1. A Canadian Evidence-based Family Practice Web Site - A Discussion - FMF 2005 Saturday 2-5pm FMF 2005 Saturday 2-5pm

2. Agenda A review: our 2004 proposal Updated Show and Tell Making the ideas a reality What are our next steps for funding What are our next steps for organization A review: our 2004 proposal Updated Show and Tell Making the ideas a reality What are our next steps for funding What are our next steps for organization

3. Last Year  We met in Toronto to discuss the website as a concept  After lively discussion, we decided to move forward on a proposal.  We met in Toronto to discuss the website as a concept  After lively discussion, we decided to move forward on a proposal.

4. Goals of project national collaboration sharing of resources Bilingual Family Practice focus (what makes this project unique) national collaboration sharing of resources Bilingual Family Practice focus (what makes this project unique)

5. Proposal: What?  one Canadian web site to help health professionals in training and practice access sites relevant to evidence-based family practice.

6. What makes this website unique is:  a national collaboration, with input from each of the 16 residency programs in Family Practice  focused on evidence based information relevant to Family Practice  bilingual  sections for learners, teachers and practitioners  a national collaboration, with input from each of the 16 residency programs in Family Practice  focused on evidence based information relevant to Family Practice  bilingual  sections for learners, teachers and practitioners

7. Proposal: Why?  Canadian universities are duplicating the work of creating an EBP web site.  costly  unable to keep up to date on the amount of quality content.  By collaborating and sharing tasks we make one shared site more up to date, more complete, and ensure the evaluation of quality content is more robust.  Canadian universities are duplicating the work of creating an EBP web site.  costly  unable to keep up to date on the amount of quality content.  By collaborating and sharing tasks we make one shared site more up to date, more complete, and ensure the evaluation of quality content is more robust.

8. Proposal: How?  central organizing committee  leverage current conferences of health professionals and health librarians to raise the issue and seek partners through posters and presentations  seek funding from government and/or non- government sources for site development.  set up processes for site development (development platform, hosting, site structure, content and tools), and site management (content selection, validation, updating and evaluation of the website).  A pilot site would be developed and feedback from the larger collaboration used to modify and finalize a working version.  Long term funding would be identified for the continued assessment and refinement of the site.  central organizing committee  leverage current conferences of health professionals and health librarians to raise the issue and seek partners through posters and presentations  seek funding from government and/or non- government sources for site development.  set up processes for site development (development platform, hosting, site structure, content and tools), and site management (content selection, validation, updating and evaluation of the website).  A pilot site would be developed and feedback from the larger collaboration used to modify and finalize a working version.  Long term funding would be identified for the continued assessment and refinement of the site.

9. Key Features of the Web Application / Web Site:  Available online 24/7  Searchable database of EBM links that are relevant to clinical family medicine practice and training  Ability to define regional sub-sections of the web-site such that each university (or group) can share national / global resources as well as include local resources for each school.  Available online 24/7  Searchable database of EBM links that are relevant to clinical family medicine practice and training  Ability to define regional sub-sections of the web-site such that each university (or group) can share national / global resources as well as include local resources for each school.

10. Key Features of Content  Content transparently evaluated for EBM quality (based on work already started at Laval University)  Defined and automated workflow for the suggestion, review, addition, and maintenance of links.  Users can propose new content material (These would be posted to the review body)  Content review will be shared amongst faculty members across the country using the web site as the central repository.  Seek endorsement from the Canadian College of Family Physicians  Content transparently evaluated for EBM quality (based on work already started at Laval University)  Defined and automated workflow for the suggestion, review, addition, and maintenance of links.  Users can propose new content material (These would be posted to the review body)  Content review will be shared amongst faculty members across the country using the web site as the central repository.  Seek endorsement from the Canadian College of Family Physicians

11. Content for Point of Care  Links to reliable sources for evidence-based practice. Each site would be systematically reviewed and graded.  Each link would have an expiry date, when it would need to be critically appraised again.  sites that are nationally relevant  a local section for each University.  sites would be searchable to make access more intuitive and fast.  Links to evidence-based prescribing information.  Links to evidence-based patient materials.  Links to reliable sources for evidence-based practice. Each site would be systematically reviewed and graded.  Each link would have an expiry date, when it would need to be critically appraised again.  sites that are nationally relevant  a local section for each University.  sites would be searchable to make access more intuitive and fast.  Links to evidence-based prescribing information.  Links to evidence-based patient materials.

