BMJ’s Clinical Decision Support Training Initiative

BWC Meeting of Experts

July 29, 2019

Outbreaks are inevitable“Whether it occurs by a quirk of nature or at the hand of a terrorist,

epidemiologists say a fast-moving airborne pathogen could kill more

than 30 million people in less than a year. And they say there is a

reasonable probability the world will experience such an outbreak in the

next 10 to 15 years.”

Bill Gates, Munich Security Conference 2017

ChallengesDoctors

- Limited time

- High patient load

- Don't always have access to

latest medical information

Evidence

- 17 years for evidence to

become practice

- No single person can keep up

Article VII

‘...the importance of supporting states in building defences

against new and emerging diseases and developing national

capacity for responding to biological threats through detection,

containment, and decontamination.’

Article X

‘… undertake to facilitate, and have the right to participate in, the

fullest possible exchange of equipment, materials and scientific

and technological information for the use of bacteriological

(biological) agents and toxins for peaceful purposes.’

Disease moves fast.

Knowledge must move faster.

The core asset of any health system

is the knowledge of its healthcare

providers

The CDS Training Initiative

WHO Primary care doctors, infectious

disease specialists, and residents

WHAT BMJ Best Practice (online clinical

decision support) and BMJ Learning (online

learning)

WHY Improve diagnosis and management of

infectious diseases and dangerous pathogens

WHERE Azerbaijan, Georgia, Ukraine, Jordan,

Vietnam, Iraq, (Kazakhstan 2018-21)

WHEN 2016-2019

Healthcare

system is

strengthened

Clinical decision

making and quality

of care is improved

OUTCOMES

Clinical staff profile

raised thanks to

CPD

DESIRED

IMPACTS

Risks of

infectious

diseases and

outbreaks

better

managed

OUTPUTS

BMJ is accredited

for CME

and CPD

Clinicians trained

to diagnose and

treat infectious

diseases

ACTIVITIES

Content

development

Translation and

Quality

Assurance

Institutional

advocacy

User

engagement

and outreach

Better diagnosis of

infectious diseases

in the country

External

funding

& MoH

partnership

INPUTS

Theory of Change

Reduces variation in care and

saves time

Based on international guidelines,

continually updated and can be

used by entire healthcare teams

Structured around the clinical

workflow,unique treatment algorithms

and differential tables

Assesses learning needs and

identifies learning gaps

Evidence-based learning written

by experts, reducing in class

learning time

Supports doctors with CME and

CPD by keeping up to date with

guidelines

17,500 registered doctors

across six countries

1,400 participating

medical institutions

15 million words translated

into 5 different languages

37% increase in

BMJ Learning

assessment scores

65,000 credit points

achieved on BMJ Learning

4.7 app rating for Best

Practice and Select Agent

BMJ Learning modules

80,000 BMJ Learning

modules completed

898,000 BMJ Best

Practice views

Data as of June 2019

Impacts

What our users say... 95%said BMJ’s

resources helped

them improve

patient care

“Guidelines change a lot and

there are different guidelines

between medical sources

regarding antibiotics. I use BMJ’s

resources to learn about the best

way to manage and treat patients

with specific infections, so I can

correctly upgrade or downgrade

antibiotics. It also helps me to

explain the choice of treatment to

patients.”

Dr Khaled AlRawashdeh,

Jordan University Hospital

“Georgia is a tourist destination

and there are also a lot of visiting

students from India, Nigeria, and

Turkey. They often visit me with

complaints such as diarrhoea,

fever of unknown cause, or upper

respiratory symptoms. Using

BMJ’s resources ensures that my

differential diagnosis covers the

most serious causes.”

Dr Nino Kiknadze,

Tbilisi, Georgia

Success factors- Co-creation

- Governance

- Bespoke implementation

and local relevance

- Localisation through

translation and quality

assurance

Demo

Demo of BMJ’s resources

outside the room

Workshop

Wednesday 7 August 13:00 - 15:00

Led by Dr. Kieran Walsh, BMJ

Guest speakers from Ministries Of

Health of Azerbaijan and Ukraine.

Join us