| List of Centre Members | Download 1998 Status Report | About the CEBM |
Last updated 29th November 1999
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CLIVE ADAMS
Clive qualified in medicine at Queen’s University in Belfast, and is a Member of the Royal College of Psychiatry. He also holds a Masters degree in epidemiology from the London School of Hygiene and Tropical Medicine. In association with his clinical practice he is developing strategies for teaching evidence-based psychiatry to undergraduates and postgraduates. He is interested in the evaluation of mental health care, with special interest in schizophrenia. As a direct outgrowth of this interest, he has become the co-ordinating Editor of the Cochrane Schizophrenia Group.
EBHC-related Publications since 1995
AMANDA ADLER
Amanda is the Clinical Epidemiologist for the Oxford University-based United Kingdom Prospective Diabetes Study (UKPDS), a clinical trial based in 23 centres designed to address whether the degree of blood glucose control in type 2 diabetes - and the means by which this control is achieved - makes a difference with respect to the frequency of complications. Amanda was born in Santa Monica, California and studied economics at the University of California before earning a M.D. and a PhD. in epidemiology from the University of North Carolina at Chapel Hill. She trained in primary care internal medicine at the University of Washington where subsequent fellowships training included Cancer Epidemiology and Health Services Research. En route to Oxford, Amanda worked as a diabetes epidemiologist in the Alaskan arctic. Her work to date has concentrated on estimating the incidence,and defining risk factors, for the numerous complications of diabetes.
JANET ALLEN
DOUGLAS ALTMAN
Since completing his first degree in statistics, Doug Altman has always worked as a medical statistician. He is currently Director of the Centre for Statistics in Medicine in Oxford (which he set up in 1995) and has been head of the Imperial Cancer Research Fund’s Medical Statistics Group since 1988. He previously spent 11 years working for the Medical Research Council at Northwick Park where he worked in a wide variety of medical areas.
Doug is statistical advisor to the British Medical Journal, where he is a member of the editorial "hanging committee". He is a member of the Council of the Royal Statistical Society and President of the British Region of the International Biometric Society. In 1997 he received the Bradford Hill Medal for his contributions to medical statistics and a DSc from the University of London. His many research interests include the use and abuse of statistics in medical journals, studies of prognosis, systematic reviews, and meta analysis, and studies of medical measurement. He is a co-convenor of the Statistical Methods Working Group of the Cochrane Collaboration. He has published many articles educating clinicians about the understanding and use of statistics in making clinical and health care decisions, and is author of Practical Statistics for Medical Research (1991) and co-editor of Statistics with Confidence (1989) and Systematic Reviews (1995)
Future research plans include investigations into extensions of the number needed to treat, and methodological work on systematic reviews of non-randomised studies and meta-analysis with continuous measures
EBHC-related Publications since 1995
BETSY ANAGNOSTELIS
GERT ANTES
Gert feels that as the Cochrane Collaboration is part of EBM, he should be involved in the centre, to share information and to develop activities.
ELIAS ANTOINE
MARIO VICENTE ARMAS PORTELA
Mario-Vicente wishes to be part of a movement that he believes will improve health care all over the world. EBM is helping him to become a better doctor and he would like to contribute to it himself
NIMA ASGARI-JIRHANDEH
Nima graduated from Edinburgh University Medical School in July 1996. He was introduced to EBM as a student representing Edinburgh University at OCCAMS. He is currently working as a JHO in the Royal Infirmary of Edinburgh and is moving down to Newcastle for a six month stint as a surgical SHO.
HILARIO AVILA ARMENGOL
Hilario would like to continue dissemination of EBM because he is a teacher of it in his hospital:
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TOMISLAV BABIC
NEIL BACON
Neil obtained a medical degree from Nottingham before training in Nottingham, Oxford and Harvard in medicine and nephrology. He is currently on a two year sabbatical from his nephrology training to explore ways of modernising medical education and communication through new technology.
DOUGLAS BADENOCH
Douglas gained a degree in Psychology at Aberdeen University before taking an MSc in Information Management at Strathclyde University. After a short spell of research in Computational Linguistics, he took up a lectureship in Information Science at Strathclyde, where he was responsible for the Undergraduate Information Science course. His research interests have been diverse, ranging from Human-Computer Interaction to Information Resources Management. He joined the Centre in January 1996 as Programme Manager for Education and Communication.
EBHC-related Publications since 1995
COLIN BAIGENT
Colin gained a first degree in Mathematics from Oxford in 1983, but then decided to train as a doctor, qualifying (again at Oxford) in 1989. After a variety of clinical jobs he joined the CTSU in 1991, and has been working mainly on systematic overviews and trials of vascular disease. These include the well-known Fibrinolytic Therapy Trialists' Collaboration (FTT) and Antiplatelet Trialists' Collaboration (APT), and the scope is now widening to include overviews of trials of cholesterol-lowering therapy and other types of anti-thrombotic therapy. His other major research interest is vascular disease in chronic renal failure. He holds a Medical Research Council Career-Track post and is a member of the British Cardiac Society, the British Atherosclerosis Society, and the International Atherosclerosis Society.
INTERNAL EDUCATION AT THE CLINICAL TRIAL SERVICE UNIT: CANCER AND VASCULAR DISEASE OVERVIEWS
Mike Clarke and Colin have run a series of internal workshops for the research assistants, statisticians and computer programmers involved in the collaborative overviews in cancer and vascular disease conducted by the Clinical Trial Service Unit in Oxford (CTSU). These workshops have covered topics such as the diseases and treatments being reviewed at the CTSU; the techniques used for trial finding, data collection, processing and analyses; the methods of dissemination for the overview results; and the Cochrane Collaboration. As well as presentations by Mike and Colin, junior members of the overview teams have been given, and have taken, the opportunity of leading individual workshops. Over the coming year it is hoped that the workshops will become a setting for members of the overview teams to develop and present small research projects which will be less daunting than the seminar series currently being run in Oxford. In addition, it is hoped that the experience with the overview workshops will allow the development of a 6 session teaching programme on systematic reviews that will be open to all members of staff at the CTSU.
EBHC-related Publications since 1995
KAREN BAILIE
Karen graduated from Queen’s University, Belfast in 1983 and then trained in clinical haematology (MRCP 1986, MRC Pathology 1993). Early research experience was laboratory based (MD 1993) but a one year MSc course in Epidemiology at LSHTM started an interest in clinical epidemiology. Currently funded by an MRC/R&D fellowship in health services research based at HHCRY in Queen’s; the project concerns variation in clinical practice. She is also preparing a protocol for a Cochrane review in CML and working on ways of promoting an EBM agenda in the local medical school, postgraduate programmes and CME.
CHRISTOPHER BALL
Chris is a junior doctor currently working in Accident and Emergency Medicine.
Chris is writing a handbook for junior doctors called EB On-Call, summarising the best articles on diagnosis, therapy, prognosis etc. into useful guides for front-line clinicians.
GENEVIEVE BARATINY
DAVID BARLOW
David is Nuffield Professor and Head of the Nuffield Department of Obstetrics and Gynaecology. In their field they have long been used to the application of RCT and "best evidence" through Iain Chalmer’s work on effective care in pregnancy and childbirth. That approach is now being extended into gynaecology where the evidence base is substantially weaker. David is directly involved in this development as an Editor of the Cochrane Menstrual Disorders and Subfertility Group. In addition, he has assigned one of their Clinical Lecturer posts to carry a specific interest in "Evidence Based Gynaecology" and it involves working with the Centre for Evidence Based Medicine and with their Cochrane Group.
PAUL BEERLING
KAMLESH BHARGAVA
Kamlesh did his post-grad in internal medicine. He would like to become a member of the best EBM Group in the world and keep himself in the forefront of knowledge.
ANDREW BOOTH
NILTON BRANDAO da SILVA
Nilton is creating a local centre of EBM in his university school of medicine FFFCMPA and would share his experiences.
ANN BRICE
Anne Brice is the Assistant Director of the Health Care Libraries Unit, University of Oxford. HCLU is responsible for co-ordinating and facilitating training, networking, and co-operation among the member libraries of the Health Libraries and Information Network.
After qualifying, Ann worked at the Royal Postgraduate Medical School, followed by a post at Queen Mary College, both in the University of London. Following six years as Regional Librarian in the Borders Health Board, Scotland she was appointed in 1995 as Librarian at the Institute of Health Sciences, University of Oxford. She moved to her present post in 1996.
Ann’s current work in the Health Care Libraries Unit includes supporting the Health Libraries and Information Network, organising professional development training to promote the Library of 21st Century, and developing evaluation and accreditation tools throughout the region.
Ann is co-ordinator of the CASP Finding the Evidence Workshop programme which includes supporting regional and local training in information skills, running Training the Trainer workshops, and the development of a web-based Toolkit of teaching materials for use throughout the region.
PETER BROCKLEHURST
Peter Brocklehurst is a clinical epidemiologist who trained in Obstetrics and Gynaecology before obtaining his masters in epidemiology from the London School of Hygiene and Tropical Medicine in 1994. Since then he has worked at the National Perinatal Epidemiology Unit in Oxford and, since 1996, has been the Unit Epidemiologist/Honorary Consultant.
Peter’s research interests include the design and conduct of large pragmatic trials to evaluate the effectiveness of interventions in the perinatal period. He is also a member of the Pregnancy and Childbirth Review Group of the Cochrane Collaboration.
Peter continues to practise obstetrics in Oxford and teaches specialist registrars and medical students.
EBHC-related Publications since 1995
ROSAMUND BRYAR
CHRIS BULSTRODE
Chris is the Clinical Reader in Orthopaedic Surgery at the John Radcliffe. His clinical work is in a consultant based service performing trauma surgery, and his main lecture work (in orthopaedics) revolves around making statistics and critical analyses understandable to orthopaedic surgeons.
Chris’s main area of work has been the outcomes of total hip replacement. He and his team have published extensively on the technique of RSA (Radiostereogrametry, a highly technical method for measuring early migration of total hip replacements), and other outcome measures such as pain, their validation and showing their use as outcome measures.
Chris is also interested in medical education and the hours worked by junior doctors.
ALEX BUNN
Alex is 26 and a junior doctor with a strong interest in developmental issues and tropical medicine. He is keen to maintain the skill of evidence sifting wherever his interests lead him.
EBHC-related Publications since 1995
AMANDA BURLS
Amanda is a Public Health doctor and Director of the Critical Appraisal Skills Programme (CASP) in Oxford. Her first degree was in Politics, Philosophy and Economics from the University of Oxford but she later studied Medicine at University College, London. She also has Masters degrees in Neuroscience from the University of London and Public Health Medicine from the London School of Hygiene and Tropical Medicine, London. She is currently seconded to Anglia and Oxford Region R & D department.
Amanda is currently leading a project across the four counties of the former Oxford Regional Health Authority to develop a course for teaching epidemiology and the public health perspective to people working in public health.
Amanda has been involved with promoting evidence based practice at many levels. The department of Public Health in Northamptonshire is committed to basing its own practice on the evidence where it exists. In their work with providers and others involved in health service delivery and evaluation they try to ensure that their work is informed by the evidence.
EBHC-related Publications since 1995
MARTIN BURTON
Martin is a consultant otolaryngologist at the Radcliffe Infirmary Oxford. He trained at Cambridge and Oxford before embarking on his ENT training in Bristol, the Kresge Hearing Research Institute, University of Michigan, Oxford (again), the University of Melbourne, The Royal Ear Hospital London and John Hopkins Baltimore. This is evidence enough (surely) of an interest in travel.
His clinical interests include otology and neurotology, especially cochlear implantation. He is working with the Cochrane Collaboration on a number of ENT-related systematic reviews and is trying to promote evidence-based otolaryngology within the speciality. His other interests are in the fields of auditory physiology - including the use of functional MRI to image the auditory system - and vestibular rehabilitation.
RICARDO G BUSTAMANTE
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JUAN B CABELLO-LÓPEZ
Juan is a Spanish cardiologist and clinical epidemiologist and is the Director of the Research Unit at Hospital General Universitario in Alicante. He has been actively involved in the promotion of evidence-based medicine since 1988. The Research Unit has three main roles: advising hospital clinicians on the design, conduct and analysis of research studies; developing educational and teaching programmes for clinicians (including the University of Alicante’s PhD programme for Medical Research for doctors) and carrying out its own research.
From 1993-1995 the Research Unit conducted a study on cardiac pacing. Current projects include running and co-ordinating a multi-centre study in Spain on individual patient (N of 1) trials. Other centres collaborating are the Ramon y Cajal Hospital, Madrid, the 12 de Octubre Hospital, Madrid and the Spanish Cochrane Collaboration (currently being established).
The Research Unit is a member of the Spanish Network of Research Units (REUNI: Red Española de Unidades de Investigación). REUNI is charged with promoting, co-ordinating and disseminating research strategies within hospitals that form part of the Spanish National Health Service. Juan has undertaken several projects on behalf of this body including: co-ordinating REUNI’s Working Group on Clinical Practice (a multidisciplinary group which produced the document "The future of Clinical practice - the research that we need", adopted at the 1996 Conference of REUN); from September 1996 until February 1997 he was a visiting fellow at the Institute of Health Sciences in Oxford looking at the prioritisation of research in the UK as part of his background research for a paper, commissioned by REUNI, on identifying and prioritising research.
EBHC-related Publications since 1995
Books and other publications
JOSE ANTONIO CARBONELL DI MOLA
DAWN CARROLL
Dawn trained as a registered nurse in Oxford in the 1970’s after completing her orthopaedic nursing certificate. After a brief time working in orthopaedics she moved to the specialist area of chronic pain. For the last 15 years she has been actively involved in pain research and has much practical experience in randomised controlled trials for pain interventions in a variety of clinical settings. Much of her research has concerned pharmacological interventions and the development of a database for pain RCT’s. She is optimistic about the involvement of nurses and other (non-medical) professions in the future and is interested in developing ways to promote evidence based nursing at the clinical level. Dawn has a BA (hons) in health care studies and has recently completed the certificate in EBHC at the University of Oxford. She is registered for the Masters in EBHC.
