Aldrich Alison M, Schulte Stephanie J
a Health Sciences Library, The Ohio State University , Columbus , Ohio , USA.
Med Ref Serv Q. 2014;33(2):136-46. doi: 10.1080/02763869.2014.897511.
The concept of clinical informationists is not new, but has recently been gaining more widespread acceptance across the United States. This article describes the lessons and challenges learned from starting a new clinical informationist service targeted to internal medicine residents in a large academic medical center. Lessons included the need for becoming immersed in evidence-based practice fundamentals; becoming comfortable with the pace, realities, and topics encountered during clinical rounds; and needing organizational commitment to both the evidence-based practice paradigm and clinical informationist role. Challenges included adapting to organizational culture, resident burnout, and perceptions of information overload.
临床信息专家的概念并不新鲜，但最近在美国得到了更广泛的认可。本文描述了在一家大型学术医疗中心开展针对内科住院医师的新临床信息专家服务所吸取的经验教训和面临的挑战。经验教训包括需要深入学习循证医学实践的基础知识；适应临床查房的节奏、实际情况和话题；以及组织需要对循证医学实践模式和临床信息专家的角色给予支持。挑战包括适应组织文化、住院医师职业倦怠以及对信息过载的认知。
