I would like to start something new on Thursdays. Because I love cats, I'm starting #CriticalAppraisalThursday or CAT, to help folks learn how to assess evidence. Just a weekly thread about critical appraisal and information literacy.
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For the first ever CAT, we'll start with a definition. Critical appraisal is a structured, systematic way to assess the validity and reliability of research. You can also assess its applicability to your specific question or situation.
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Was this study done in a way that actually gathers information to answer the question it claims to ask and answer? Can the results of this study be applied to my patient or situation?
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Those are big questions. Critical appraisal tools can give you a structure for answering those questions. You can find a variety of critical appraisal tools or worksheets online to help you with critical appraisal of a study.
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One resource is the Centre for Evidence Based Medicine. You can find their critical appraisal tools here, translated into several languages: cebm.ox.ac.uk/resources/ebm-…
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Sometimes I feel like I've been trying to teach the 1st yr med students about EBM all over again, except the lecture hall is this deteriorating social media platform. Some of you are here for the class, and others are just peeking in the door on your way somewhere else. /6
Please let me know if you like the idea of CAT or #CriticalAppraisalThursday and what kinds of tips or resources might help you to exercise your critical thinking muscles. I think it will help me to have a structured way to contribute. 7/7 #MedLibs #CanMedLibs #TodayThisLibrarian
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I have a tip to share about being less wrong about COVID.
Get your information from the people who have been the least wrong about COVID.
Someone you used to trust who has a track record of being wrong and not recognizing it? See ya. There’s so many amazing others to trust.
Many of these people who really get what’s happening and REALLY want better for us all are looking for more allies. It’s truly amazing the level of access many people can have to scientists and activists who have integrity.
It’s going to be a very tough winter. Keep on wearing the best mask you can when sharing air with others. Get your vaccines. And keep an eye on what @COVID_19_Canada, @OHCOWclinics, @weareibec, and @CAAerosolCltn are up to. Access their recordings and excellent actionable info.
lol
A task force
Hey @NBTFFENB you should have spoken up about COVID and safety before
And not lied that none of your members expressed concerns when several of them did, with great citations and suggestions
We need to clean the air in classrooms
We need masks
And a teacher’s union/association that has gaslit its members and failed to protect them from airborne pandemic despite numerous people sending them great info to do better
*teachers’
Sorry but I am PISSED off about this because their union has been horrible and it has harmed the health of teachers, other staff, and all our kids
This is a union that COULD have helped and made a difference but instead they bought the masks are for the anxious 💩
I think this is where we are, in Canada.
We can continue to pretend it's early 2019 and harm a heck of a lot of people.
Or we can try to harm fewer people while we wait for better vaccines (most of us have no control over that) and for clean indoor air (many of us can help).
Continuing to pretend this is normal harms a lot of people in many ways. Deaths that could have been prevented. Disability that could have been prevented. Moral injury to HCW and others who know it doesn't have to be this way. Increasing isolation of vulnerable people.
On some level, folks are going to have to openly acknowledge that what's been chosen for us by those in power, is not normal.
So how do we harm fewer people? We need clean indoor air. And that's not going to spontaneously happen. We have to make it happen.
If I sound particularly frustrated with the ongoing harms to kids and all people, the foolish direction being taken in schools, it's because I have been sending NB politicians and school officials and DECs the link to this webinar since LAST FALL healthandenvironment.org/webinars/96581
And I'm not alone. SO MANY people have contacted their elected officials, their DEC members, their principals, their superintendents with citations on airborne transmission and citations that masks and filtration work well to reduce transmissions. WE have been trying and ignored.
Now we have to live through all kinds of illness and disruption AGAIN while nobody around us dares utter the dirty word "mask;" the higher ups are organizing indoor maskless extended dinner meetings; it's obvious what needs to be done but everyone's like LALALA *sick but why?*
When you see the CME + dinner invite and know that it’s part of a multi-site tour for faculty and you realize the Med Ed leaders still don’t know that #COVIDisAirborne 💔
Friends you are going to catch something being together maskless for so long in city A and you will infect your colleagues in city B and then all those families will be dealing with sickness over the holidays 💔 it shouldn’t be this hard. Multi-site maskless gatherings bad idea.
These same folks will be invited to multiple office parties and other social events. This is not an approach with caution that respects the health of colleagues or their families. 💔 Or the healthcare system currently under so much pressure.
In March 2022, Higgs said COVID was like the cold or the flu. Over the coming days I'll be combing through the @PoPNB_kindness RTI to find out what was known by GNB about long COVID by March 2022 that shows they knew COVID was not like a cold or flu. cbc.ca/news/canada/ne…
From July 30, *2020* they already knew this from PHAC: protectnb.ca/rti/SAC%20upda…
I guess it took them until Nov 2022 to vet this info and decide long COVID was relevant to the public tho
Again this is from July 2020 - looks like they well knew it wasn't a typical "respiratory" illness. Next slide from the link in previous tweet.