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40
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Text
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URL Address
<a href="http://doi.org/10.1097/ACM.0b013e3180307fed" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/ACM.0b013e3180307fed</a>
Pages
298–303
Issue
3
Volume
82
Dublin Core
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Title
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Answering questions at the point of care: do residents practice EBM or manage information sources?
Publisher
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Academic medicine : journal of the Association of American Medical Colleges
Date
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2007
2007-03
Subject
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*Evidence-Based Medicine; *Internship and Residency; *Point-of-Care Systems; Bibliographic/statistics & numerical data; Computers; Databases; Family Practice/education; Handheld/statistics & numerical data; Humans; Information Storage and Retrieval/*statistics & numerical data; Ohio; Surveys and Questionnaires; Textbooks as Topic
Creator
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McCord Gary; Smucker William D; Selius Brian A; Hannan Scott; Davidson Elliot; Schrop Susan Labuda; Rao Vinod; Albrecht Paula
Description
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PURPOSE: To determine the types of information sources that evidence-based medicine (EBM)-trained, family medicine residents use to answer clinical questions at the point of care, to assess whether the sources are evidence-based, and to provide suggestions for more effective information-management strategies in residency training. METHOD: In 2005, trained medical students directly observed (for two half-days per physician) how 25 third-year family medicine residents retrieved information to answer clinical questions arising at the point of care and documented the type and name of each source, the retrieval location, and the estimated time spent consulting the source. An end-of-study questionnaire asked 37 full-time faculty and the participating residents about the best information sources available, subscriptions owned, why they use a personal digital assistant (PDA) to practice medicine, and their experience in preventing medical errors using a PDA. RESULTS: Forty-four percent of questions were answered by attending physicians, 23% by consulting PDAs, and 20% from books. Seventy-two percent of questions were answered within two minutes. Residents rated UptoDate as the best source for evidence-based information, but they used this source only five times. PDAs were used because of ease of use, time factors, and accessibility. All examples of medical errors discovered or prevented with PDA programs were medication related. None of the participants' residencies required the use of a specific medical information resource. CONCLUSIONS: The results support the Agency for Health Care Research and Quality's call for medical system improvements at the point of care. Additionally, it may be necessary to teach residents better information-management skills in addition to EBM skills.
Identifier
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<a href="http://doi.org/10.1097/ACM.0b013e3180307fed" target="_blank" rel="noreferrer noopener">10.1097/ACM.0b013e3180307fed</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*evidence-based medicine
*Internship and Residency
*Point-of-Care Systems
2007
Academic medicine : journal of the Association of American Medical Colleges
Albrecht Paula
Bibliographic/statistics & numerical data
Computers
Databases
Davidson Elliot
Department of Family & Community Medicine
Family Practice/education
Handheld/statistics & numerical data
Hannan Scott
Humans
Information Storage and Retrieval/*statistics & numerical data
McCord Gary
NEOMED College of Medicine
Ohio
Rao Vinod
Schrop Susan Labuda
Selius Brian A
Smucker William D
Surveys and Questionnaires
Textbooks as Topic