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Volume 24 (Suppl 1)

Volume 24, Supplement 1, Fall 2004 line
J Contin Educ Health Prof 2004; 24(Suppl 1):S13-S21
INVITED PAPER

Targeting and structuring information resources use: A path toward informed clinical decisions
Mangrulkar R

A b s t r a c t

A core skill for all physicians to master is that of information manager. Despite a rapidly expanding set of electronic and print-based information resources, clinicians continue to answer their clinical queries predominantly through informal and formal consultation. Even as new tools are brought to market, the majority of them present information in a rigid fashion, presenting cumbersome user interfaces and inflexible data presentation. The need to rethink the structure of electronic information is paramount to improving the evidence at the bedside. As new tools are developed and educators teach clinicians to use them, the context for use of information resources must be considered, with special attention to physician work-flow, following the three paths outlined in this article. The process will be facilitated greatly by promoting evidence-based practice for the care of patients in the hospital and clinic setting.

Lessons for Practice
  • Improving the use of evidence-based resources requires restructuring the information and retraining physicians.
  • Three paths to improving the use of information resources at the point of care are as follows:
    • Structure information resources to accept natural language queries.
    • Allow for flexible, user-directed, evidence-based output searched and delivered flexibly and based on the needs of the clinician.
    • Train users to be mindful of their information needs, with respect to amount and type, and of of their own skill sets.
MeSH Terms: Decision Making; Education, Medical, Continuing; Evidence-Based Medicine; Information Storage and Retrieval; Internet; Medical Informatics
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