EBHC-related Publications since 1995
Eddy Rios Castellanos
Eddy is a clinical doctor and Gastroenterolist and Clinical Epidemiologist
Sumeet Chadha
Sumeet is training as a specialist in Geriatrics and clinical pharmacology. His main field of interest lies in the use of anticoagulent drugs in the elderly and he is planning a research thesis leading (hopefully)to an MD. Sumeet got interested in the application of EBM after reading "How to practice and teach EBM" The way he sees it is that the elderely as a group are often treated empirically and based on personal experience rather than evidence based medicine ,the use of anticoagulent illustrates this. He would like Geriatric Medicine to become more evidence based and plans to establish this trend in his field of interest.
IAIN CHALMERS
After qualifying in medicine in the mid 1960s, Iain Chalmers practised as a clinician for seven years in the UK and the Gaza Strip. In the mid 1970s, he became a full time health services researcher with a particular interest assessing the effects of health care. He directed the National Perinatal Epidemiology Unit between 1978 and 1992, and was appointed to direct the UK Cochrane Centre in 1992. Together with the NHS Centre for Reviews and Dissemination in York and the National Research Register, the UK Cochrane Centre forms part of the Information System supporting the NHS Research and Development Programme. The Centre is also a component of the Cochrane Collaboration - an international organisation that aims to help people make well-informed decisions about healthcare by preparing, maintaining and promoting the accessibility of systematic reviews of the effects of healthcare interventions.
'Instant electronic evidence....'
The main output of the Cochrane Collaboration is The Cochrane Library, which is now widely regarded as the best single source of evidence about the effects of health care. The latest issue contains: 377 reviews and 360 protocols in The Cochrane Database of Systematic Reviews, 1631 references in The Database of Abstracts of Reviews of Effectiveness (assembled by the NHS Centre for Reviews and Dissemination), 180,000 references in The Cochrane Controlled Trials Register, 672 references in The Cochrane Review Methodology Database The Cochrane Reviewers' Handbook
EBHC-related Publications since 1995
Chalmers I. What would Archie Cochrane have said? Lancet 1995; 346: 1300
PAMELA CHARNEY
ANDREW CHIVERS
Andy Chivers is a GP sharing a predominantly urban Health Centre with two other practices. He qualified in 1975 and worked for several years in Plymouth and Transkei before coming to Oxford in 1983 when his wife started training in public health medicine. For three years from 1984 he was lucky enough to job share with a 60 year old GP until 1987 when he took over the practice. In particular, those three years working with his predecessor reinforced the experience of his trainee year that respect for patients was the single most important part of being a GP. In return he thinks that the practice population has a sense of ownership of the practice. Within general practice he has an interest in psychiatry, intrapartum care, sports injuries and care of the elderly, though he would claim no special expertise above that obtained in junior hospital jobs, work in a fairly remote rural African hospital and general practice. In addition, mainly through his wife's public health contacts he has become interested in the wider issues of evidence-based medicine, locality commissioning, prioritising health care and effectiveness. He is involved in local issues through various GP and Health Authority committees. He is involved in developing the use of computers in decision support within the consultation. At the age of 10 his school report summed him up - "Remains cheerful despite everything"
HING IP CHUNG
RACHEL CHURCHILL
Rachel teaches critical appraisal skill and EBHC and is involved in conducting systematic reviews, and Meta-analysis in her field.
ANNA CIARDULLO
JAVIER CIEVENTES
MICHAEL J CLANCY
MICHAEL CLARKE
Mike was awarded a BA in chemistry at Oxford University in 1984. His degree included a one-year thesis on the history of drug abuse, which led to a D.Phil on the history of suicide in England & Wales from 1850-1961, with special emphasis on the use of poisons. He began work at the Clinical Trial Service Unit in Oxford in February 1989 and is the coordinator of the cancer overviews (meta-analyses) there. These projects involve the central collection and analysis of individual patient data (IPD) from all randomised controlled trials in early breast cancer, leukaemia and multi myeloma that have taken place throughout the world over the last fifty years. They provide reliable evidence on the relative benefits of the different therapies that have been assessed in these diseases during that time. Mike is closely involved with the Cochrane Collaboration, acting as co-convenor on the methods working group looking at the methodology of IPD meta-analysis. He also maintains a keen interest in matters historical, particularly in relation to the early randomised trials.
Internal Education At The Clinical Trial Service Unit: Cancer and Vascular Disease Overviews
Mike and Colin Baigent have run a series of internal workshops for the research assistants, statisticians and computer programmers involved in the collaborative overviews in cancer and vascular disease conducted by the Clinical Trial Service Unit in Oxford (CTSU). These workshops have covered topics such as the diseases and treatments being reviewed at the CTSU, the techniques used for trial finding, data collection, processing and analyses; the methods of dissemination for the overview results; and the Cochrane Collaboration. As well as presentations by Mike and Colin, junior members of the overview teams have been given, and have taken, the opportunity of leading individual workshops. Over the coming year it is hoped that the workshops will become a setting for members of the overview teams to develop and present small research projects which will be less daunting than the seminar series currently being run in Oxford. In addition, it is hoped that the experience with the overview workshops will allow the development of a 6 session teaching programme on systematic reviews that will be open to all members of staff at the CTSU.
EBHC-related Publications since 1995
CATHERINE CLASE
Catherine is a clinical doctor and received her degree in 1989
Catherine would like to develop and maintain contact with those who attempt to practice and teach EBM
KENNETH COHN
JACK COLLIN
RORY COLLINS
Rory qualified in medicine at St Thomas’ Hospital Medical School, University of London, in 1981 and obtained BSc in statistics from George Washington University, Washington DC in 1977 and MSc in statistics from the University of Oxford in 1983. In 1981 he obtained an appointment as a research assistant to Richard Peto in the Imperial Cancer Research Fund / Medical Research Council Clinical Trial Service Unit, Oxford University, and to Professor Peter Sleight in the Department of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, primarily to co-ordinate large-scale clinical trials of the acute treatment of heart attacks. In 1985 he was appointed co-director of the MRC/ICRF Clinical Trial Service Unit, with Richard Peto, and was awarded a British Heart Foundation Senior Research Fellowship. In 1996 he was appointed Professor of Medicine and Epidemiology supported by the British Heart Foundation.
Rory's work has been in the establishment of large-scale randomised controlled trials of the treatment of heart attacks, of other vascular disease, and of cancer, while also being closely involved in developing approaches to the combination of results from related randomised controlled trials ("systematic overviews" or "meta-analyses") that allow the more reliable assessment of treatment effects.
EBHC-related Publications since 1995
SALLY COLLINS
DAVID COLVILLE
CHRIS CONLON
Chris was born in Sheffield England but educated in North America and moved back to this sceptr'd isle at the age of 17. He read medicine at New College Oxford and trained in clinical medicine at the London Hospital Medical College, qualifying in 1980. He then roamed around England to train in internal medicine and infectious diseases, with a couple of periods working in Zimbabwe and Zambia, the latter doing clinical research on HIV infection. He is currently a consultant physician in Infectious Diseases and Tropical Medicine, as well as General (Internal) Medicine at the John Radcliffe and Churchill Hospitals in Oxford.
INEZ COOKE
PHILIP COTTON
JONATHAN COXON
NICKY CULLUM
Nurses deliver most of the "hands on" professional health care and Nicky spends her time exploring how they might make some of this care more evidence based. Nurses are faced with many special challenges in trying to use an evidence based approach. There is a dearth of good quality quantitative research in nursing so the information is not always avaliable, and nurses usually do not get taught how to use research in their basic training. Worst of all, they often do not have access to information sources in their workplace.
Nicky’s work involves teaching nurses and their teachers about evidence-based health care, researching into how we can help nurses use research information, and making research evidence more accessible (the last bit by doing systematic reviews, primary research to fill the gaps, and co-editing the journal Evidence-Based Nursing). She would like to contribute to the work of the Centre by generating, disseminating and testing educational materials and by generally spreading the message. Oh and she has a good sense of humour!
ROSEMARY CURRELL
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ROBERTO D’ALESSANDRO
SACHIN DAVE
Sachin has a strong interest in:
MARTIN DAWES
Martin Dawes is a general practitioner who is paid by the Regional Health Authority to work in the University of Oxford Department of Public Health & Primary Care. He has been a GP for 15 years in a busy urban practice in Cowley with a high demand, high morbidity, and a one in three on call rota. He is well aware of the constraints on time within primary care with 10 minutes for each consultation (7-8 minutes contact time), the vast amount of administrative paperwork and preventative data collection (much of unproved worth), and the lack of moral. He sees this as the coal face in which evidence must be introduced and believes it will have to be shown to be feasible and effective before it is taken up in primary care. That is his objective - to improve the use of evidence in primary care. As well running a ambulatory blood pressure cohort study, Martin helps run the University of Oxford Masters Programme in Evidence Based Health Care.
Martin is developing ways in which evidence can be delivered to the clinician at the point of clinical contact within primary care (Best Answers), in addition to developing ways in which that evidence can be presented in the most effective format and hopes to analyse the effectiveness of the use of EBM within primary care using these formats. Further, he hopes to devise ways of finding evidence that will be automated to such a degree that they become a practical proposition for primary care.
For further information Martin’s home page ishttp://users.ox.ac.uk/~dawes
EBHC-related Publications since 1995
PHILLIP DAWSON
Philip is a Primary care Physician, GP Tutor, Medicial Educationalist, Associate member of a GP research network.
Philip is an ordinary service primary care physician. He is keen to ensure his patients have relevant useful drugs at the correct dosage administered at the correct time. Evidence based medicine offers the chance to deliver appropriate interventions correctly timed.
Philip is also a local GP Tutor in Haywards Heath. He arranges up to 100 hours of postgraduate education for established primary care physicians in Mid Sussex England.
Philip has organized and facilitated a number of evidenced-based educational sessions on Cardio-pulmonary resuscitation, female incontinence, and essential hypertension.
JON DEEKS
Jon works at the Centre for Statistics in Medicine at the Institute of Health Sciences in Headington, Oxford. He currently organises much of that Centre's teaching activities, particularly the Systematic Review Development Programme (which runs training programmes twice yearly). He also chairs the organising committees for the Symposium in Systematic Reviews; the first meeting for which was held in Oxford in January 1998. Further information about courses and the symposium is available on the world Wide Web (http://www.ihs.ox.ac.uk/csm/srdphome.html). His main statistical research interest is the statistical methodology for systematic reviews, and his main clinical area is vaccine evaluation. His move to Oxford followed initial training in Medical Statistics in Southampton University, and teaching and research experience at the London Hospital Medical College and at the NHS Centre for Reviews and Dissemination at the University of York. Whilst working in London he was lucky enough to both attend and tutor on the 'Teaching Critical Appraisal" course at McMaster University, which sparked off a motivation to ensure that medical research projects are reported and presented in ways which allow their easy and reliable application to health care decisions. Jon is also a Visiting Fellow at the UK Cochrane Centre, co-convener of the Statistical Methods Working Group of the Cochrane Collaboration, Honorary Consultant in Medical Statistics to the British Army, and a statistical advisor to the British Medical Journal.
EBHC-related Publications since 1995
Vittorio Di Michele
MARCELO GARCIA DIEGUEL
JOHN DERRY
John is a local GP who also leads the Oxfordshire Primary Care Quality Forum and Multi-Disciplinary Clinical Audit Group (MAAG). The latter role involves him in planning and implementing the teaching of EBHC to primary care clinicians as part of developing clinical effectiveness and now clinical governance. He is also trying to improve his own practice of EBHC and develop similar practice amongst his GP Partners. He wishes to build closer, more functional links between his group and the Centre for Evidence Based Medicine to help develop EBHC.
SIR RICHARD DOLL
Richard qualified in medicine at St Thomas’ Hospital Medical School in 1937. After 6 years army service he began a career in epidemiological research with Avery Jones at the Central Middlesex Hospital in 1946, transferring to the London School of Hygiene and Tropical Medicine to work with Bradford Hill in 1948. In 1961 he succeeded Bradford Hill as Director of the Medical Research Council’s Statistical Unit and in 1969 was appointed Regius Professor of Medicine at the University of Oxford. He has worked with colleagues in the University ever since, as warden of Green College from 1979-83, Director of the Cancer Epidemiology Unit since 1988. In the last 10 years he has chaired the Data Monitoring Committees of several major randomised controlled trials.
EBHC-related Publications since 1995
ANNA DONALD
GORDON DOOLEY
Following a ten year career as a professional industrial photographer, Gordon re-entered higher education in 1986 to obtain a BSc in Behavioural Sciences, majoring in Psychology. He went on to Durham University and completed a PhD by thesis in 1992 on The Psychological Aspects of Psoriasis and has been actively involved in research into skin disorders, their measurement and the psychological concomitants of visible stigma. Gordon remained at Durham after completing his PhD where he was involved in teaching Health Psychology, statistics and computing, and where his interest in computer-mediated communication led him to become involved in research on how people use networked information in educational settings, as well as in research into the application of virtual reality technology as a tool for psychological assessment.
Gordon was the Senior Research Associate at the Centre for Evidence-Based Medicine until October 1995, when he moved to work with Update Software.
LELIA DULEY
Having trained in obstetrics and Gynaecology, Lelia completed an MSc in Epidemiology as part of a Wellcome Training Fellowship in Clinical Epidemiology. She then joined the National Perinatal Epidemiology Unit where, as Principal Investigator, she was responsible for co-ordinating the Collaborative Eclampsia Trial. She has a major interest in systematic reviews, and is a reviewer and Criticism Editor for the Cochrane Pregnancy and Childbirth Group. In 1994 she joined the staff of the UK Collaboration and designed and ran a program of training workshops for reviewers. At the start of 1998 she moved to the Institute of Health Sciences in Oxford where she is co-ordinating the Magpie Trial, an international study evaluating magnesium sulphate for women with pre-eclampsia
EBHC-related Publications since 1995
Letters and other documents
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MARGARET EAMES
Margaret is a Senior Lecturer in Epidemiology and Medical Statistics at the University of Hertfordshire. She has been interested in developing courses in critical appraisal skills since being a medical student in the 1980’s as a Maths graduate. She branched into Epidemiology in 1990, working as a research fellow with Prof Michael Marmot at UCL after completing an MSc in Medical Statistics at the London School of Hygiene and Tropical Medicine, and working at the Royal Postgraduate Medical School at Hammersmith Hospital, now part of Imperial College. Her BMJ paper on "Social Deprivation and Premature Mortality: a regional comparison across England" was published in October 1993 based on her work at UCL.
