sbeba t.p

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Page 1: Sbeba   t.p

Science Based Evidence-

Based Ayurveda (SBEBA)

Online Training Program

Page 2: Sbeba   t.p

Instructors:

Dr.Remya Krishnan MD (Ayu) PhD

Dr Rajkumar .KC MD (Ayu) PhD

Associate Professors

Dravyagunavijnan & Roganidana

Faculty

Page 3: Sbeba   t.p

Science BasedEvidence-

Based Ayurveda (SBEBA) is

the integration of the best

Science Based Evidence with

the clinical situation and the

patient .

Page 4: Sbeba   t.p

Why Teach and Practice

SBEBA?• The society deserves to acquire the best

scientific outcome of Ayurveda.

• Research has documented that patients who

do receive Science Based Evidence-Based

Ayurveda have better outcomes than those

who don’t.

• It may be a more efficient means to improve

the state and national economy.

• Improved disease care and efficient health

care .

Page 5: Sbeba   t.p

Developments

• Efficient strategies for tracking and appraising “Science Based Evidence”.

• Availability of appraisal techniques to all the physicians of Ayurveda .

• Continued Medical Education for physician training.

• Information systems allowing access to resources in seconds.

Page 6: Sbeba   t.p

Objectives

• Hands-on, real-time learning of skills

necessary to incorporate SBEBA into your

daily practice of medicine.

• Provide the opportunity to apply these skills to

actual clinical encounters.

• Enjoy the real privilege of teaching and

treating others.

• Acquire confidence to proceed in profession.

Page 7: Sbeba   t.p

DO THIS

• Attend all the SBEBA sessions.

• Each week during your clinical encounters generate questions about patient care you would like to try and answer in the mode of SBEBA.

• Apply and teach what you learn.

Page 8: Sbeba   t.p

Steps in Practicing SBEBA

1. Confirm what you really want to do and how

you will do.

2. Seek science based guidelines(evidence)

for step 1 .

3. Appraise the evidence in the sequential

order of Evidence Triad Approach ( Silver-

Golden- Diamond)

4. Integrate the Diamond evidence with the

clinical situation in the patient.

Page 9: Sbeba   t.p

Advantages

• Short time.

• Availability of coherent and consistent scientific evidence which ensures the best treatment.

• Possibility of applying evidence to care of every individual patient.

• Abolishment of barriers to the practice of quality medicine (e.g. costs, patient expectations, etc.).

Page 10: Sbeba   t.p

Putting Skills into Practice

• Seek Evidence Triad Support for clinical decision made on each of your inpatients.

• Seek Evidence Triad Support for clinical decision made on your OP patients

• Encourage the students and colleagues you work with to follow your lead.

• Work as a team to seek and appraise the Science Based Evidence Based protocols.

Page 11: Sbeba   t.p

Course Structure - 16 weeks

programmeWeek 1,2

• Introduction

• Asking a clinical question

• Critical appraisal of diagnosis articles

• Therapy questions

• Searching

Week 3,4

• Critically appraise diagnosis articles

• Write CAT

• New question and real-time practice

session

Week 5,6

• Review asking a clinical question

• Critical appraisal of therapy articles

• Therapy questions

• Searching

Week 7,8

• Critically appraise therapy articles

• Write CAT

• New question and real-time practice

session

Week 9,10

• Introduction

• Asking a clinical question

• Critical appraisal of “Intended effects”

articles

• Intended effects questions

• Searching

Week 11,12

• Critically appraise “Intended effects”

articles

• Write CAT

• New question and real-time practice

session

Week 13,14

• Review asking a clinical question

• Critical appraisal of articles about

Evidence Triad Approach

• Searching

Week 15,16

• Critically appraise Evidence Triad

Approach articles

• Write CAT

• New question and real-time practice

session

Think of

Diagnosis

Think of

Therapy

Think of

intended

Effects

Think of

Evidence

Triad

Approach

Page 12: Sbeba   t.p

Basics Training

• Training on Basic principles will be

provided before commencing the SBEBA

modules .

• Training will be offered in initial 4 weeks

introductory session before 16 weeks

training programme .

Page 13: Sbeba   t.p

Case discussion

• The last four sessions will be devoted for

case discussion which may include rare

cases also.

• So, altogether 24 modules are included in

the programme.

Page 14: Sbeba   t.p

Steps in Practicing SBEBA

1. Confirm what you really want to do and how

you will do.

2. Seek science based guidelines(evidence) for

step 1 .

3. Appraise the evidence in the sequential order

of Evidence Triad Approach (Silver- Golden-

Diamond)

4. Integrate the Diamond evidence with the

clinical situation in the patient.

Page 15: Sbeba   t.p

Knowledge of Basic Science

is the backbone of practicing

SBEBA. It takes constant

practice to accurately learn

and apply Science.

Page 16: Sbeba   t.p

• Focus scarce learning time on the pertinent evidence

directly relevant to patient situation .

• Intense and complete learning of the situation based

on Science..

• Appraise the knowledge by the technique of ETA (

Evidence Triad Approach).

• Help us to model life-long learning techniques for our

colleagues and students.

• Reinforce the satisfaction of finding evidence that

make us the best and fast clinicians.

Organised learning

Page 17: Sbeba   t.p

Q: How do you find the best “Science

Based Evidence?

Seek “Bruhathrayees”-The most authentic

reference source for best evidence

Page 18: Sbeba   t.p

Q: What is best evidence?

OR

Q:How do I reach the Diamond Evidence ?

Page 19: Sbeba   t.p

The Evidence Pyramid

Valid

ity/S

trength

Diamond Evidence

Golden Evidence

Silver Evidence

Page 20: Sbeba   t.p

Levels of Evidence (Diagnosis)

Silver Evidence Sthanika Dosha (

Vyadhi)

Golden Evidence Agantu Dosha ( Hetu)

Diamond Evidence Vishesha samprapti

ghatakas

Page 21: Sbeba   t.p

Levels of Evidence( Therapy)

Silver Evidence Vyadhi Vipareetha Chikitsa tatwa

Golden Evidence Hetu Vipareetha Chikitsa Tatwa

Diamond Evidence Purusha Adhishtitha Chikitsa Tatwa

Page 22: Sbeba   t.p

ATTENTION PLEASE

• The online programme is restricted for

registered candidates

• Those who are interested to join online

course must register their names .

• Those who wish to register may contact

[email protected] on or before 10-

05 -14