1. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Lifelong Learning: Keeping Up to Date in the 21 st Century Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine Summer 20141 An Introduction

2. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care FSU CoM Competency Students will – Recognize the rapid change in the field of medical – Identify the most efficient and effective way to keep up to date with medical advances Summer 20142

3. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Knowledge Summer 20143 Quote over the entrance to Dodd Hall, FSU

4. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care In the Beginning… Summer 20144 Journals Text Books Drug Info Pocket Manuals Note Cards Peer Reviewed

5. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care “Textbooks don’t smell as their contents rot, so readers will need to develop alternative crap detectors to avoid poisoning their minds and robbing their patients of current best care.” David Sackett, MD Pioneer of Evidence Based Medicine (EBM) Summer 20145 The half life of medical information is estimated at 5 years.

6. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care 21 st Century Medical Information Summer 20146 Journals Text Books Drug Info Pocket Manuals Note Cards

7. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Guess Which are Most Effective 1.Attending conferences? 2.Consult a colleague? 3.Reading journal articles? 4.Drug rep academic detailing? 5.Looking up answers? 6.Making mistakes? 7.EMR guideline prompts? Summer 2014 7 At changing physician behaviors Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance: a systemic review of the effect of continuing medical education strategies. JAMA. 1995;274:700-705.

8. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Which method is most practical for keeping up? 1.Attending conferences? 2.Reading journal articles? 3.Consult a colleague? 4.Drug rep academic detailing? 5.Looking up answers? 6.Making mistakes? 7.EMR guideline prompts? Summer 20148

9. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Lifelong Learning Old method: read a few journal articles per week, go to conference once a year Reality: Primary care docs would need over 17 hrs/day just to review reasonable and pertinent material Even in one narrow specialty would need 6+hrs/wk Practicing docs (all specialties) average 1-1.5 hrs/wk Summer 20149 Ebell, MH, Shaughnessy, A. 2003. Information Mastery: integrating continuing medical education with the information needs of clinicians. J Cont Edu H Prof. (23) pp. S53-S62.

10. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care How to Keep Up-to-Date Effective: – Look up answers to questions as they happen on Internet or smartphone. Applicable to your practice. – Use resources that continuously monitor research and constantly update like DynaMed, Epocrates, PEPID, – Role of social media/networking sites, RSS feeds, TBD Ineffective: – Read journals (17 hours/day?) – Consult colleagues (when?) – Attend conferences (least effective) Summer 201410

11. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Review What is the most efficient, unbiased way to keep up to date? 1.Go to medical conferences in Hawaii 2.Read 20-30 journal articles a week 3.Look up answers to clinical questions when they occur in a reliable, current resource Summer 201411