In January 1996 she became a tutor on the first OCCAMS course in Oxford, and has been incorporating many of the EBM principles into research methodology and statistics courses on MSc clinical science degrees at the University of Hertfordshire since then. She has worked in North Africa on polio research in 1987, and is still keen to maintain an interest in public health in developing countries. She has paid nine return visits to Africa (some work, a further research study, some holiday) since then.
Since 1992 at the inception of the National Health Statistics Users Group, Margaret has been involved with HSUG, in convening conferences aimed at fostering the appropriate gathering and interpretation of Health statistics for improving health care in the UK. Recently she has been working with both GPs and public health doctors in trying to enable more accurate population health data to be collected. In 1996 she edited the book "Measuring Morbidity and Health: What Information can General Practice Deliver?" with nine co-authors. She is a tutor on the 1998 Oxford workkshop in Teaching Evidence-Based Medicine
EBHC-related publications since 1995
JAYNE EDWARDS
After obtaining a degree in Biochemistry in 1991, Jayne worked as a Researcher at a rural General Practice in Mid-Wales. Whilst there she studied the incidence of gastro-intestinal cancers with the patient population, evaluated the standard of diabetic care, and initiated a study examining the implications of day-case surgery for primary health care workers.
In December 1994, Jayne moved to Oxford to work at the Centre for Evidence-Based Medicine. After nearly two years of working in an EBM environment, she decided to take the opportunity to apply EBM in a research setting by starting a D.Phil. at the Pain Relief Unit, Churchill Hospital, Oxford in October 1996.
MATTHIAS EGGER
Matthias is a public health doctor and epidemiologist.
YOHANNES ENDESHAW
Undergraduate medical education : Faculty of Medicine, Addis Ababa University, Ethiopia. Graduation year- 1981. Residency in Internal Medicine: Faculty of Medicine, Addis Ababa University. MPH in Epidemiology: the University of Washington, Seattle, 1990-1992. Second residency in Internal Medicine: Medical College of Virginia, Richmond, Virginia, 1993-1996. Currently working in the Department of Health Care Sciences at the George Washington University. Responsibilities include: - ambulatory patient care in a primary care setting - teaching third year medical students (co-director of the third year clerkship program in the department) - precepting primary care residents, and medical students in ambulatory care clinic.
Interest: To expose medical students and residents to evidence based, self-directed learning early in their training with the aim of making them more objective clinicians.
KATIE ENOCK
Katie joined the Critical Appraisal Skills Programme (CASP) team, as Manager, in April 1996. CASP, based at the Institute of Health Sciences in Oxford, aims to help health service decision makers, and those who seek to influence decision makers, develop the skills to make sense of the scientific evidence about effectiveness, in order to promote delivery of evidence-based health care.
Katie is a Member of the Institute of Personnel and Development. Her career has encompassed both management in industry and medical research (running the ECMO Trial, Extra Corporeal Membrane Oxygenation) at the National Perinatal Epidemiology Unit (NPEU). Whilst at the NPEU, Katie introduced a formal training and development programme for all members of staff to ensure an equitable and long-term approach to continuous professional development and life-long learning. Katie is a member of the Four Counties Public Health Practitioners Professional Development Group and is currently part of a steering group commissioned to identify, through a Delphi survey, the roles and training needs for non-medics in multi-disciplinary Public Health.
Katie’s key interest is training and professional development and her current post has given her the unique opportunity to combine all the features of her career that interest her the most.
EBHC-related Publications since 1995
ED ETCHELLS
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FABRIZIO FAGGIANO
JEREMY FAIRBANK
ANDREW FARMER
Andrew is a general practitioner in Thame near Oxford. He works for two half days with the HSRU as a research associate. He went to medical school and trained for general practice at Oxford. He became interested in research during his training and has undertaken a number of research studies in collaboration with the HSRU and the General Practice Research Group. He was Harkness Fellow of the Commonwealth Fund of New York 1991-2 when he undertook a study of the use of clinical guidelines based at Duke University. He is currently conducting a study of the social and psychological impact of screening for type II diabetes mellitus. Future work will focus on the public understanding of genetic risk, and how this should influence the development and conduct of consultations in primary care and broader screening programmes.
EBHC-related Publications since 1995
Sheppherd SP, Coulter A, Farmer A. Using interactive videos in general practice to inform patients about treatment choices: a pilot study. Fam Pract 1995; 12: 443-7
ANA MARIA FERNANDEZ RODRIGUEZ
Ana Maria believes that EBM is the future of Medicine and wishes to contribute to it.
JANE FISHER-SMITH
HELENA FINGEROVA
Helena is an assistant professor of biochemistry and received her degree in 1994.
Helena has spent about a quarter of a century introducing, developing and validating immunoassays at the OB/GYN Department. Because in the early seventies these methods were very new an OB/GYN. She spent a lot of time evaluating their clinical performance and utility, published on this topic in Czech medical journals, and taught laboratory methods to both medical students and lab professionals.
The activities of CEBM address exactly the instinctive feelings Helena has always had about the need of bringing more science to the art of medicine. Throughout her years at the dept she was regularly asked by her colleagues to do simple statistical calculations for their papers which was sometimes not easy. What do you do when a distinguished colleague has information that 4 our of 7 patients get better with an intervention and he wants some statistical test to prove it?
Helena has received a TEMPUS/PHARE Travel Grant for four weeks in Pain Research in Oxford to study EBLM with Andrew Moore with the aim to prepare educational material for the medical students of the Palacky University on Olomouc. In her time in Oxford Helena has been working on writing a chapter on ELBM for a book on point of care testing for clinical chemists.
Helena would like to promote the principles of EBM and EBML in the Czech Republic because she thinks their implementation is essential to improve the quality of health care and reduce its costs. Not very many people in the Czech Republic know about or welcome EBM, and Helena realises this task is not an easy one. The help and advice she has had from many people in Oxford and the tools she now realises are available (like Dave Sackett's book , the Cochrane Library, and Bandolier) will make this easier. Helena looks forward to sharing experiences with others around the world.
LEON FLICKER
CARSTEN FLOHR
MAUREEN FORREST
Maureen is the librarian of the Cairns Library, which is the library of the Faculty of Clinical Medicine, University of Oxford. Her major responsibilities include the provision of a suitable environment, resources and staff to support the practice of evidence-based medicine. Achievements towards these objects include: the complete refurbishment of the library at the John Radcliffe Hospital; negotiation of Service Level Arangements and funding; the appointment and training of appropriate staff. A program of stock management and development is planned for the 1998/99 Academic year.
In 1997/98 she managed the library participation in collaboration with Dave Sackett, in a project to evaluate the role of the clinical librarian. She is now seeking funding for a research project on this subject.
Since refurbishment, the library has provided a venue, centred on the specially equipped training room, for the annual workshops in How to Teach Evidence-Based Medicine. The library also provides regular training sessions in Finding the Evidence and the User Education Manager teaches on various EBM courses.
Maureen’s long-term interest is in the transition from print-based published information to electronic format, the potential this format offers for the delivery of information to the point of need and the subsequent demise of individual journals which she believes will follow once the transition has been accomplished.
ANTONY J FRANKS
After undergraduate medical training in Edinburgh (1965 - 1972) Antony trained as a pathologist with a special interest in Neuropathology. After a brief period teaching in Ghana in 1979 he spent nearly four years as a District Medical Officer in the newly independent Republic of Kiribati (formerly the Gilbert Islands) in the central pacific; here he cut his epidemiological teeth with studies of the impact of age and distance on health service utilisation and the relationships between infant growth and illness. In 1983 he returned to England to resume practice as a consultant neuropathologist in Leeds where, in addition to diagnostic practice he undertook research into the problem of cellular heterogeneity in malignant human glial tumours using in-vetro techniques. In 1987 he became a registrar in Public Health Medicine based in a district health authority and in 1990 was appointed to a Senior Lectureship in Public Health Medicine at the University of Leeds. In this capacity he has been responsible (at various times) for the redesign of undergraduate and Masters courses in Public Health and, for a period, was regional training coordinator for Public Health Medicine training. Antony's main research interest over this period has been the epidemiology of major trauma. With the development of a national Research and Development strategy for the NHS he worked, on a part-time basis, as a research manager for the regional programme and combined this with a return to practice as a diagnostic neuropathologist. From research management he has now moved into a role with responsibilities to three acute hospital trusts as an epidemiologist with a remit to encourage and teach the principles of evidence-based medicine. At present he is leading a project to develop a clinical neuroscience service in his base trust with evidence-based practice as a core value.
EBHC-related Publications since 1995
Burdette-Smith P, Airey M, Franks A. Improvements in trauma survival in Leeds. Injury 1995 Sep; 26 (7): 455-8
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DAVID GARDNER
David has a joint appointment as Assistant Professor with Dalhousie University's Department of psychiatry and College of Pharmacy and also is a member of the C/L Psychiatry team of the QEII Health Sciences Centre in Halifax, Nova Scotia, Canada. His primary teaching responsibilities include psychopharmacology, therapeutics (psychiatric disorders, epilepsy) and critical appraisal skills development and the evidence-based therapeutics process. He serves as advisor to clinical psychiatry pharmacy staff and educator for medical students and psychiatry residents at the Dalhousie program.
After receiving his BSc(Pharm) degree from the University of Toronto in 1988, David completed a hospital pharmacy residency and thereafter was the Clinical Pharmacist for the Department of Psychiatry, Sunnybrook HSC, Toronto. In 1994, he completed a research and academic sabbatical at McLean Hospital, Harvard Medical School, working with Drs. Ross Baldessarini and Mauricio Tohen where he developed his interest in clinical epidemiology. David returned to school in 1995, completing his Doctor of Pharmacy degree at the University of British Columbia in 1997. Currently he is enrolled in the MSc program offered by Community Health and Epidemiology, a division of Dalhousie's Faculty of Medicine.
David is Co-Editor of the Atlantic Psychopharmacology Quarterly, a newletter dedicated to disseminating clinically relevant and evidence-based psychopharmacologic information.David's interests lie in the area of psychopharmacology - particularly drug treatment of psychotic disorders and mood disorders - and pharmacoepidemiology. He uses and teaches the methods of EBM pertaining to psychopharmacology and other areas of medicine.
EBHC related Publications since 1995
1. Gardner DM, Lynd L. Revisiting the contraindications to sumatriptan. Ann Pharmacother 1998; 32: 33-38.
2. Gardner DM, Shulman KI, Walker SE, Tailor SAN. The making of a user-friendly MAOI diet. J Clin Psychiatry 1996; 57: 99-104.
SARAH GARNER
JOHN GEDDES
John Geddes qualified in medicine at Leeds University in 1985 and subsequently trained in psychiatry in Sheffield and Edinburgh. He moved to Oxford in 1995 and is now honorary consultant psychiatrist, Director of the Centre for Evidence-Based Mental Health and Editor of Evidence-Based Mental Health. He is involved in primary and secondary research and in teaching evidence-based practice in psychiatry and mental health both locally and nationally.
John’s plans for the future include:
To promote and support the teaching and practice of evidence-based healthcare (EBHC) and clinical epidemiology in psychiatry and mental healthcare throughout the UK and beyond. To coordinate a national network for clinical effectiveness in mental health (including training, primary research, secondary research, dissemination and audit) in the UK to allow the most effective use of skills and resources. To initiate a series of large scale, pragmatic clinical trials in psychiatry. To develop an MSc program providing training in randomised controlled trials and systematic reviews. To participate in the development of resources designed to provide the best knowledge to all clinicians and patients.
EBHC-related Publications since 1995
GIAN FRANCO GENSINI
Gian Franco teaches Internal Medicine and Cardiology at the University of Florence Medical School. He is Dean of the Teaching Council of the University. He is President of the Italian Centre for EBM based in Florence. Gian Franco is also the Editor of the Italian edition of the Evidence-Based Medicine Journal.
RUTH GILBERT
Ruth is a Senior Lecturer in Clinical Epidemiology at the Institute of Child Health and an Honorary Consultant Paediatrician at Great Ormond Street Hospital for Children. She studied medicine in Sheffield (UK) and co-ordinated the Avon Cot Death Study in the late 1980s which led to the national ‘back to sleep’ campaign in 1991. She was a Wellcome Trust fellow in epidemiology with Catherine Peckham at the Dept of Epidemiology and Biostatistics at the Institute of Child Health, London. She established the Centre for Evidence-Based Child Health in October 1995 which provides courses, workshops and training secondments for professionals whose work relates to child health. In 1996, she helped to establish the Thames Systematic Research Training Unit, together with Stuart Logan. She co-ordinates a European research programme addressing questions relevant to both individual and policy decision making about interventions (particularly screening) to prevent congenital toxoplasmosis.
EBHC-related Publications since 1995
DAVID GILL
GIOVANNI de GIROLAMO
Giovanni is a psychiatrist, and has struggled to introduce an Evidence-based approach in Italian psychiatry in the last few years.
ANA MARIJA GJUROVIC
OLIVE GODDARD
Olive joined the Centre as Centre and Editorial Coordinator in September 1996. Olive has spent most of her life in research and prior to her joining the Centre had been Coordinator in a multi-centre MRC funded project into cognitive function and aging.
FIONA GODLEE
Fiona qualified in Medicine and History of Medicine in 1985 and trained in internal medicine in Cambridge and London (MRCP1988). She joined the BMJ in 1990 and has been involved in peer review of original submissions, commissioning editorials and heading up the BMJ’s research program into peer review and editorial processes. She has written two series of articles, one on Health and the Environment and one on the World Health Organisation. In 1994 she spent a year at Harvard looking into efforts to change clinicians’ behaviour and get evidence into practice. She was involved in writing a guideline on colorectal screening for the Agency for Health Care Policy and Research Washington. Back at the BMJ she is heading up a team to produce a compendium of evidence for clinicians, which will summarise the best available evidence on a range of common clinical interventions. The project is collaboration between the BMJ Publishing Group and the American College of Physicians, and the first issue, Clinical Evidence ‘99, will appear next Spring in paper and electronic form.
