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Lifelong Learning: Keeping Up to Date in the 21 st Century

Lifelong Learning: Keeping Up to Date in the 21 st Century. Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine. An Introduction. FSU CoM Competency. Students will Recognize the rapid change in the field of medical

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Lifelong Learning: Keeping Up to Date in the 21 st Century

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  1. Lifelong Learning: Keeping Up to Date in the 21st Century Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine An Introduction

  2. 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

  3. Quote over the entrance to Dodd Hall, FSU Knowledge

  4. In the Beginning… Journals Pocket Manuals Drug Info Text Books Peer Reviewed Note Cards

  5. “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, MDPioneer of Evidence Based Medicine (EBM) The half life of medical information is estimated at 5 years.

  6. 21st Century Medical Information Journals Pocket Manuals Drug Info Text Books Note Cards

  7. Guess Which are Most Effective At changing physician behaviors • 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.

  8. Which method is most practical for keeping up? • Attending conferences? • Reading journal articles? • Consult a colleague? • Drug rep academic detailing? • Looking up answers? • Making mistakes? • EMR guideline prompts?

  9. 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.

  10. 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)

  11. Review • What is the most efficient, unbiased way to keep up to date? • Go to medical conferences in Hawaii • Read 20-30 journal articles a week • Look up answers to clinical questions when they occur in a reliable, current resource

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