DO NOT MISS THIS CME ON PAEDIATRICS ,IF YOU INTEND YOUR PROFESSIONAL UPDATION IN KNOWLEDGE AND PRACTICE OF EVIDENCE BASED MEDICINE IN AYURVEDA

1. Science Based Evidence BasedScience Based Evidence Based
Ayurveda- CME on PaediatricsAyurveda- CME on Paediatrics
Dr.Remya Krishnan

2. How do Ayurveda docs make clinicalHow do Ayurveda docs make clinical
decisions?decisions?
• Toss coins
• Guess
• My “ yukti” – what is that Yukti??!
• Ask colleagues
• Text books- Exclusively for exams
• Browse journals –charts and graphs of efficacy
• Surrendering to senior Vaidyas- “Experience”(of
what?) matters

3. CliniciansClinicians reallyreally need to learn and understandneed to learn and understand
shasthraarthasshasthraarthas
If learning and understanding in right
direction:
 that will reflect in our clinical decisions
but we do not know what is “right”
direction
– “my textbooks are full of complexity and
sutelity
– “my time for learning is less- I have to attend
many OPDs a day ”
– “library who wants after degree ??? Life is to
enjoy !”

4. How many minutes a week did weHow many minutes a week did we
spend last week reading andspend last week reading and
working out on our patients?working out on our patients?
 Medical students- Working out?! We observe what
others do
 Interns – We practice what our seniors command
 Medical Officers- We practice what we think as
right and what our colleagues do
 Faculties- We teach Medicine based practice and
practice medicine based trial and error
 Consultants- We hardly think what we do ! We are
busy in meeting two ends in living !

5. How many minutes a week did you spend last week workingHow many minutes a week did you spend last week working
out based on samhithas?out based on samhithas?
 Medical students- We are
too young to do that  ! We
learn shlokas often
 Interns- for entrance to MD
 Medical officers – Joking?
We attend 100 Opds a day,
no time
 Faculties- We teach but
working out???? Why? teach
and forget
 Consultants- does that make

6. The inevitable consequenceThe inevitable consequence
The translation of samhithas
into practice guidelines for
clinical situations of
physicians NEVER HAPPENS
in clinical practice and
teaching

7. Three solutionsThree solutions
Clinical performance can keep up to date:
1. by learning how to practice evidence-
based medicine which is primarily science
based .
2. by seeking and applying evidence-based
tools and techniques developed from
shasthra which is already existing in
SBEBA resources .
3. by knowing, understanding and translating
shasthraarthas into variable clinical
situations

8. What Is Science BasedWhat Is Science Based
Evidence Based Medicine?Evidence Based Medicine?
The conscientious, explicit, and
judicious use of best standardised
shasthrik evidence in three different
levels in making decisions about the
care of individual patients in
accordance to their unique cause and
circumstances

9. What Is Evidence BasedWhat Is Evidence Based
Medicine?Medicine?
The practice of EBM requires the
indepth accurate knowledge of
shasthraarthas
with the appropriate
Tools and techniques for their
translation into appropriate situations
NOBODY TEACH US THIS IN
COLLEGES OR SEMINARS .

10. WHAT ARE THE IMPORTANT ELEMENTS OF EBMWHAT ARE THE IMPORTANT ELEMENTS OF EBM??
‘SBEBA begins and ends with patient’
1) Appraise and know patient situation
based on intended shasthraarthas
2) Work out on intended shasthraarthas
3) Write down what you understood and
your conclusive judgement.
4) Translate judgement into clinical
situation.
5) Evaluate your performance based on

11. Practical SBEBAPractical SBEBA
1. Understanding situation based
shasthraarthas
2. Working out in shasthraarthas
3. Deriving conclusive judgement
4. Translating judgement into clinical
practice
5. Evaluating results based on inbuilt
scientific standards

12. Scenario 1Scenario 1
In the middle of the night you are called to
see a screaming, febrile 3 years with acute
shooting pain in ear. What outcomes are
you hoping to achieve by treating the
child?
– Reduce pain?
– Control fever?
– Prevent complications?
– Assure parents?
Which is the most important? Why and
how it is realised ?

13. Scenario 2Scenario 2
You get a patient aged 7 years with
fever, breathing discomfort and
absence of general wellbeing. On
auscultation bilateral rales and
rhonchi present . What is your
Ayurvedic diagnosis and how will you
manage by Evidence Based Ayurveda?

14. Training sessions inTraining sessions in
PaediatricsPaediatrics
Day 1 – October 1, 2016- 2pm to 5pm
– Fundamental lessons on practice of
Evidence Based Ayurveda. The
Evidence Triad Approach and
shasthrik standards in he practice of
Evidence Based Medicine developed
and published by the core faculties
themselves. This can be applied in any
named and unnamed disease in all
situations

15. Training sessions inTraining sessions in
PaediatricsPaediatrics
Day 2 – October 2- SBEBA guidelines
for evidence based practice in
Paediatrics
All the common paediatric ailments
will be discussed with science based
guidelines of diagnosis, differential
diagnosis and on the target
management

16. DO NOT MISS THISDO NOT MISS THIS
SBEBA wisdom series will transform
your current professional status by
raising your standards in the intended
practice of Science Based Medicine
 Do not wait to register as
registration is in progress and we
admit only 50 Maximum candidates
 So hurry up if you real wish for the
change to begin !

17. For more details on SBEBA Wisdom
series , visit our website sbeba.org
For registration to CME on
Paediatrics , mail to
drremyaraj@gmail.com
Venue- Thalassery, Kerala
WELCOME AND THANKYOU!