PERE GODOY
Pere wishes to:
GUILLERMO GONZALEZ GALVEZ
Guillermo would like to:
JORGE GONZALEZ MORENO
Jorge is well convinced about the methodology of EBM and as he works in the university hospital he would like to teach the residents. He feels that if he is a member of our centre he will have big support. He would like to be kept up to date with EBM and know about the advances in this field.
He would like to create an EBM centre in Mexico and to work together on some projects (he would like that his centre could be joined to ours). He would also like to participate in multicentre studies as his university hospital have a lot of patients in different areas (most in gynaecology & obstetrics)
MIGUEL A GONZALEZ TORRES.
ALEJANDRA ESTELA GRASSI
MUIR GRAY
Muir was trained and educated in Glasgow and has had a public health career covering a number of different aspects of health care, notably the health problems of elderly people, primary care, screening, and health promotion.
Throughout his work in public health Muir has maintained an interest in clinical practice and clinical decision-making, and sees the health service not as a structure but as a complex network of decisions with about 50 million clinical decisions per million population per year.
Muir’s main interest at present is the promotion of evidence-based health care in the United Kingdom with evidence-based clinical practice as one the main foundations.
Muir’s current post is Director of Research and Development for the Anglia and Oxford Region of the NHS Executive.
EBHC-related Publications since 1995
MIKE GREENALL
TRISHA GREENHALGH
Trish set up the Unit for Evidence-based Practice and Policy within the Joint Department of Primary Care and Population Sciences at the Royal Free/University College London Medical Schools in 1996. The aims of the unit are to promote the teaching of EBHC (and the training of trainers) with particular focus on primary care professionals and multidisciplinary working, to encourage research into the practice and implementation of EBHC, and to address theoretical issues such as the integration of the principles of clinical epidemiology with practical and contextual issues. The unit is involved in a number of training and development projects including short courses and workshops, and new research. It has recently been awarded a grant of 100K to evaluate different approaches to implementing EBHC in primary care throughout the North Thames region.
Future plans include the development of a "paperless" (web based) MSc in primary care with a strong focus on research methods, critical appraisal and quality improvement (to commence in 1999), development of a local primary care research network, and original research on evidence based shared decision making with patients.
JEFF GREENWALD
Jeff is at Boston Medical Centre and a former student of Prof Sackett at the John Radcliffe in Oxford. He has been asked to do some EBM teaching for the Medical students so he would like to hear what is going on.
PETER GRIFFITHS
Peter is a clinical doctor, purchaser and consumer. He received his degree in 1978.
This is the main reason why Peter would like to be a member of the Centre: he thinks EBM is the best thing to happen to clinical medicine in the 20 years he has been in it!! and it is nice to meet people with a sense of humour
THOMAS GROSS
Thomas wishes to:
OSCAR HUMPHREY GYDE
An ex-haematologist (Birmingham 1972-98), who is now concentrating on developing informatics to serve health in general and evidence-based care in particular. His main activities are in co-ordinating the new Oxford and Cambridge Virtual Institute of Health Information and chairing the British Medical Informatics Society.
SYLVIA GYDE
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JOHN HALLORAN
RICHARD DAVID HARDERN
Richard’s main clinical role is to supervise an acute medical admissions area, though he also works as a Consultant in Accident and Emergency Medicine at General Infirmary, Leeds. He has also helped at EBM training sessions within the trust and runs the workshops on literature appraisal for accident and emergency trainees. Although he has no EBM publications, he has presented at the Scientific meeting of the Faculty of Accident and Emergency Medicine; he described his visit to DLS and the unit in Oxford
and discussed lessons that could be applied to other acute areas. He also led a workshop on teaching EBM at the last International A & E Conference in Vancouver.
Current challenges are to increase the amount of acute care that is evidence-based and to ensure that trainees acquire the EBM skills that are required for independent practice.
AKIRA HAYASAKA
BRIAN HAYNES
Brian is a physician (with special interests in diabetes, hypertension and atherosclerosis) and clinical epidemiologist whose main research activities are medical informatics, especially in the retrieval, summarisation, dissemination and implementation of validated health care knowledge to support evidence-based health care.
Current work involves:
The Health Information Research Unit, McMaster University. HIRU is an informatics research group focusing on developing and testing ways to improve the dissemination and application of sound health care research in clinical practice.
The production of periodical publications including ACP Journal Club and Evidence-Based Medicine, (and as an electronic database, Best Evidence), Evidence-Based Mental Health and Evidence-Based Nursing. In these, explicit principles of critical appraisal of medical evidence are used to select articles of high relevance and quality from over 70 medical journals; qualifying articles are abstracted and circulated as bimonthly periodicals or yearly in the electronic database. These publications have been characterised as brilliant and boring, cutting edge and a threat to medical practice (as we know it!).
The Canadian Cochrane Centre, part of the Cochrane Collaboration, a world-wide conspiracy to summarise all relevant trials of health care interventions.
The ‘Clinical Theme’ of the Health Evidence Application and Linkage Network (HEAL Net), a research programme to develop health information tools and resources sponsored by the Canadian federal research funding agencies and intended to make Canada wealthier (unless, of course, the country breaks up).
EBHC-related Publications since 1995
Accepted for publication in Peer-Reviewed Publications and Proceedings.
JOHN HAYWARD
John was educated at Cambridge and St Mary's and had a year’s experience as an immunologist in Oxford before deciding to concentrate on clinical medicine in general practice. He holds membership of the Royal College of General Practitioners and Royal College of Physicians. After 16 years as a GP principal in Bristol and London, he became Medical Director of Camden and Islington FHSA in 1992. A trip to McMaster the following year to study critical appraisal teaching led him by excellent random error to be a member of the same group as Ruairidh Milne, where the tutors were Dave Sackett and Scott Richardson. This experience made him realize that what he had always wanted as a GP (but did not know enough to ask for) were systematic reviews of evidence.
On his return John enrolled to study for an MSc in public health at the London School of Hygiene and Tropical Medicine, and launched an initiative where the local Maternity Services Liaison Committee (MSLC) examined the clinical policies of three teaching hospitals; subsequently one maternity unit introduced a new suture material for perineal repair, and another began to use external cephalic version for breech presentation at term. This work has been commended in the national guidance on the role of MSLCs.
John is now completing his training as a specialist registrar in public health medicine at East & North Herts Health Authority, (exams again after a 25 year interval, but only one to go!) and works with Martin Dawes on new ways of promoting evidence based medicine in primary care.
EBHC-related publicatons since 1995
CARL HENEGHAN
Carl is a medical student at Oxford. He is a mature student who initially qualified as a plumber and pipe fitter welder. He has worked at the Centre for Evidence-based Medicine since 1996. The projects he has been involved in are the setting up of the web-page, where he is one of the co-writers and editors, and remains part of the web-reviewers group. He can often be found making a nuisance of himself in Olive and Doug’s Tardis at the Evidence-based Medicine Centre.
NICK HICKS
Nick received his medical education at Cambridge and Oxford, and was a Harkness Fellow with the RAND Corporation’s health research group in California. He is a member of the Royal College of General Practitioners and a Fellow of the Royal College of Physicians and the Faculty of Public Health Medicine. He is currently a Consultant Public Health Physician with the Oxfordshire Health Authority and an Honorary Senior Lecturer in the Department of Public Health and Primary Care of the University of Oxford. He also maintains a small clinical practice as a general practitioner in Cowley, Oxford.
Much of Nick’s work involves improving the application of research findings in both clinical practice and health policy development. He has performed both empirical and methodological research in health care, and led the group that recently generated evidence-based guidelines for the management of acute and post-acute myocardial infarction, congestive heart failure, non-valvular atrial fibrillation, and stable angina pectoris.
Other interests include the cost of decision anlysis, antenatal detection of Downs Syndrome and the role of process and outcomes measures.
EBHC-related Publications since 1995
ALISON HILL
As Director of Casp Alison needs to work in partnership with the CEBM, to ensure they are kept up to date and responsive to the needs of the people they support, and to share their learning with the centre.
G.H HOEDEMAEKERS
RICHARD HOOKER
TONY HOPE
Tony is University Lecturer in Practice Skills, Reader in Medicine and an Honorary Consultant Psychiatrist. As University Lecturer in Practice Skills he has developed a teaching course in ethics, communication skills and the law for clinical medical students in Oxford and is developing methods for the evaluation of his teaching.
Tony studied philosophy and physiology at New College in Oxford and then did a PhD at the National Institute for Medical Research in Mill Hill in developmental neuro-biology. He then studied clinical medicine in Oxford and went on to train in psychiatry on the Oxford rotation.
Tony was awarded a Wellcome training fellowship to study behavioural problems of people suffering from dementia. He continued this work as clinical lecturer in psychiatry and with the help of a special project grant from the Medical Research Council. He was awarded the Royal College of Psychiatrists medal and research prize for this work.
In 1990 Tony became Leader of the Oxford Practice Skills Project. This has involved developing education in ethics, communication skills and the law for clinical medical students. This work has led to a considerable amount of postgraduate education and to close links with developing such education in the former Eastern Europe in collaboration with the Council of Europe. In addition to many papers on the behaviour of people with dementia, and in medical ethics, Tony is co-author of the Oxford Handbook of Clinical Medicine.
Tony has two main interests which link with the interests of the Centre. The first is to add the dimensions of ethics, communication skills and the law both to educational programmes and to written materials. He believes that these are areas of importance to evidence-based medicine. His booklet Evidence Based Patient Choice (published by the King’s Fund, October 1996) covers some issues raised by using EBM to enhance patient choice. A second rather separate interest is through being co-author of the Oxford Handbook of Clinical Medicine. This small practical medical textbook has wide sales both in Europe, Australasia and in India and Africa. There is an electronic version which is kept continually up-to-date. There may be a way in which important evidence can be usefully and rapidly disseminated through the handbook and/or its elecronic versions.
Tony is married to Sally, a general practitioner in Woodstock. They have two daughters, Katie and Beth, who are aged eight and five years old.
EBHC-related Publications since 1995
GUY HOUGHTON
Guy is Deputy Director of the EMU (Evidence-supported Medicine Union, West Midlands) and he is actively involved in facilitating teaching and learning about evidence-based medicine. As Clinical Director Birmingham MAAG, he is pursuing a clinical effectiveness program with evidence graded guidelines.
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RICHARD DOUGLAS JACK
DAVID JACKSON
ROD JACKSON
Rod was on sabbatical leave in Oxford for the calendar year 1996. He went to medical school in Auckland, New Zealand and after encountering too many patients with preventable disease decided to become an epidemiologist. He completed a PhD in epidemiology at the University of Auckland in 1989 and then spent some time as a post doctoral fellow in the US at the University of North Carolina in Chapel Hill. He returned to New Zealand to take up an academic post in the Department of Community Health at the University of Auckland where he is now an associate professor of epidemiology.
In a small country like New Zealand (3.5 million people) it is necessary to do a bit of everything. He teaches public health epidemiology and clinical epidemiology to undergraduate and postgraduates, writes evidence-based clinical guidelines and is undertaking aetiological research in cardiovascular disease, prostate cancer and motor vehicle-related injury. He is also the chair of the New Zealand Division of the Australasian Faculty of Public Health Medicine, Royal Australasian College of Physicians.
Currently one of his main interests is in encouraging the practice of evidence-based health care through the development of evidence-based practice guidelines. He has been involved in writing national guidelines for the management of raised blood pressure and dyslipidaemia in New Zealand. He is now working on a project supported by the New Zealand Ministry of Health, which will provide clinical and public health opinion leaders with a range of skills to enable them to lead the development and implementation of evidence-based health care guidelines.
EBHC-related Publications since 1995
ERWIN JANCIC
Erwin qualified in medicine at the Medical Faculty, University of Rijeka and is a Member of the Croation Medical Association. He also holds a Master’s degree in general surgery from the Medical Faculty, University of Rijeka and the Medical Faculty, University of Zagreb. He is interested in the evaluation of care in children’s surgery and in children’s intensive care unit.
In December 1996 he moved to Karlovac to work at the General Hospital. In January 1997 he was elected as executive secretary of the First International Conference on Psycho-Social Consequences of the War (25-30th April 1998, Dubrovnik) organised by the World Veterans Federations.
Erwin works on organization of two day workshops for students and general practitioners on the interpretation how to practice EBM and how to teach EBM. (With generous help of Professor David L Sackett and Members of Centre for Evidence-Based Medicine).
EBHC-related Publications since 1995
Involved in writings
Articles
NARAYANA JAYARAM
TOM JEFFERSON
HYWELL JONES
JOSE LUIS JOVER PINILLOS
Jose would like to learn more about Evidence-Based Medicine and then colaborate in the teaching of it with the Family Medicine 3rd year Residents from the Primary Health Care Centre where he was trained during his residency. He would also like to collaborate with the Centre in systematic reviews and/or clinical practice guidelines
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JOE KABUKOBA
MITSUHIRO KAMEI
UDO KASTNER
JONATHAN KAY
DAVID KEELING
RICHARD KEATINGE
Richard is a Public Health Consultant and hopes to qualify as a GP in 1999. He possesses good will, a small slightly malformed sense of humour, and definitely collegiality (whatever that is!)
CARMEL KELLER
MALCOLM KENDRICK
CK KHONG
Dr Khong is a local GP and team member within a demonstration PCAP site and part of the National Primary Care R&D Centre and King’s Fund evaluation project. Their aim is to emphasise effectiveness, appropriateness and quality using tools sucj as EB-HC modelling and social partnership. They have a local multi-disciplinary Evidence Centre (LMEC) attached to the PCAP project to facilitate the application of EB-HC, applied health research, facilitate and educate local users (healthcare workers and the public!!) elements of the EB-HC. We are also part of the local Primary Care Clinical Governance framework and will "take the flak" for promoting change and advocating education reform from all sides. Dr Khong’s particular interest is in care-model development, especially in diabetes care, and he is research lead for developing a primary care diabetes service in North Cheshire. Most of all, he would like a home for his "misplace" enthusiasm amongst other suitable "maligned" individuals.
