Dr. Lia Nightingale has incorporated EBCP skills into several courses in the Davenport Campus curriculum. During the second week of the trimester in Biochemistry I, she covers an introduction to EBCP, Relative Risk (RR), Absolute Risk (AR), Odds Ratio (OR) and Number Needed to Treat (NNT). This is followed by critical appraisal of a spinal manipulation article. The students are randomly assigned to a 3-4 person group and are given an article they must summarize, critically evaluate, and interpret. She uses a wiki as the collaborative tool for the groups writing the paper.
In Toxicology, Dr. Nightingale presents the RR, OR, and NNT for every class of drugs in the pharmacology section of toxicology. The class also compares and contrasts more natural approaches to reducing disease. For example, to prevent one person from having a cardiovascular event, 67 people need to take statins for four years. Compare this to only 11 patients needing to follow the Mediterranean diet for four years. The students also are given de-identified cases from the clinic that they work on in groups using Natural Standard and Dynamed databases to determine the mechanisms of action, pharmacokinetics, possible interactions, and patient recommendations for all medications and supplements they are taking. This information is also compiled on a wiki.
In Nutrition and Clinical Nutrition, Dr. Nightingale has RRs, ORs, and NNTs sprinkled throughout the class notes. However, in Clinical Nutrition, she has now started a running discussion throughout the term about patient values and potential counseling techniques.