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Coda Educate: Conversation 3

We can have all the evidence in the world in healthcare but at the heart of everything we do and every decision we make there is ‘us’. The pandemic has seen an incredibly accelerated understanding of COVID-19, a virus none of us had heard of before January 2020, but it has seen a change in how Evidenced Based Medicine (EBM) is processed and presented.

The ‘E’ continues to represent ‘Evidence’ but the ‘B’ has become ‘Belief’ and the ‘M’ is now ‘Media’. Under the pressure of the pandemic we in healthcare have believed there is a need to act on levels of evidence that pre-COVID we would have thought irrational.

So, we must adapt our traditional model of EBM to the pace of now and make it faster and more adaptive to become “EBA” or Evidenced Based Agility. We need to have the ability to rapidly filter out the good quality evidence and find ways to translate that into practice.

However we must also be agile enough so that if the next month we find the evidence has changed we can admit we were wrong and move on – this has not been a feature of EBM in the past where there has been a lot of inertia.


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Simon Carley

I’m a Professor of Emergency Medicine from Manchester, England working in both adult and paediatric trauma centres. In MedEd I have manhy hats. I’m editor in chief on the St Emlyn‚Äôs blog and podcast, co-founder of BestBets, St.Emlyns and the MSc in emergency medicine at Manchester Metropolitan University and am an Associate Editor for the Emergency Medicine Journal. My research interests include diagnostics, MedEd, Major incidents & Evidence based Emergency Medicine. Talk to me about anything above, or cycling, or travel, or food or my family. After SMACC I’m travelling round Vietnam and Cambodia with Fiona (Prof. and Ophthalmologist in Manchester) and my two teenage girls.


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