KAMLESH KHUNTI
DAVID KINCADE
JOS KLEIJNEN
Jos was registered a physician (Univ of Limburg, Maastricht, Netherlands) in 1987. He worked as a research fellow at the dept of Epidemiology, Univ of Limburg 1987-1993, on his PhD Dissertation "Food supplements and their efficacy" (in 1991) which contained loads of systematic reviews. He was registered as an epidemiologist in 1993. In 1993 he moved to Amsterdam as clinical epidemiologist at the dept of Clinical Epidemiology and Biostatistics in the Academic Medical Centre where he stayed until 1998 and worked with clinicians on various clinical research projects. Jos established the Dutch Cochrane Peripheral Vascular Diseases Review Group in 1995, and was a member of the Cochrane Collaboration Steering Group from 1996-1998. Currently he is Professor and director of the NHS Centre for Reviews and Dissemination, Univ of York, UK. His special interests are: methodology of clinical research, systematic reviews, role of placebo effects in randomised trials, screening and diagnostic test evaluations (recently).
EBHC-related publications since 1995;
REINHOLD KREUTZ
Reinhold is a physician scientist from Berlin, Germany. After his clinical training in internal medicine (1987-1992) in Germany he went to Boston, Harvard Medical School, to work on a research project on experimental genetics of arterial hypertension. After having spent three years in Boston he went back to Berlin, Germany in 1996 to work as a staff physician scientist in the Benjamin Franklin Medical Centre, at the Faculty of Medicine of the Freie Universtaet.
As Reinhold tries to continue his research projects on experimental genetics of hypertension and hypertensive target organ damage in Berlin, he is also involved in teaching and practising clinical medicine in the cardiovascular field. In doing so he got increasingly interested in EBM and he is looking forward to continuously incorporating EBM strategies in both patient care and teaching of students in the future. Therefore, he is very grateful of having had the opportunity to visit the Centre for EBM in Oxford and to get a kind of hands on experience how it can work in clinical practise. He is looking forward to staying in contact with the centre as well as with other colleagues who are interested in this field.
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MAYUR LAKHANI
Current Involvement: Lecturer at University of Leicester, involved in developing evidence based review criteria. He is co-author of a book "Evidence-based audit" Teaching undergraduates Evidence based audit skills course, also lectures with GP registrars. He is currently working on developing evidence based guidelines for osteoporsis Aims/Philosophy: Mayur believes in evidence-based practice and is trying to promote use of evidence not only in clinical practice but also in policy making. He is trying to develop and evidence-base approach to health care in his role as chairman of his PCG. Mayur has attended the Oxford workshop in 1998 and identifies with the aims and philosophy of CEBM and would like to work with us to promote the aims and objectives of the CEBM.
TIM LANCASTER
Tim is a general practitioner at the Jericho Health Centre, Oxford, and a part-time member of the Imperial Cancer Research Fund General Practice Research Group. He is the coordinating editor of the Cochrane tobacco addiction review group. He studied epidemiology at Harvard, and has particular interest in clinical teaching using the methods of evidence-based medicine. He was a tutor for the first and second UK workshops on teaching evidence-based medicine.
EBHC-related Publications since 1995
ERNEST LAU
ALETTE LAWSON
PETER LEWINS
DAVID LEWIS
RUTH LEWIS
Ruth is currently working as a research assistant conducting a systematic review for the Cochrane Collaboration on the impact of telemedicine on patient care and professional practice. The review will be carried out with the Cochrane Collaboration on Effective Professional Practice (CCEPP) and will be registered with the Cochrane Database of Systematic Reviews.
Before working at Aberystwyth Ruth studied for her MSc in Information Studies at the Department of Information and Library Studies, Loughborough University. As part of her 6-month dissertation she carried out a survey that investigated the attitudes of healthcare professionals towards evidence-based medicine at Leicester Royal Infirmary NHS Trust.
Prior to studying at Loughborough Ruth worked for the Cumbria Health Care Trust for eight years as a Senior II Chiropodist (1987-1995), Here, by doing clinical audit and carrying out her own research project in the field of biomechanics she became interested in a career within the field of medical research which she is now pursuing.
ALESSANDRO LIBERATI
After his medical degree obtained at the University of Milan Medical School in 1978, Alessandro started his research career as Research Fellow at the Laboratory of Clinical Pharmacology of the Mario Negri Institute in Milano. In 1981 he got his Post-Doctoral Degree in Hygiene and Public Health and subsequently spent a training period as Research Fellow at the Departments of Epidemiology (Chairman Prof B MacMahon) and Health Policy and Management (Chairman Prof F Mosteller) at the Harvard School of Public Health in Boston (USA).
Upon his return to Italy in 1985 Alessandro concentrated on research in the areas of quality care assessment in oncology (with special reference to the study of determinants of physicians behaviour) and evaluation of the quality and reliability of the scientific literature. In 1993 Alessandro spent a sabbatical in the USA serving as Visiting Scholar at RAND Corporation in S. Monica (California) under the direct supervision of Prof Robert H Brook. During that period he completed a comprehensive cost-effectiveness study on the different screening, treatment and follow-up modalities for patients with early breast cancer.
Alessandro is currently head of the Laboratory of Health Services Research at Mario Negri Institute and Director of the Italian Cochrane Centre (founded in 1994). Since 1996 he is Visiting Professor of Health Services Research at the University of York (UK).
Alessandro is the coordinator of a national project called TRIPSS ("Transforming Research Results into clinical practice") aimed at applying the principles of Evidence-based Health Care into the Italian National Health Service.
Alessandro's research activities are documented in over 240 scientific publications (of which over 135 are in English language peer-reviewed journals). His most significant contributions are in the following areas: a) analysis of determinants of compliance to practice guidelines in oncology; b) assessment of the quality of the medical literature; c) methodology for the production and assessment of practice guidelines; d) systematic reviews in oncology, ophthalmology and intensive care medicine.
EBHC-related Publications since 1995
TOBY LIPMAN
Toby continues to be involved in EBM teaching and learning both in his practice and in organising workshops outside the practice.
ANNA ELEN LIVINGSTONE
CHRISTOPHER LOUGHLAN
Christopher teaches health professionals (eg critical appraisal), is Guideline Co-ordinator for the HealthBoard, and conducts applied research in the field. He is also a tutor on the West of Scotland NHS Research Methods Course.
GAIL LOUW
Gail is currently a trainee at the Systematic Reviews Training Centre at the Institute for Child Health in London. Her review is on treatment options for children with Hodgkin’s’ Disease.
MARK E LOVELAND
Mark is currently a clinical medical student at the University of Manchester, UK, based at Manchester Royal Infirmary. His interest in all things evidence-based springs from the Oxford Conference on Critical Appraisal for Medical Students, which he attended as a delegate of the University of St Andrews, Scotland. After enjoying both the intellectual and social aspects of OCCAMS, he ran seminars on what he had learned for other medical students at St Andrews. On achieving his B.Med.Sci. he persuaded clinicians at his local hospital to give him his most interesting summer job ever, running an evidence-based clinical information service called The Classic Cases Project.
Mark owes any success in this to the invaluable help of Douglas Badenoch and Dave Sackett at the Centre, and also to Belhaven Best Ale. A Canadian passport, Italian features and a taste for Indian food complete the picture. When not engaged in destruct-testing of the G.I. tract, he enjoys fundraising, and convened a campaign which raised £47,000 for good causes a couple of years ago.
Mark is in the process of setting up a group called "CAMS" - Critical Appraisal for Medical Students - and would like to hear from anyone interested in developing exciting opportunities to improve skills in applying papers to patients. He can be contacted by email on Mark.Loveland@stud.man.ac.uk
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FINLAY McALISTER.
Finlay qualified in medicine at the University of Alberta (1990) and, after becoming a Fellow of the Royal College of Physicians of Canada (General Internal Medicine, 1994), he trained in clinical epidemiology at the University of Ottawa. He left Ottawa in July 1998 to complete a Medical Research Council of Canada Fellowship with Dave Sackett at the Centre for Evidence Based Medicine in Oxford. His clinical and research interests are in hypertension and atherosclerotic disease.
EBHC-related Publications since 1996
ANITA McBRIDE
JOHN McBRIDE
PETER McCULLOCH
BRIGID McELHILL
DAVID McINNESS
David is currently Clinical Associate Professor of Family Medicine at the University of Iowa and Program Director of the Iowa Lutheran Hospital Family Practice Residency Program in DesMoines, Iowa.
David’s undergraduate BA from William Jewell College is in Chemistry and his medical degree is from the University of Missouri - Columbia. David was in general practice (Family Practice) for 12 years before joining the faculty.
David’s primary interest is in teaching residents and practising physicians the concepts and tools of EBM / EBHC with a special interest in perinatal care issues.
IAN MACKENZIE
Ian is Reader in Obstetrics and Gynaecology, University of Oxford, Consultant Obstetrician & Gynaecologist, Oxford Radcliffe NHS Trust and Professorial Fellow of St. Hugh's College, Oxford.
Ian qualified in medicine in 1967 at the University of Bristol and after various junior hospital jobs entered training in obstetrics and gynaecology. After posts in Bristol and Newcastle, Ian worked with the late Mostyn Embrey in Oxford as a Clinical Research Fellow exploring the prostaglandins in reproductive physiology and their therapeutic roles. Work in this area has been maintained over the last 24 years, pioneering and developing various approaches to using prostaglandins for therapeutic abortion and induction of labour at term. This work continues and for the last 12 years has included investigating the roles and pharmacological effects of the anti-progestins epostane and mifepristone in influencing myometrial contractility.
Other areas of clinical research have included developing methods of prenatal diagnosis, collecting original data on fetal haematological, biochemical and hormonal values, and pioneering new strategies for the management of severe Rhesus immunisation during pregnancy. The value and appropriateness of some diagnostic and surgical procedures in the speciality have also been examined.
EBHC-related Publications since 1995
MABIA E MACKEY
Mabia is currently co-ordinating and giving EBM workshops at the Centro Rosarino de Estudios Perinatales, a WHO collaborative centre in maternal and child health.
JOANNE MCMASTER
Joanne is a Psychiatric Nurse Practitioner. Joanne is at the University of Rochester where they are teaching them to use Evidence-Based Medicine. She is a beginner but excited to learn as much as possible about it.
ANN McPHERSON
Ann works as a General Practitioner in a six partner non-fundholding practice in the middle of Oxford. She has a particular interest in women's health and teenage health. She has written widely on both these subjects and has just completed editing the fourth edition of Women's Health in General Practice in the General Practitioner series published by Oxford University Press.
Ann’s present research work involves a randomised trial on an interactive video for patients’ choices of HRT and the menopause. She is also involved with Andrew Herxheimer in developing a database of patients' experiences.
Ann is involved in GP training and has recently written a teaching pack on the health of adolescents in primary care for GP Registrars which includes a section on GP Registrars to critically appraise scientific papers using applications on adolescent health.
EBHC-based Publications since 1995
KLIM McPHERSON
HENRY MCQUAY
Henry qualified in medicine at Oxford and then trained as an anaesthetist, and is currently Clinical Reader in Pain Relief at Oxford. Research interests range from laboratory studies of analgesics through clinical trials to systematic reviews. Secondment as R&D Director for the Oxford Region provided the opportunity to implement evidence via the GRiP project, and to start (Feb 1994) the evidence-based newsletter Bandolier, which now has a print circulation of 25000 per month and an Internet home at http://www.jr2.ox.ac.uk/Bandolier.
EBHC-related Publications since 1995
LYNN McQUEEN
CHRISTOPHER MAGGS
JONATHAN MANT
Jonathan Mant is a senior lecturer in the Department of General Practice at the University of Birmingham. Previously, he was a lecturer in Public Health in Oxford, from 1992-1997.
Jonathan is involved in teaching clinical epidemiology on a Masters course run by his department for GPs. His research interests include clinical trials and observational studies connected with cardiovascular disease and stroke.
EBHC-related Publications since 1995
HARVEY MARCOVITCH
TOM MARSHALL
Tom’s professional background is in public health, but he has also studied health economics. In addition he has clinical experience in UK primary care, some exposure to medicine in a developing country setting and experience of health policy analysis (analysis of European health care systems).
Tom believes that the basis for either health decisions or individual health care decisions should be open and inclusive. He also believes that scientific debate and the empirical scientific method provide a means of making the basis of such decisions more explicit.
EBHC-based Publications since 1995
JILL MEARA
COLIN MELVILLE
DAVID MILLIGAN
RUAIRIDH MILNE
Ruairidh currently works at the Wessex Institute of Health Research and Development, trying to bring together the worlds of evidence-based health care and health technology assessment. He spends most of his time with the National Coordinating Centre for Health Technology Assesment, but also contributes to the South and West region’s Development and Evaluation Service. He was previously at the Institute of Health Sciences in Oxford, where he helped to develop the Critical Appraisal Skills Programme.
Ruairidh’s areas of particular interest are: helping purchasers' to support evidence-based health care; helping people in public health develop skills in teaching evidence-based health care; evaluating the teaching of critical appraisal and the implementation of evidence-based health care; and supporting the developing 'Public Health Field' within the Cochrane Collaboration.
EBHC-related Publications since 1995
VICENT MODESTO i ALAPONT
ANDREW MOORE
Andrew read Biochemistry at Oxford, then obtained a DPhil, then became a clinical biochemist in the Nuffield Department of Clinical Biochemistry, latterly as Consultant Biochemist running the Regional Assay Unit at the Radcliffe Infirmary. His research involved finding useful things that biochemistry could do for doctors, and centred on work on pain and anaesthetics.
In 1986, Andrew formed a UK branch of a US immunodiagnostic company as Managing Director with five colleagues, and left in 1994 when it had grown to 180. He is presently the editor of Bandolier, which has grown since February 1994 from its initial print run of 2,000 for Oxford to 25,000 a month around the UK, and with a large internet site.
Andrew’s research interests centre around systematic reviews in pain relief, anaesthesia and other interesting subjects.
