process of Integrating Evidence for Complementary and Integrative Health). We welcome educators Dr. Tony Tibbles and Dr. Craig Jacobs from the Canadian Memorial Chiropractic College and discuss the conference but also novel new ways to bring Evidence-Based Practice to clinic and culture change within Chiropractic.

Links:
Register for the PIE conference here: https://www.thepieconference.org/
Previous Pod discussion with Heather Zwickey, PhD on the R25 and culture change within naturopathic medicine
Josh's research on culture change within the naturopathic community

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Join us as we discuss a listener question regarding reporting absolute versus relative risk in covid vaccine studies. Outcome reporting bias? Was it misleading?

Episode Links
Brown RB. Outcome Reporting Bias in COVID-19 mRNA Vaccine Clinical Trials. Medicina (Kaunas). 2021 Feb 26;57(3):199. doi: 10.3390/medicina57030199. PMID: 33652582; PMCID: PMC7996517.
Dr. Journal Club videos on ARR vs. RR: https://drjournalclub.com/ebm-skills/

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Check out our complete offerings of NANCEAC-approved Continuing Education Courses.

Join us as we briefly review the findings from the GRADE Diabetes trial. Learn more in our Basic and In Depth videos on this study on www.DrJournalClub.com. 

GRADE Study Research Group; Nathan DM, Lachin JM, Balasubramanyam A, Burch HB, Buse JB, Butera NM, Cohen RM, Crandall JP, Kahn SE, Krause-Steinrauf H, Larkin ME, Rasouli N, Tiktin M, Wexler DJ, Younes N. Glycemia Reduction in Type 2 Diabetes - Glycemic Outcomes. N Engl J Med. 2022 Sep 22;387(12):1063-1074. doi: 10.1056/NEJMoa2200433. PMID: 36129996; PMCID: PMC9829320.

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Join us for a great conversation with our guest Dr. Heather Zwickey, PhD.  We talk about the early days of EBM in Integrative Medicine. From, "Why are you trying to destroy our medicine?!" to EBM champions and the thorough integration of the EBM 'way of thinking' into training institutions.

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Learn more about Dr. Zwickey here: www.heatherzwickey.com
Some of Dr. Zwickey's papers on the topics we discussed. 

1. Allen, E S., Connelly, E.N., Morris, C.D., Elmer, P.J., and H. Zwickey.  A Train the Trainer Model for Integrating Evidence-Based Medicine into a Complementary and Alternative Medicine Training Program. Explore (NY). 2011 Mar-Apr;7(2):88-93.
2. Connelly, E. N., Elmer, P. J., Morris, C. D., and H. Zwickey.  The Vanguard Faculty Program: Research Training for Complementary and Alternative Medicine Faculty.  Journal of Alternative and Complementary Medicine.  2010 Oct;16(10):1117-23.
3. Senders, A., Erlandsen, E. and H. Zwickey. The Importance of Research Literacy. The Natural Medicine Journal. 2014 Aug: 6(8):
4. Zwickey, H., Schiffke, H., Fleishman, S., Haas, M., Cruser, D., LeFebvre, R., Sullivan, B., Taylor, B. and B. Gaster. Teaching Evidence-Based Medicine at Complementary and Alternative Medicine Institutions. Strategies, Competencies and Evaluation. Journal of Alternative and Complementary Medicine. 2014 Dec;20(12):925-31. PMID: 25380144 

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Join us for a fascinating discussion on the utility of the EBM model in an Integrative Medicine environment. Does it work? Does the application of trials need to be tweaked? How about the study design?

Links to topics discussed:
Sytematic Review of Whole Systems Naturopathic Medicine
Our Podcast on the Lexapro vs. Meditation study
Our Podcast on Medical Nihilism with Dr. Brignall

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Join our conversation about Medical Nihilism with Dr. Matt Brignall. We discuss Jacob Stegenga's book, how it plays out in a pandemic environment, and more.

Medical Nihilism by Jacob Stegenga 

Dr. Matt Brignall

@drbrignall on Twitter

DrJournalClub videos on weight loss medications

Victor Montori

Evidence-Based Medicine has been Hijacked

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Join us as we discuss how to best teach evidence-based medicine. Common pitfalls and evidence nihilism. Learn more on https://drjournalclub.com/

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Check out our complete offerings of NANCEAC-approved Continuing Education Courses.