Transcript Finding Reliable Online Medical Information

THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Lifelong Learning: Keeping Up
st
to Date in the 21 Century
An Introduction
Nancy Clark, M.Ed.
Director of Medical Informatics Education
FSU College of Medicine
Summer 2014
1
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
FSU CoM Competency
• Students will
– Recognize the rapid change in the field of medical
– Identify the most efficient and effective way to
keep up to date with medical advances
Summer 2014
2
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Knowledge
Quote over the entrance to Dodd Hall, FSU
Summer 2014
3
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
In the Beginning…
Journals
Text Books
Drug Info
Pocket Manuals
Note Cards
Summer 2014
4
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
“Textbooks don’t smell as their contents rot, so
readers will need to develop alternative crap
detectors to avoid poisoning their minds and
robbing their patients of current best care.”
David Sackett, MD
Pioneer of Evidence Based Medicine (EBM)
The half life of medical information
is estimated at 5 years.
Summer 2014
5
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
21st Century Medical Information
Journals
Text Books
Drug Info
Pocket Manuals
Note Cards
Summer 2014
6
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Guess Which are Most Effective
At changing physician behaviors
1.
2.
3.
4.
5.
6.
7.
Attending conferences?
Consult a colleague?
Reading journal articles?
Drug rep academic detailing?
Looking up answers?
Making mistakes?
EMR guideline prompts?
Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance: a systemic review of the effect of
continuing medical education strategies. JAMA. 1995;274:700-705.
Summer 2014
7
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Which method is most practical for
keeping up?
1.
2.
3.
4.
5.
6.
7.
Attending conferences?
Reading journal articles?
Consult a colleague?
Drug rep academic detailing?
Looking up answers?
Making mistakes?
EMR guideline prompts?
Summer 2014
8
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Lifelong Learning
• Old method: read a few journal articles per
week, go to conference once a year
• Reality: Primary care docs would need over
17 hrs/day just to review reasonable and
pertinent material
• Even in one narrow specialty would need 6+hrs/wk
• Practicing docs (all specialties) average 1-1.5 hrs/wk
Ebell, MH, Shaughnessy, A. 2003. Information Mastery: integrating
continuing medical education with the information needs of clinicians. J
Cont Edu H Prof. (23) pp. S53-S62.
Summer 2014
9
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
How to Keep Up-to-Date
• Effective:
– Look up answers to questions as they happen on
Internet or smartphone. Applicable to your practice.
– Use resources that continuously monitor research and
constantly update like DynaMed, Epocrates, PEPID,
– Role of social media/networking sites, RSS feeds, TBD
• Ineffective:
– Read journals (17 hours/day?)
– Consult colleagues (when?)
– Attend conferences (least effective)
Summer 2014
10
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Review
• What is the most efficient, unbiased way to
keep up to date?
1. Go to medical conferences in Hawaii
2. Read 20-30 journal articles a week
3. Look up answers to clinical questions when they
occur in a reliable, current resource
Summer 2014
11