EBHC-related Publications since 1995
JONATHAN MORRIS
Having graduated with MB, ChB from Edinburgh Jonathan travelled to Australia where he completed speciality training in obstetrics & gynaecology. Whilst in Oxford Jonathan continued with his interest in the evaluation of antenatal ultrasound and Doppler to predict adverse pregnancy outcome. In September 1998, Jonathan returned to Sydney to take up a Senior Lecturer post in Maternal Fetal Medicine at the Royal North Shore Hospital.
EBHC- related Publications since 1995
PAT MOTTRAM
ROD MUIR
MARTIN MULLER
KAREN MURCH
LAURENCE MYNORS-WALLIS
Laurence is a Consultant Psychiatrist at St. Ann's Hospital, Poole, Dorset and an Honorary Senior Lecturer with the Southampton University Department of Psychiatry. He did his pre-clinical training at Downing College, Cambridge studying Medicine and Social and Political Sciences. He did his clinical training at Oxford University, qualifying in medicine 1984. He then spent eighteen months gaining experience in general medicine at the Royal Postgraduate Medical School and Guy's Hospital, obtaining his membership of the Royal College of Physicians in 1987. He did his initial training in psychiatry at the Maudsley Hospital in London during which time he spent six months at the Royal Prince Alfred Hospital in Sydney. He became a member of the Royal College of Psychiatrists in 1987, obtaining the Laughlin Prize for the best examination results of that year. He obtained a Wellcome Trust training fellowship to study the treatment of depressive disorders in primary care and obtained his doctorate in medicine in 1994. He became a consultant psychiatrist at the Littlemore Hospital and an Honorary Senior Lecturer with the Oxford University Department of Psychiatry in 1995, before moving to his current post.
Laurence has carried out three randomised controlled trials in primary care looking at the treatment of depressive emotional disorders. He has been particularly interested in the evaluation of a brief psychological treatment (Problem-solving). He will be taking a lead in the practice and teaching of evidence based health care in the East Dorset NHS Trust.
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PAULO NADANOVSKY
Paulo used to teach a session on evidence-based dentistry to undergraduate and post-graduate MSc and PhD students, in the Dental Public Health Unit at the Dept of Epid and Public Health at University College London, where he was a lecturer from 1993-1997.
Paulo is now preparing a course on EBM for medical doctors in the Dept of Epid at the Institute of Social Medicine, State University of Rio. In addition he will be teaching EBM to undergraduate medical students, Paulo has already translated to Portuguese part of the teaching material which the CEBM put on the WWW. Site.
VASI NAGANATHAN
DOUGLAS NEWBERRY
JOHN N NEWTON
RICHARD NICHOLL
Richard was very impressed by the EBM Course at the Centre for Evidence-Based Child Health. This has definitely changed his practice and approach to clinical problems and also to his teaching. He is interested in learning more about
HIDEKO NOMURA
Hideko trained as a nephrologist/molecular biologist, but has just accepted an offer for a position at the Department of General Medicine. As he strongly supports the philosophy/idea of EBM, he would like to learn/investigate/teach EBM at the newly created department in his hospital.
JOHN OGEAH
GBOYEGA OGUMBAMJO
Gboyega is a clinical doctor and a senior lecturer in family medicine He received his degree in 1982(MBBS) 1994 (MFGP(SA)
Gboyega works at the Resource Centre of the Department of Family Medicine in Medumsa where they are in the process of setting up facilities for EBM. Gboyega would be involved in teaching health professionals especially the post graduate trainees on how to practice EBHC in their own work and as part of their requirements for the program. He also intends promoting and implementing EBHC among staff members.
MASANOBU OKAYAMA
Masanobu teaches clinical epidemiology and the behavioral science at Jichi Medical School.
ANNA OLDMAN
GUNTER OLLENSCHLAGER
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LESLEY PAGE
Lesley has held an interest in evidence-based care for many years. She teaches evidence based midwifery and tries to reflect it in her practice.
EBHC-related publications since 1997
JUDY PALMER
Judy is Director of Health Care Libraries in Oxford. She is jointly responsible to the University of Oxford and to the Anglia and Oxford Region for the delivery of Library and Informations Services to the Faculty of Clinical Medicine and for coordinating and facilitating resource sharing among the member libraries of the Health Libraries and Information Network in Berkshire, Buckinghamshire, Northamptonshire and Oxfordshire.
Judy has a first degree in Zoology and Chemistry and a PhD from Sheffield University in Information Studies. She is a Fellow of the Library Association, a member of the Institute of Information Scientists and serves on the Council of both professional Associations.
After graduating Judy worked as an entomologist in agricultural research in Zimbabwe and England and lectured in Zoology in Malawi and Zambia. She then trained as a librarian and information scientist. In Zambia she took up a post in the University Library and then moved to the British Council. Returning to Britain in the late seventies, she worked in the Cairns Library. In 1982 she was appointed Head of Library and Information services at Rothamsted 1982-88 (the home of statisticians Frank Yates and RA Fisher) and subsequently Information Manager and Executive assistant to the Director of Research, AFRC Institute of Arable Crops Research at Rothamsted Experimental Station 1988-1993.
EBHC-related Publications since 1995
SALVATORE PANICO
JULIE PARKES
Julie qualified from Cambridge and Oxford Universities before entering the Northwick Park general practice vocational training scheme. During her time at Northwick she developed interests in psychosocial aspects of medicine, family therapy and women's medicine. On becoming a principal in general practice she was appointed as a course organiser for the Northwick Park GP vocational training scheme and has since maintained an active role in all aspects of post-graduate training. In 1993 she moved to Oxford and became a course organiser for the Oxford GP vocational training scheme. She has introduced Evidence-Based Medicine into this training programme and is keen to apply clinical epidemiology in general practice. She is now a principal in general practice in Oxford.
SANCHEZ MEJIO PASCUAL
Sanchez-Mejio is a member of a multidisciplinary EBM group from Mexico who want to promote EBM in their country.
NICK PAYNE
Nick is leading a group producing critical reviews to the effectiveness and cost effectiveness of new and existing health care technologies, and would like to contribute to developing learning and how best to teach this skill to others within and outside medicine.
JANE PEARSON-MOORE
SIR MICHAEL PECKHAM
Michael is Director of the School of Public Policy at University College, London.
Michael was the first Director of Research and Development for the National Health Service and Department of Health from 1991 to 1995. He was responsible for devising and implementing a research and development strategy for the National Health Service which is now receiving international attention.
Between 1986 and 1990 Michael was Director of the British Postgraduate Medical Federation.
Michael was formerly Dean of the Institute of Cancer Research and Civilian Consultant to the Royal Navy. During his clinical career he became an internationally recognised authority on the treatment of Hodgkin’s Disease and testicular cancer.
Michael was educated at St Catherine’s College, Cambridge and University College Hospital Medical School. He was Vice Chairman of the Imperial Cancer Research Fund, President of the Federation of European Cancer Societies, and founder and President of the British Oncological Association.
Michael received a knighthood in the 1995 Queen’s Birthday Honours for services to medicine. He has also received honorary degrees from the Université de Franche-Compté, Basançon (1991), Loughborough University of Technology (1992), the Katholieke Universiteit Leuven (1993), University of Exeter (1996). In 1994 he became a member of the National Academy of Sciences, Institute of Medicine in Washington DC. He has combined his scientific career with painting and has had eight one man exhibitions.
EBHC-related Publications since 1995
RICHARD PETO
Richard got an MSc in statistics from the University of London in 1967, and then joined Richard Doll as a statistician, first in London and then in Oxford. In 1975 he set up the Clinical Trials Service Unit (CTSU), of which he and Rory Collins are now co-directors. He is currently Professor of Medical Statistics & Epidemiology at Oxford.
Richard’s work has included studies of the causes of cancer in general, and of the effects of smoking in particular, and (with Rory Collins and others) the extablishment of really large-scale clinical trials in a variety of diseases. He has been instrumental in developing and applying statistical approaches to the combination of results from related randomised controlled (systematic "overviews" or "meta-analyses") that achieve uniquely reliable assessment of treatment effects.
Richard was elected FRCS in 1989 for his work on meta-analyses of randomised trials. His awards include the Guy Silver Medal from the Royal Stastical Society in 1986 for developing the log-rank test for comparing two survival curves, the Helmut Horten Foundation award in 1991 (with Richard Doll) for his work on the evaluation of health care interventions. In 1989 he was made an honorary professor of the Chinese Academy of Preventive Medicine, in recognition of his work on tobacco and other aspects of chronic disease control in China.
EBHC-related Publications since 1995
TIM PETO
Educated at Oxford and a Fellow of the Royal College of Physicians, Tim is a General Physician and Infectious Disease Consultant who has organised the integrated, co-ordinated HIV service for the Oxford District. An Honorary Clinical Lecturer, he devotes much of his energy to the education of medical students and physicians, and his research has focused on the organisation and operation of multicentre randomised trials in HIV disease. He also is the Clinical Monitor for a number of randomised trials taking place in the tropics.
KIERAN J PHELAN
BOB PHILLIPS
Bob Phillips was introduced to EBM by the GPs and General Physicians of Oxford and tried to complete his medical student training in an evidence-based way. This experience, and his part in the OCCAMS conference, led him to be involved in the CAMS group and become a tutor at the evidence-based way. This experience, and his part in the OCCAMS conference, led him to be involved in the CAMS group and become a tutor at the follow-up, MaCCAMS.
Currently surviving his SHO year, he plans to become a paediatrician and continue work on the "EB On Call" books: new textbooks for junior doctors of evidence-based practice
EBHC-related Publications since 1995
CERI PHILIPS
Ceri is continuing to work with Andrew Moore and colleagues on a few projects and welcomes the opportunities to continue to develop the relationships. Her personal plan over the next year or so is to continue to apply economic evaluation techniques to the evidence on effectiveness so that decision makers and budget holders can begin to make informed decisions – although this may continue to be wishful thinking.
EBHC-related Publications since 1995
PADDY PHILLIPS
After graduating in medicine and performing his intern year in Australia Paddy came to Oxford and did a D.Phil in physiological sciences. Subsequently he returned to Australia to complete his training in internal medicine at various hospitals in Melbourne. From 1987 he was employed in the Department of Medicine, University of Melbourne, at the Austin and Repatriation Medical Centre, initially as National Health and Medical Research Council Australian Postdoctoral Research Fellow and subsequently as Senior Lecturer and then Associate Professor of Medicine. In 1996 Paddy returned to Oxford to become May Reader in Medicine, Nuffield Department of Clinical Medicine and Honorary Consultant Physician. In July 1997 he took up his present position as Professor and Head of Medicine at Flinders University, Flinders Medical Centre and the Repatriation General Hospital, Adelaide, Australia. Paddy's interests are in general internal medicine with a subinterest in the prevention and treatment of cardiovascular disease. Paddy's basic research focuses on the physiology, pathophysiology and pharmacology of circulatory and salt and water homeostasis. He has over 100 publications in these basic and clinical research areas.
EBHC-related Publications since 1995
GRAHAM PINEO
Graham is Professor of Medicine and Oncology at the University of Calgary, Calgary Alberta, and Co-Director of the Thrombosis Research Unit with Dr Russell Hull. Graham is active in carrying out multicentre clinical trials on the diagnosis, prevention and treatment of venous thromboembolism. He is actively applying evidence based medicine principles to reviews and textbooks.
EBHC related Publications sinc 1995
ANDREW POLMEAR
Andrew is Senior Research Fellow in the Academic Unit of Primary Care, The Trafford Centre for Graduate Medical Education and Research at the University of Sussex. He became the founder member of the Unit in 1996 after 17 years as a principal in general practice in Hove. He left clinical general practice in order to concentrate on writing. In 1985 he started to write a book with a general practitioner colleague, Alex Khot, which was published in 1988 as Practical General Practice: guidelines for logical management. In the preface they wrote that they believed it is possible to draw up guidelines of management which are logical and justifiable on the evidence. That view has been endorsed by developments in the subsequent twelve years and a third edition is now in preparation.
Andrew has just completed the second year of the Oxford Masters Programme in Evidence-Based Health Care.
At the University of Sussex, Andrew is involved in facilitating the development, dissemination and implementation of local guidelines on the role of primary care in acute low back pain, breast cancer, coronary heart disease, dementia, depression, glue ear, menorrhagia and shoulder and knee pain. He is involved in research, including research into the appropriateness of direct access by general practitioners to urinary tract imaging in children with urinary infections. He is local principal investigator for ASCOT (Anglo-Scandinavian Cardiac Outcomes Trial), an international study of the treatment of hypertension. He is also involved in developing a bid for a new Medical School which would be based on a philosophy of self-directed problem-based learning with as much of that learning taking place in primary as in secondary care.
FRANZ PORZSOLT
Franz is internist and specializes in haematology/oncology. Focussing on patients with non-curable malignant diseases he discusses goals of treatment and goal attainment in this population and looks at (intangible) costs and consequences from the patients point of view. He is affiliated to the Department of Psychotherapy and Psychosomatic Medicine, University of Ulm, Germany.
The small group in Ulm is organizing German courses in Evidence-Based Medicine, introducing the basic elements of EBM in the first year curriculum of medical students and is participating in the establishment of a German EBHC-EBM network. Based on the web site of the Oxford Centre, German teaching material, publications and other information in German is provided at the web site www.uni-ulm.de/cebm
MARK POTOCNJAK
Mark became involved with EBM during OCCAMS in Oxford, January of 1996. He is a research assistant in the Neurosurgical laborotory, University of Rijeka. He is also a volunteer in the Department of Neurosurgery at the Clinical Hospital at the University of Rijeka. He is Clinical Observer at Barrow Neurological Institute; Phoenix Arizona. Mark is on the organization committee for 1st and 2nd Croatian International Scientific Symposium and is also Vice President and Regional Coordinator for EMSA (European Medical Students Association) for the University of Rijeka.
IGOR PREBILIC
EBHC- related Publications since 1995
RAZYAN PREDA
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GUSTAVO QUINTERO
Gustavo is a clinical doctor and received his degree in 1974
In the institution where Gustavo works they are developing a model of EBM at the moment, perhaphs the first experience in Colombia! As a teaching hospital they are very pleased to introduce EBM in their programmes.
Gustavo is very keen to share with others and to be kept informed and receive educational information.
