(mrcp uk ) associate professor

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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Prof. Nazir Ibrahim 8

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