This by @trishgreenhalgh - answers why training didn't fit real life practice - I'd bailed already tho https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-015-0437-x …
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Love it, thanks! I've read a few similar pieces, it was an important point in the MPH that we learnt
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Add this to your love bucket - I've argued what Trish et al are describing IS patient-centred care, but to nail it relies on HP reflexivity
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Replying to @WeDietitians @GidMK and
Economically, a cost-saving may be had if reflexivity can be enhanced/brought forward in career if we "teach" the EBM concept in training
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Replying to @WeDietitians @GidMK and
ATM, we (dietitians) don't achieve peak effectiveness until >5yrs in practice minimum, assuming a RoI not till 10yrs?pic.twitter.com/3WrGP2qbGT
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Replying to @WeDietitians
Dunno, I'd assume that ROI (in monetary terms at least) is probably achieved earlier. Don't have to be 'peak' to save $$!
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Replying to @GidMK
Fair call. But we are hypothetically-ing here. The investment though, from society perspective, so investment in uni, placement, +opp'y cost
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Replying to @WeDietitians @GidMK
could be quite high...practice metrics for dietitians are mostly "break-even" even after 10yrs, & health outcomes, well, diabetes stats?
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Replying to @WeDietitians
Look, it's going to be a hugely complex equation imo. Preventing one case of diabetes, for example, saves ~$16k a year
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Replying to @GidMK
That would be great! Are we preventing? Have we? I'm adding it to my stats though.... TY
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No worries! I've actually got a paper coming out about preventing costs from diabetes, that number was part of the calculations
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Replying to @WeDietitians
Will do
should be in pre-print in a week or two0 replies 0 retweets 0 likes
End of conversation
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