GLORIO RAMIREZ DONOSO
SHEENA REILLY
RENELLA REZIO RAFFAELE
SCOTT RICHARDSON
Scott was born and raised in the Maryland countryside outside of Washington, DC. After studying literature at the University of Maryland and medicine at Georgetown University, he completed Internal Medicine residency, chief residency and fellowship at the University of Rochester. He joined the faculty there, apprenticing with some master clinician-teachers while developing his academic interests in clinical epidemiology and medical education. Later, Scott found his way to the week-long workshop at McMaster University, where he then joined up with the Evidence-Based Medicine Working Group. After a sabbatical in Oxford, Scott has moved on to San Antonio, Texas, where he works with others at the San Antonio Cochrane Center, Evidence-Based Practice Center and VERDICT Field Program to find more and better ways for clinicians to use evidence in practice.
Scott enjoys journeying to work with, and collecting teaching tactics from, EBM colleagues from around the world. He is working to find new ways to put important and useful EBM tools in the hands of clinicians and teachers, and he hopes they'll forgive his desire to make it more fun, too.
EBHC-related Publications since 1995
RICARDO RIERO LIZARDO
Ricardo has become an enthusiastic follower of the technique that provides him and others with a way through the rapidly changing environment of medicine. It gives him the confidence and keeps him excited about his career.
TIM RINGROSE
CHARLES CHRISTOPH ROEHR
Charles is of Irish-German descent and grew up in Bochum, West Germany. He studied Medicine at the Free University and Humboldt University of Berlin Medical Schools. For three years he held a job as student tutor at the Institute of Social Medicine at the Free University of Berlin. There he developed an insight into the many social aspects of medicine, leading him to choose a career in Paediatrics. His dissertation deals with the socio-economic aspects of infant nutrition. A father of two very lively girls, Luca (4) and Carlota (almost 2), he still managed to qualify at the Humboldt Univeristy of Berlin in 1997 and now works at the University Department of Paediatrics, Virchow Klinikum-Charite Berlin for Prof. Dr. Med. U. Wahn.
Charle’s first encounter with EBM was through his pioneer email experience with Australia in 1995. Puzzled by the term, the 4th year Medical Student founded a student workshop to unravel what EBM was all about. They started out by investigating the nature of clinical reasoning on the basis of the current medical paradigm and introduced EBM to their teachers. Mediated through an elective period at the John Radcliffe Hospital in Oxford Consultant Paediatrician Dr Peter Sullivan introduced him to the works of the Cochrane Collaboration. Another elective at Yale’s Department of Paediatrics marked his first encounter with the clinical practice of EBM at the bedside
Charles participated in the 1st German workshop on EBM in Lubeck in August 1997 and represented the Berlin based EBM-student group at MACAMS in June this year. The experience of these workshops and raving through Manchester’s nightlife alongside the amazing Mark Loveland, Bob Philips, Nick Shenker and Chris Ball, irrevocably convinced him to continue spreading the word (and practice) of EBM throughout his department and medical school
WILLIAM ROSENBERG
William qualified from Cambridge University and Guy's Hospital, London before training in general medicine and gastroenterology in London and Oxford. He gained DPhil in molecular immunology whilst working at the Institute of Molecular Medicine in Oxford and has subsequently continued to work in this field while completing his training in general internal medicine and gastroenterology. For the last three years he has been Clinical Tutor in Medicine in Oxford, taking responsibility for undergraduate medical education and curriculum development. He has taken a particular interest in curriculum design, communication skills teaching and practical skills training. Over the last two years he has been learning and trying to teach the principles and practice of Evidence Based Medicine. This has led to the development of a post-graduate training programme in EBM for hospital physicians and undergraduate teaching. He is actively involved in educational research and is trying to apply clinical epidemiology in his clinical research, teaching and clinical practice.
Since the foundation of the CEBM, William has been working to develop EBM within the undergraduate curriculum in Oxford. This has included the introduction of lectures on Evidence Based Medicine, the use of EBM as a teaching framework on assignments in general medicine and gastroenterology and the inclusion of a final year Special Study Module in EBM. With financial support from the Nuffield Benefaction the Medical School has established a computer aided learning network with work-stations situated on every pair of medical wards, a surgical ward, the admissions unit and the library at the John Radcliffe Hospital. These machines provide access to the Internet, MEDLINE and electronic textbooks including the Oxford Textbook of Medicine. In addition word-processing and publishing packages are available. In the future it is hoped that this network will be extended and linked to the CLINT project at McMaster. In addition to his work in undergraduate teaching William has been busy lecturing, running workshops and seminars for post-graduate trainees from a variety of backgrounds all over the UK.
William is actively developing teaching tools and has been involved in a research project investigating the effectiveness of a training package for teaching question formulation and searching skills, developed in conjunction with librarians Anne Lusher and Robin Snowball. He has been encouraging journals to employ Users' Guides for critical appraisal of evidence and has written new guidelines for the management of gastrointestinal bleeding. He managed to get The Lancet to publish likelihood ratios for his diagnostic test for ulcerative colitis after a battle and a lengthy explanation!
William’s current "hot" interests include evidence based patient choice (another of Muir's bright ideas) and following a trip to Wales, multidisciplinary working and EBP.
In May 1997 William left Oxford to establish a seaside division of CEBM in Southampton.
EBHC-related Publications since 1995
Book
Solicited Reviews
PAOLO RUBBA
MARY RUDOLF
Mary is an editor in the new Cochrane Review Group on psychosocial, behavioural and learning disabiliites (ie child health) and also paediatric section editor of the BMJ initiative – clinical evidence. Mary is interested in seeing how evidence is/can be utilised in the consultation,
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DAVID SACKETT
Dave grew up in Illinois, where he received his medical education and first post-graduate training in internal medicine and nephrology. When the latter was interrupted by the Cuban missile crisis, the two years he spent on active duty in the U.S. Public Health Service suggested to him that interesting and useful things might follow from the application of epidemiological and biostatistical ways of thinking to the care of individual patients. The rest of his career has been devoted to research, teaching, and practice based on these ideas.
He founded the Department of Clinical Epidemiology and Biostatistics at McMaster University in Canada, and helped design and run a problem-based, self-directed undergraduate medical curriculum whose graduates, unlike those of traditional medical schools, kept up to date in their clinically-important knowledge (when he recognised his own deterioration, he took a second, 2-year "re-treading" residency in internal medicine).
After stints as Hospital Physician-in-Chief and University Head of the Division of Internal Medicine at McMaster, Dave moved to Oxford in the autumn of 1994 to a new Chair in Clinical Epidemiology in the Nuffield Department of Medicine.
With generous support, sage advice, some wonderful colleagues, and huge encouragement (especially from his students and trainees), he collaborated in the creation of the Centre for Evidence-Based Medicine. He and Barbara run an unlicensed B&B in their home in North Oxford for the growing numbers of people who want to visit and join this enterprise. Given the success of the Centre and its members, and with the end of their 5-year commitment to it rapidly approaching, Dave and Barbara Sackett returned to the forests of Canada in Spring 1999 where they run the Trout Research & Education Centre. In Dave's 7th career he has passed the EBM torch to the next generation, and is no longer writing/ talking/ refereeing about EBM so that it can continue to grow and evolve without having to put up with him or tradition. He is now thinking/ writing/ teaching about randomised trials (a series is starting in the CMAJ), and he and Barbara run the Trout Workshops to help young investigators devise and design their own RCTs. He's a terrible correspondent, but you can try to contact him through the Centre.
EBHC-related Publications since 1995
SERGIO SARITA
Sergio is Viceminister of Health in charge of planning in the Dominican Republic.
THOMAS SCHMELZER
JOHN SEARS
KATE SEERS
Kate Seers is Head of Research at the RCN Institute in Oxford. Here she leads a team of researchers who are from a variety of nursing and other backgrounds. Her area of special interest is pain management, especially the management of acute pain and chronic non-malignant pain. She is a nurse by background, having trained at Charing Cross Hospital in London, with post registration experience in surgery and intensive care. For the past 15 years she has been working on a variety of research studies
related to pain management. Kate is also an associate tutor on the University of Oxford MSc in Evidence Based Health Care. Kate is keen to work with colleagues to promote evidence based health care amongst nurses, especially in relation to pain management, and to network to discuss ways of achieving this goal.
EBHC-related Publications since 1995
JUDY SHAKESPEARE
Judy is a GP and a GP Tutor in Oxford. She hopes she practices EBM but feels there is always room for improvement
NICK SHENKER
Nick is a junior doctor working in general medicine. He is writing EB On-call, a handbook on acute medical and surgical problems which summarises the best current available evidence into useful guides for front-line clinicians.
SASHA SHEPPERD
EBHC related Publications since 1995
BRAD SHERMAN
Brad has a clinical interest in both practicing and teaching EBM.
He is part of the teaching faculty in the Department of Medicine at his hospital, where there are 63 House Staff that he helps to educate.
He strongly believes that EBM is the way to practice medicine both now and in the future.
PING-SHIU SHUM
LYNDA SIBSON
LESLEY SIMS
Lesley started her working life in the services being addressed like a business letter as Sir or Madam but was brought down to earth when she went to work for an industrial oils and lubricants business supplying the metal bashers of Birmingham, when the usual form of address was unprintable. She moved in 1987 to be Administrator to the Department of Computer Science at the University of Warwick which was a very exciting research environment with great students, whatever they say about computer scientists, and then into the central administration in Warwick where she was an Assistant Registrar with responsibilities as Secretary to the Faculty of Social Sciences and for such popular tasks as planning and allocation of academic accommodation, student discipline hearings and value for money exercises.
Lesley joined the Nuffield Department of Medicine in March 1998 as Head of Administration and is very happy to be back with scientists and research with the added interest of a new discipline, the hospital environment and a rather different University.
LUI SIU-FAI
JENNIFER SLEEP
Having spent 20 years in nursing and midwifery practice, Jennifer undertook an education degree and spent five years as a midwife teacher at the Royal Berkshire Hospital, Reading. Between 1982 and 1988 she mounted a programme of five randomised trials to evaluate aspects of midwifery care in collaboration with Iain Chalmers, Adrian Grant and colleagues at the National Perinatal Epidemiology Unit. Since then she has focused on developing a strategy for research education for health professionals from diploma to Master’s level and undertaking research supervision. She has a passionate commitment to improving standards of care through evidence-based practice. She is currently Reader in Nursing and Midwifery Research at the Wolfson Institute of Health Sciences, Thames Valley University.
Jennifer is currently undertaking a randomised controlled trial to compare alternative strategies for reducing crying and sleeping problems during the first 3 months of life. This study is supported by a major grant from the Department of Health.
EBHC-related Publications since 1995
LESLEY SMITH
RICHARD SMITH
Richard is editor of the BMJ, chief executive of the BMJ Publishing Group, professor of medical journalism in the department of medicine, University of Nottingham, and visiting professor at the London School of Hygiene and Tropical Medicine.
Richard was born and bred in London but went to medical school in Edinburgh. He graduated with a distinction in medicine in 1976. During his training he did an honours degree in experimental pathology, researching into stem cell kinetics and apoptosis, a subject which 20 years later is becoming of central scientific importance; he graduated with first class honours. After graduating he worked in hospitals in Scotland and New Zealand before joining the British Medical Journal in 1979. Richard has been editor since the beginning of 1991.
During his time with the journal Richard has edited most of its sections. The winner of four awards for journalism and medical writing, he has written extensively on alcohol and health, compensation for medical injury, prison health care, unemployment and health, research policy, and the regulation of doctors. Three of these series have been published as books.
Richard has wide experience of lecturing and broadcasting and has written for many lay and professional British and international publications. He spent four years as the resident doctor on BBC Breakfast Time and copresented two series of programmes on BBC1 and ITV. He has written and presented programmes for BBC2 on how medicine is driven more by fashion than science and how the media depict scientific stories. These programmes were shown on the BBC World Service.
In recent years Richard has had increasing managerial responsibility. The BMJ Publishing Group has a turnover of £25m and a staff of 160. In preparation for his job as chief executive Richard spent a year at the Graduate School of Business at Stanford University, California. While there he attended the Sloan management program and graduated with a degree in management science. Since he took over, the BMJ Publishing Group has published 10 new journals, started more than a dozen new overseas editions of the BMJ, begun a student edition of the BMJ, made the BMJ available on the Internet, started an externally funded research programme, hugely expanded its book publishing, redeveloped its book shop, begun a data services business, and more than doubled its turnover.
Richard is a fellow of the Royal College of Physicians of Edinburgh, a fellow of the Royal College of Physicians of London, a member of the Faculty of Public Health Medicine, and a fellow of Kasturba Medical College, Karnataka India.
Married with three children, Richard loves jazz, theatre, chamber music, running, hill walking, and wine; he also has two brothers who are comedians.
GEORGE SOAR
KARLA SOARES
Karla qualified in medicine at the Federal University of Minas Gerais, Brazil in 1987 where she finished her training in psychiatry in 1991. She obtained her MSc in mental health epidemiology from the Estadual University of Campinas, Brazil in 1994. In the same year she started her PhD in Psychiatry at the Federal University of São Paulo, Brazil, and obtained a scholarship from the Brazilian Ministry of Education (CAPES) to spend 2 years at Oxford University working with the Cochrane Schizophrenia Group. After finishing her PhD in April 1997, she returned to the Federal University of São Paulo to teach evidence-based psychiatry and to co-ordinate the training program in systematic reviews for the Brazlian Cochrane Centre.
While in Oxford, Karla was closely involved with the activities of the Cochrane Collaboration and participated in the CEBM course (Fundamentals of Medical Statistics and Fundamentals of Research Design). She has undertaken a series of systematic reviews in the treatment of neuroleptic-induced tardive dyskinesia and plans new research in this area.
EBHC-related Publications since 1995
ANDREW SOLOMON
SHARON STRAUS
After completing a degree in physiology-pharmacology from the University of Western Ontario, Sharon did her medical training at the University of Toronto. She trained in general internal medicine and geriatric medicine in Toronto and was made a Fellow of the Royal College of Physicians of Canada in 1995. She is enrolled in the MSc programme in clinical epidemiology at the University of Toronto. She left Toronto in July 1996 to complete an R. Samuel McLaughlin Fellowship with Prof. Dave Sackett at the NHS R&D Centre for Evidence-Based Medicine and was appointed Deputy Director of the Centre in September 1997. She will be returning to Toronto in July 1999 to work as a consultant internist and geriatrician at The Toronto Hospital.
