1. Science Based Evidence-
Based Ayurveda (SBEBA)
Online Training Program

2. Instructors:
Dr.Remya Krishnan MD (Ayu) PhD
Dr Rajkumar .KC MD (Ayu) PhD
Associate Professors
Dravyagunavijnan & Roganidana
Faculty

3. Science BasedEvidence-
Based Ayurveda (SBEBA) is
the integration of the best
Science Based Evidence with
the clinical situation and the
patient .

4. Why Teach and Practice
SBEBA?
• The society deserves to acquire the best
scientific outcome of Ayurveda.
• Research has documented that patients who
do receive Science Based Evidence-Based
Ayurveda have better outcomes than those
who don’t.
• It may be a more efficient means to improve
the state and national economy.
• Improved disease care and efficient health
care .

5. Developments
• Efficient strategies for tracking and
appraising “Science Based Evidence”.
• Availability of appraisal techniques to all
the physicians of Ayurveda .
• Continued Medical Education for
physician training.
• Information systems allowing access to
resources in seconds.

6. Objectives
• Hands-on, real-time learning of skills
necessary to incorporate SBEBA into your
daily practice of medicine.
• Provide the opportunity to apply these skills to
actual clinical encounters.
• Enjoy the real privilege of teaching and
treating others.
• Acquire confidence to proceed in profession.

7. DO THIS
• Attend all the SBEBA sessions.
• Each week during your clinical
encounters generate questions about
patient care you would like to try and
answer in the mode of SBEBA.
• Apply and teach what you learn.

8. Steps in Practicing SBEBA
1. Confirm what you really want to do and how
you will do.
2. Seek science based guidelines(evidence)
for step 1 .
3. Appraise the evidence in the sequential
order of Evidence Triad Approach ( Silver-
Golden- Diamond)
4. Integrate the Diamond evidence with the
clinical situation in the patient.

9. Advantages
• Short time.
• Availability of coherent and consistent
scientific evidence which ensures the
best treatment.
• Possibility of applying evidence to care
of every individual patient.
• Abolishment of barriers to the practice of
quality medicine (e.g. costs, patient
expectations, etc.).

10. Putting Skills into Practice
• Seek Evidence Triad Support for clinical
decision made on each of your inpatients.
• Seek Evidence Triad Support for clinical
decision made on your OP patients
• Encourage the students and colleagues you
work with to follow your lead.
• Work as a team to seek and appraise the
Science Based Evidence Based protocols.

11. Course Structure - 16 weeks
programmeWeek 1,2
• Introduction
• Asking a clinical question
• Critical appraisal of diagnosis articles
• Therapy questions
• Searching
Week 3,4
• Critically appraise diagnosis articles
• Write CAT
• New question and real-time practice
session
Week 5,6
• Review asking a clinical question
• Critical appraisal of therapy articles
• Therapy questions
• Searching
Week 7,8
• Critically appraise therapy articles
• Write CAT
• New question and real-time practice
session
Week 9,10
• Introduction
• Asking a clinical question
• Critical appraisal of “Intended effects”
articles
• Intended effects questions
• Searching
Week 11,12
• Critically appraise “Intended effects”
articles
• Write CAT
• New question and real-time practice
session
Week 13,14
• Review asking a clinical question
• Critical appraisal of articles about
Evidence Triad Approach
• Searching
Week 15,16
• Critically appraise Evidence Triad
Approach articles
• Write CAT
• New question and real-time practice
session
Think of
Diagnosis
Think of
Therapy
Think of
intended
Effects
Think of
Evidence
Triad
Approach

12. Basics Training
• Training on Basic principles will be
provided before commencing the SBEBA
modules .
• Training will be offered in initial 4 weeks
introductory session before 16 weeks
training programme .

13. Case discussion
• The last four sessions will be devoted for
case discussion which may include rare
cases also.
• So, altogether 24 modules are included in
the programme.

14. Steps in Practicing SBEBA
1. Confirm what you really want to do and how
you will do.
2. Seek science based guidelines(evidence) for
step 1 .
3. Appraise the evidence in the sequential order
of Evidence Triad Approach (Silver- Golden-
Diamond)
4. Integrate the Diamond evidence with the
clinical situation in the patient.

15. Knowledge of Basic Science
is the backbone of practicing
SBEBA. It takes constant
practice to accurately learn
and apply Science.

16. • Focus scarce learning time on the pertinent evidence
directly relevant to patient situation .
• Intense and complete learning of the situation based
on Science..
• Appraise the knowledge by the technique of ETA (
Evidence Triad Approach).
• Help us to model life-long learning techniques for our
colleagues and students.
• Reinforce the satisfaction of finding evidence that
make us the best and fast clinicians.
Organised learning

17. Q: How do you find the best “Science
Based Evidence?
Seek “Bruhathrayees”-The most authentic
reference source for best evidence

18. Q: What is best evidence?
OR
Q:How do I reach the Diamond Evidence ?

19. The Evidence PyramidValidity/Strength
Diamond Evidence
Golden Evidence
Silver Evidence

20. Levels of Evidence (Diagnosis)
Silver Evidence Sthanika Dosha (
Vyadhi)
Golden Evidence Agantu Dosha ( Hetu)
Diamond Evidence Vishesha samprapti
ghatakas

21. Levels of Evidence( Therapy)
Silver Evidence Vyadhi Vipareetha Chikitsa tatwa
Golden Evidence Hetu Vipareetha Chikitsa Tatwa
Diamond Evidence Purusha Adhishtitha Chikitsa Tatwa

22. ATTENTION PLEASE
• The online programme is restricted for
registered candidates
• Those who are interested to join online
course must register their names .
• Those who wish to register may contact
drremyaraj@gmail.com on or before 10-
05 -14