Michaud G C, McGowan J L, van der Jagt R H, Dugan A K, Tugwell P
Ottawa General Hospital, University of Ottawa, Ontario, Canada.
Bull Med Libr Assoc. 1996 Oct;84(4):478-81.
Evidence-based medicine is an increasingly important concept in continuing medical education and medical school curricula. To cope with the rapid evolution of medicine, physicians need to remain abreast of the many new therapies and diagnostic tools that affect their practices. Unfortunately, along with the many changes there is also a surplus of relevant written material. Physicians are unable to read all of this information due to time constraints. Instead, they must choose information efficiently. Tools are needed to facilitate this process. Over a two-month period, a demonstration model was carried out at the Ottawa General Hospital to encourage faculty, residents, and students to incorporate evidence-based medicine into their daily practice. A study was conducted to investigate the level and type of information required by these individuals in a clinical setting. A literature searching service was introduced six months after the formal introduction of evidence-based medicine in the Department of Medicine. The logistics of and recommendations for providing such a service are presented in this paper.
循证医学在继续医学教育和医学院课程中是一个日益重要的概念。为了应对医学的快速发展,医生需要跟上影响其临床实践的众多新疗法和诊断工具。不幸的是,伴随着诸多变化,相关书面材料也过剩。由于时间限制,医生无法阅读所有这些信息。相反,他们必须高效地选择信息。需要工具来促进这一过程。在两个月的时间里,渥太华综合医院开展了一个示范模式,以鼓励教师、住院医生和学生将循证医学纳入他们的日常实践。开展了一项研究,以调查这些人在临床环境中所需信息的水平和类型。在医学系正式引入循证医学六个月后,引入了文献检索服务。本文介绍了提供此类服务的后勤工作和建议。