EBHC-Publications since 1995
S. SUDHINDRAN
PETER SULLIVAN
Peter read Physiology and then Medicine at the University of Manchester. After a brief sojourn working in India, he specialised in Paediatrics. Whilst attached to the Dunn Nutrition Laboratory in the University of Cambridge, he undertook a three year research programme at the Medical Research Council's Laboratory in The Gambia, West Africa investigating small intestinal pathology in children with persistent diarrhoea and malnutrition. He completed his specialist training in paediatric gastroenterology at Westminster Children's Hospital, London from whence he became Senior Lecturer/Hon. Consultant Paediatric Gastroenterologist in the Department of Paediatrics at the Chinese University of Hong Kong.
Peter came to the University of Oxford in September 1994 as University Lecturer in Paediatrics/Hon. Consultant Paediatrician. He has initiated and developed a tertiary service for Paediatric Gastroenterology and Nutrition including a weekly paediatric endoscopy service which provides for Oxfordshire and surrounding counties. Clinical innovations have included development of a multidisciplinary Children's Allergy Clinical and a Feeding Assessment Clinical for children with neurological impairment. In addition, this service has seen the start of the first Nurse-led Childhood Constipation Clinic in the country the effectiveness of which is currently under evaluation.
Peter's research interests include small intestinal mucosal repair in children with persistent diarrhoea and malnutrition; nutritional assessment and management of disabled children with feeding difficulties and Helicobacter pylori infection in children and their families. He is currently Secretary of both the British Society of Paediatric Gastroenterology and Nutrition and the Commonwealth Association of Paediatric Gastroenterology. His wife Susan is an ear, nose and throat surgeon in Oxford and they have two young sons.
EBHC-related Publications since 1995
Book
Chapters
NICK SUMMERTON
Nick trained in Medicine at Oxford and subsequently spent some time in a number of hospital posts prior to entering single-handed general practice (MRCGP 1988). Between 1993 and 1997 he underwent further training in epidemiology and public health medicine [MPH (Leeds, 1994), MFPHM (London, 1995).
Nick has experience in teaching critical appraisal/primary care epidemiology. He attended the course in McMaster last summer (having been awarded a Joan Dawkins Travelling Fellowship).
Currently Nick is clinical lecturer in primary care medicine at the University of Hull and half-time practitioner at Winterton (North Lincolnshire).
EBHC-related Publications since 1995
M Sundar
He is a public health doctor and epidemiologist who wishes to popularize EBM in Bangalore India. To incorporate EBM teaching for undergraduates/postgraduates in medicine and dentistry and to develop national/international network for EBM.
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CLARE TAYLOR
Clare is an OT Educator involved in encouraging OT students and OT practitioners in developing their evidence-based practice skills. Clare is interested in helping therapists to develop their reflective and clinical reasoning skills, of which evidencebased practice is a core aspect. Clare is particularly interested in exploring how evidence-based practice can be developed to include qualitative research and can be made more applicable and acceptable to occupational therapists.
ROD TAYLOR
Rod is currently a Senior Lecturer in Health Services Research at the Postgraduate Medical School, Exeter and Co-ordinator of the Exeter and North Devon NHS R&D Support Unit.
Academic qualifications include BSc Hons in Physiology, 1978 and PhD in Clinical Exercise Physiology in 1982, both from the University of Glasgow, and Postgraduate Certificate in Health Economics from the University of Aberdeen, 1996. Current research interests include evaluation of the effectiveness of critical appraisal training, the clinical utility of ambulatory blood pressure in primary care and the physiological impact of cardiac rehabilitation.
EBHC-related Publications since 1995
MICHELLE TEO
Michelle is currently a first year clinical student at the John Radcliffe Hospital, Oxford. Despite being overwhelmed by a tidalwave of medical information, she tries to keep abreast of the situation by using evidence-based medicine. She is also a contributor to the soon-to-be-released "EBM on Call".
HARSHAD P THAKUR
ANTHONY THOMAS
Anthony is involved in using EBM as a tool for his own continuing professional development and as a tool for helping doctors in training learn both in the ICU and also because he is also the clinical tutor throughout the hospital.
JANE THOMAS
ANDRE TOMLIN
He is Director of Knowledge Services at the Centre for Evidence-Based Mental Health. He received his degree in Information Management in 1998.
Andre has spent the last five years experiencing the heady atmosphere of Oxford's EBM culture. Previously based at the IHS library he has worked on a variety of projects including the PRISE projects, the Evidence-Based Healthcare book (with Muir Gray) and the Evidence Based Health Policy & Management Journal. Andre now spends most of his waking hours developing the CEBMH website and training programme.
STEPHEN TOOVEY
Stephen is the director of a network of primary care physicians dedicated to the implementation of cost effective quality care. His network is interested in applying the lessons of EBM, and in conducting research.
MARTIN R TRAMÈR
During this time he completed his D.Phil. with a work on systematic reviews on efficacy and harm of anaesthesia-related interventions. His main interest is on antiemetics. Martin moved back to Switzerland at the end of 1997. He is currently working at the Division of Anaesthesiology, University Martin is an anaesthetist from Switzerland who spent three years at the Pain Relief Unit in Oxford. Hospital, Geneva. A research grant from the Swiss National Scientific Foundation enables him to continue to do anaesthesia-related systematic reviews.
EBHC-related Publications since 1995
TIM TREASURE
KILGORE TROUT
Kilgore is Editor Emeritus at the Centre and mentor to Dave Sackett and several others in the EBM movement.
A Fellow of the Royal College of Epidemiology (FRCE), Kilgore worked for several years for the renowned author, Kurt Vonnegut, Jr. Released from that contract in 1981, he joined the Department of Clinical Epidemiology and Biostatistics at Macmaster University in Canada, where he was lead author of the high-impact-factor Readers’ Guides to Determine Etiology or Causation (Can Med Assn J 1981; 124: 985-90), and the equally widely read How to Do it with More Complex Maths (CMAJ 1983; 129: 1093-9).
A charter member of the Centre, he continues to inspire the members of the Evidence-Based Medicine Working Group in the evolution of readers’ guides into users’ guides, and the Centre’s recent book on how to practice and teach EBM is the most recent of several volumes that have been dedicated to him.
SARA TWADDLE
Sara is the Head of R&D at Stobhill NHS Trust and a Senior Manager at the Accounts Commission for Scotland. She is a health economist by training, with a major interest in women's health both as a researcher and as the Commissioner for women’s acute services in Glasgow.
Sara is now involved in a large survey of evidence based health care in Scotland, which is currently focusing on the use of evidence in health care planning. The second phase, looking at the use of evidence in Trusts will take place in 1999.
Sara is honoured to be alphabetically placed next to Kilgore Trout.
LEO B TWIGG
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CHRISTINE URQUHART
ANNA VAN DER GAAG
Anna is a lecturer in speech and language therapy at the University of Strathclyde and is involved in the education of undergraduate and post graduate therapists. Having been involved in health services research for some time she is a keen advocate of EBHC within her own field.
ERIC J VELAZQUEZ
J.G VERNON
ANDREW VICKERS
Andrew is currently Director of the Information Service at the Research Council for Complementary Medicine. Andrew gained a first in Natural Science from Cambridge University and has a Diploma in Architecture of Applied Health Research, Biostatistics and Protocol Design from the Centre for Evidence-Based Medicine at Oxford and is currently undertaking a DPhil at the University of Oxford, examining the application of evidence-based medicine to complementary therapies.
Andrew’s teaching posts include Visiting Lecturer in Research Methodology at the Centre for Community Care and Primary Health, University of Westminster and Supervisor for Medical Student projects at the City & East London Confederation for Medicine & Dentistry.
Andrew is a member of the advisory board of the Complementary Medicine field of the Cochrane Collaboration with special responsibility for developing a database of randomised controlled trials, is a member of the editorial board of Complementary Therapies in Medicine and a member of the advisory board of the Homeopathic Research Committee of the Faculty of Homeopathy.
Andrew’s completed and ongoing research include: A systematic literature review of acupuncture for nausea and vomiting (completed) and two bibliometric studies analysing national variations in publication bias (completed). Two systematic reviews are underway: homeopathy (European Union project) and massage for premature neonates (Cochrane Collaboration review). A randomised clinical trial of a homeopathic remedy for delayed onset muscle soreness is in press. A second trial has been completed and has been submitted for publication. A qualitative survey of general practitioners’ attitudes towards complementary medicine has been completed and has been submitted for publication.
EBHC-related Publications since 1995
VASILIY VLASSOV
NICOLE VOGT
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LEONG SOO WAI
Wai Leong is currently a clinical student at the First Medical Faculty of Charles University, based in Prague, Czech Republic. He finally found the solution to some of his unanswered questions, which he has been pondering over for years, while searching the internet – EBM
Born and bred in Singapore, Wai first pursued an education in Law after having served his military service for 2 years. During those 2 years he gained valuable insights into various aspects of Military Medicine and on Problems Orientated Casualty Management. In addition Wai also has exposures and experiences in Traditional Chinese Medicine and believes that EBM too can be applied to it; an idea which he is working slowly on.
Anyone interested is most welcome to contact him at W.L.SOO@USA.NE When not studying Wai is a well-known globe trotter and photographer among his friends. So far he has covered Europe and some parts of South East Asia. In fact Wai loves to combine his clinical electives and travelling during summer vacation and he has been known to have done it!
Being part of CAMS (organized by Mark Loveland) Wai likes to hear and learn how to apply EBM at the undergraduate level from other members, especially some issues from ER! Very much encouraged by the enthusiasm and passion shown in CEBM members, he hopes to contribute more to EBM as a medical practitioner in the near future.
ALISON WHALLEY
SEAN WHYTE
PHIL WIFFEN
Phil is actively involved in teaching EBM, and is attempting to promote EBM in developing countries particularly for the WHO list of essential drugs.
MERLIN WILCOX
CHRIS WILLIAMS
EBHC-related Publications since 1995
ALEXANDRA WILLIAMSON
Alex qualified in biochemistry and zoology at Leeds in 1969. She has been involved in medical publishing ever since and is currently Publishing Director at the BMJ Publishing Group. She is the publisher responsible for Evidence-Based Medicine. In 1998 the publishing group launched Evidence-Based Mental Health in collaboration with the Royal College of Psychiatrists and Evidence-Based Nursing with the Royal College of Nursing. Many of the specialist journals within the Group are developing evidence-based sections also and it is the BMJ Publishing Group’s policy to encourage all of its publications to be more evidence-based. She takes an active interest in the peer review process and is currently researching the practice of peer review in specialist clinical journals.
JULIE WINTRUP
ARTHUR P WOLINSKY
PORANEE WONGPRASARTSUK
The practice of evidence based medicine is for Poranee a logical extension of her clinical practice. Her specialist training is in anaesthesia, where she has developed a keen interest in clinical research (she has conducted 2 randomized controlled studies) and research methodology. She finds clinical medicine rewarding and challenging. One of the most difficult challenges for her is to keep up with the wealth of information in all fields of medicine, within her own speciality, as well as other specialities. EBM offers a methodical way of seeking and evaluating current medical knowledge, She has continued to develop a broad interest in research methodology and have recently commenced a systematic review about nitros oxide as an analgesic in labour. She will receive assistance in the conduct of this review from the Centre for Statistics in Medicine, having been accepted into their 12-month program about conducting a Systematic Review.
In summary Poranee has a broad interest in the practice of EBM and its impact (or lack thereof) on the treatments that patients presented to her for anaesthesia receive. This is a continuation of her own interest in clinical research and its methodology. She is keen to have regular contact with like-minded individuals interested in EBM, from all backgrounds of patient care.
LAWRENCE ER WOOD
PHIL WRIGHT
During his time as a medical student in the Nuffield Department of Medicine with Dave Sackett and as an IBM computer scholar Phil developed a particular interest in the role of computers in the teaching and implementation of EBHC. He is currently nearing the end of his undergraduate medical training at Green College and is eager to maintain his interest in EBHC during his pre-registration house officer year and beyond.
JEREMY WYATT
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RAJENDRA-PRASAD H YADAV
SAURO YAGUE
ATI YATES
Internal Medicine and Psychiatry, Michigan State University, USA.
Ati received her MD degree from Michigan State University and is just completing her postgraduate residency training in internal medicine and psychiatry. Clinically, she is very interested in patients who have concurrent psychiatric and medical problems and in finding ways to improve the recognition and treatment of depression, anxiety disorders and somatoform disorders in primary care settings. Her current research activities are in teaching and applying evidence based medicine strategies in primary care and psychiatric settings and in doing systematic reviews on questions at the interface between medicine and psychiatry. Currently, she is facilitating a "real time patient problem" oriented EBM journal club for internal medicine residents and expects to soon expand this to psychiatry residents in her university. Ati is active in the Academy of Psychosomatic Medicine and the Association for Medicine and Psychiatry and has worked to incorporate evidence-based medicine into the interest fields of these organizations through organizing workshops at national meetings. She is working on ways, down the road, to participate in developing a course such as the MSc course in Evidence-based Health at the University of Oxford Department of Continuing Education, as a distance or "on job-on campus" type course in evidence based medicine.
Ati and her family are planning a move to the Bitterroot mountains in western Montana in the next few years. She says that it's incredibly beautiful in Montana and she is looking very much forward to continuing her work in EBM and Medicine-Psychiatry once they're out there.
PAT YUDKIN
Pat is a University Research Lecturer in Medical Statistics in the Division of Public Health and Primary Health Care at the Institute of Health Sciences. She has a part-time appointment in the ICRF General practice Research Group and is statistician to the Cochrane Tobacco Addiction Review Group. She has worked on RCTs, observational studies and applied statistics methodology and has published widely in medical journals. She is also much involved in teaching and communicating statistical ideas to clinicians, and will teach on the MSc in Evidence-based Health Care.
EBHC-related Publications since 1997
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QUINGHUA ZHOU
YURI ALEXANDREVICH ZUIKOV