How can we teach EBM in clinical practice? : an analysis of barriers to implementation of on-the-job EBM teaching and learning.

Introduction: Evidence-based medicine (EBM) improves the quality of health care. Courses on how to teach EBM in practice are available, but knowledge does not automatically imply its application in teaching. We aimed to identify and compare barriers and facilitators for teaching EBM in clinical practice in various European countries. Methods: A questionnaire was constructed listing potential barriers and facilitators for EBM teaching in clinical practice. Answers were reported on a 7-point Likert scale ranging from not at all being a barrier to being an insurmountable barrier. Results: The questionnaire was completed by 120 clinical EBM teachers from 11 countries. Lack of time was the strongest barrier for teaching EBM in practice (median 5). Moderate barriers were the lack of requirements for EBM skills and a pyramid hierarchy in health care management structure (median 4). In Germany, Hungary and Poland, reading and understanding articles in English was a higher barrier than in the other countries. Conclusion: Incorporation of teaching EBM in practice faces several barriers to implementation. Teaching EBM in clinical settings is most successful where EBM principles are culturally embedded and form part and parcel of everyday clinical decisions and medical practice.

L'Histoire de Rome par la peinture

Il y a bien des chemins pour arriver á Rome, champ immense, ouvert á perte de vue á travers les siécles et les jours, oú la présence de l'histoire est obsédante. Tous les artistes sont venus vers Rome : des Italiens des diverses Italie, et aussi des Francais, des Hollandais, des Flamands, des Espagnols, des Anglais et des Américains. Ces peintres dont les oeuvres racontent sa longue histoire pour l'avoir vécue dans l'éblouissement de la lumiére romaine sont á jamais au Panthéon des arts : ce sont tous les auteurs anonymes des fresques de la Rome antique et médiévale, mais aussi Fabriano, Cimabue, Giotto, Botticelli, Raphael, Giulio Romano, Michel-Ange, le Caravage, Guido Reni, le Guerchin, Titien, Vasari, Velasquez, Le Nain, Poussin, Zuccari, Van Wittel, Eckersberg, Giraudet, David, Panini, Hubert Robert, Reynolds, Füssli, Ingres, Sargent, Caffi, Vernet, Turner, Corot, Caffi, De Chirico, etc.

Critical Mobilities

The field of mobility studies examines social phenomena through the lens of movement. In this perspective, societies are regarded as being constantly reconfigured as they are shaped by a series of mobile entities (capital, people, information). This book engages critically with many of the claims and challenges of mobility studies by providing empirically rich reports of mobilities and their limitations. Instead of assuming a seamless world of flows, the volume foregrounds questions of power, inequality, and moorings as integral to the movement of capital, goods, images, practices, or people. It brings together the work of several internationally renowned scholars, who engage with these movements at critical sites. This is the first book to provide a critical and interdisciplinary view of mobilities covering a broad range of issues rather than a single domain. The chapters deal with current and important issues, such as organ transplants, illegal migrations, urban globalization, international policies of higher education institutions, and scientific diasporas. As a whole, the book provides new insights into how power relations shape mobilities and societies.

Liber secundus super sententias secundum ([Reprod.]) / explicit Landulfum de Neapoli,...

Collection : Italian books before 1601 ; 440.1