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Naval Hospital Jacksonville Information Mastery Curriculum. CDR Ken Yew STFM EBM Teaching Theme Day September 23, 2003. Overview. Goal Critical users of medical information Lifelong learners Change agents for Clinical Quality Improvement Scope Two-level longitudinal curriculum

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naval hospital jacksonville information mastery curriculum

Naval Hospital Jacksonville Information Mastery Curriculum

CDR Ken Yew

STFM EBM Teaching Theme Day

September 23, 2003

overview
Overview
  • Goal
    • Critical users of medical information
    • Lifelong learners
    • Change agents for Clinical Quality Improvement
  • Scope
    • Two-level longitudinal curriculum
    • Six major components
context
Context
  • Setting
    • 12-12-12 program
    • Community hospital serving active duty, their families and retirees
  • Curriculum history
    • EBM teaching began ~1995
    • Curriculum formalized in 2000
major curricular components
Major Curricular Components
  • Search clinic
  • Lectures
  • Pharmaceutical critical appraisals
  • Two-tiered information mastery rounds
  • EBM workshop
  • Information mastery project
limitations
Limitations
  • Evaluation subjective
    • Feedback sessions
    • Satisfaction questionnaires
  • Integration
  • Faculty time
strengths
Strengths
  • Longitudinal nature
  • Broad structured curriculum
  • Targets long-term learner needs
search clinic
Search Clinic
  • Introduction to medical databases and one page search strategy
  • Ovid
  • PubMed, including Clinical Queries
  • Clinical Evidence
  • MD Consult
  • The Cochrane library
  • SumSearch

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lectures
Lectures
  • 40 minute lectures
    • Introduction to evidence-based medicine
    • Introduction to information mastery
  • 15 minute lectures
    • Study design (2)
    • Searching
    • Sensitivity, specificity and predictive value
    • Family practice incidence rate
    • Screening
    • Number needed to treat
    • P-value, power and perspicuity

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ebm workshop
Large group

Asking questions

Critical appraisal

Information sources

Statistics

Guidelines and change management

Lifelong learning

Searching clinic

Small group

Therapy

Diagnosis

Reviews

EBM Workshop

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information mastery project
Information Mastery Project
  • Done during PGY2
  • Possible projects include
    • CAT/POEM
    • Critical debate
    • Outpatient guideline proposal
    • Patient education tool
  • Evaluated by peers and faculty

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