(mrcp uk ) associate professor
TRANSCRIPT
DR NAZIR IBRAHIM (MRCP –UK )
ASSOCIATE PROFESSOR
ASPU
As.Prof. Nazir
Ibrahim
• If you cannot work with love but only with distaste, it is better that you should leave your work and sit at the gate of the temple and take alms from those who work with joy.
• Khalil Gibran (1883–1931)
عملون بفرحن يإذا كنت لا تستطيع العمل بالحب ولكن فقط مع النفور ، فمن الأفضل أن تترك عملك وتجلس عند بوابة المعبد وتأخذ الصدقات من أولئك الذي عملون بفرحن يإذا كنت لا تستطيع العمل بالحب ولكن فقط مع النفور ، فمن الأفضل أن تترك عملك وتجلس عند بوابة المعبد وتأخذ الصدقات من أولئك الذي
ملون بفرحيع ذا كنت لا تستطيع العمل بالحب ولكن فقط مع النفور ، فمن الأفضل أن تترك عملك وتجلس عند بوابة المعبد وتأخذ الصدقات من أولئك الذين
Old habits die hard
The shift from traditional to evidence-based medicine is doable, but
it is not easy.
“Change, such as voluntarily finding and employing the best
evidence, requires not just time and skill but a personal attitude
and commitment to change,” says Flaherty.
Learning
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“Learning is the only thing which the mind can Never exhaust Never alienate(turn away)
Never be tortured by Never fear or distrust Never dream of regretting.”
T.H. White -The Once and Future King
• We tend to receive knowledge passively at many stages of education
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Receptive reader
Productive reader
Unwilling to change
• Reluctant to alter long-standing practice
• Clinical “inertia”
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Inertia
Failure to
• initiate
• Intensify
• Modify therapy as indicated
In Nazir Ibrahim
Dr. Henry Cotton, chief psychiatrist Mental Hospital in New Jersey 1916 to 1933 relied on
"focal sepsis" to justify his extreme treatments,
In Nazir Ibrahim
Dr. Mianne Silvestre
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Premature ventricular contraction