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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. 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

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  1. Naval Hospital Jacksonville Information Mastery Curriculum CDR Ken Yew STFM EBM Teaching Theme Day September 23, 2003

  2. Overview • Goal • Critical users of medical information • Lifelong learners • Change agents for Clinical Quality Improvement • Scope • Two-level longitudinal curriculum • Six major components

  3. 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

  4. Major Curricular Components • Search clinic • Lectures • Pharmaceutical critical appraisals • Two-tiered information mastery rounds • EBM workshop • Information mastery project

  5. Limitations • Evaluation subjective • Feedback sessions • Satisfaction questionnaires • Integration • Faculty time

  6. Strengths • Longitudinal nature • Broad structured curriculum • Targets long-term learner needs

  7. Questions?

  8. Search Clinic • Introduction to medical databases and one page search strategy • Ovid • PubMed, including Clinical Queries • Clinical Evidence • MD Consult • The Cochrane library • SumSearch back

  9. 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 back

  10. Large group Asking questions Critical appraisal Information sources Statistics Guidelines and change management Lifelong learning Searching clinic Small group Therapy Diagnosis Reviews EBM Workshop back

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

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