12. Content for teachers  platform for sharing teaching tools including:  PowerPoint presentations/lectures  Links that are relevant to teaching EBP  Teaching packages  Teaching cases that emphasize EBM principles  Techniques for evaluating learners EBM skills – EBM OSCE, Fresno test  A collection of critically appraised topics (CATs) from all universities  platform for sharing teaching tools including:  PowerPoint presentations/lectures  Links that are relevant to teaching EBP  Teaching packages  Teaching cases that emphasize EBM principles  Techniques for evaluating learners EBM skills – EBM OSCE, Fresno test  A collection of critically appraised topics (CATs) from all universities

13. Content for learners  Interactive self tutorials for students / residents / practitioners’ CME  Reporting tools for teachers that show student’s participation and scores  CAT maker and CAT bank (teaching skills of formulating a good question using PICO, critically appraisal, basic stats –NNT, ARR,etc.)  Interactive self tutorials for students / residents / practitioners’ CME  Reporting tools for teachers that show student’s participation and scores  CAT maker and CAT bank (teaching skills of formulating a good question using PICO, critically appraisal, basic stats –NNT, ARR,etc.)

14. Proposal: Evaluation  The site would be regularly evaluated to determine if it is meeting the objectives described above.  Internal evaluation will be built into the system through the use of system logs, user feedback systems such as discussion forums and mailing lists.  The site would be regularly evaluated to determine if it is meeting the objectives described above.  Internal evaluation will be built into the system through the use of system logs, user feedback systems such as discussion forums and mailing lists.

15. Proposal: Members  McGill University: Dr. Martin Dawes  Laval:Dr.Michel Labrecque  UBC:Dr.Colleen Kirkham  UBC:Dr.Morgan Price  McMaster:Dr. Janusz Kaczorowski  McMaster: Dr. Inge Schabort  East Tennessee State University:Dr. Fred Tudiver  Memorial University:Dr. Marshall Godwin  University of Ottawa:Dr. Tom Emslie  University of Calgary:Dr. Roger Thomas  University of Alberta:Dr. Michael Allan  University of Saskatchewan:  University of Manitoba:  University of Toronto:  University of Western Ontario:  Sherbrooke:Dr. Catherine Hudon  Dalhousie University:  Queens University:  McGill University: Dr. Martin Dawes  Laval:Dr.Michel Labrecque  UBC:Dr.Colleen Kirkham  UBC:Dr.Morgan Price  McMaster:Dr. Janusz Kaczorowski  McMaster: Dr. Inge Schabort  East Tennessee State University:Dr. Fred Tudiver  Memorial University:Dr. Marshall Godwin  University of Ottawa:Dr. Tom Emslie  University of Calgary:Dr. Roger Thomas  University of Alberta:Dr. Michael Allan  University of Saskatchewan:  University of Manitoba:  University of Toronto:  University of Western Ontario:  Sherbrooke:Dr. Catherine Hudon  Dalhousie University:  Queens University:

16. Possible Partners  Canadian College of Family Practice –Anita Lambert-Lanning  Canadian Library of Family Medicine –Lynn Dunikowski  Jeremy Grimshaw from University of Ottawa, Director of The Canadian Cochrane Collaboration –Michel will contact  Canadian College of Family Practice –Anita Lambert-Lanning  Canadian Library of Family Medicine –Lynn Dunikowski  Jeremy Grimshaw from University of Ottawa, Director of The Canadian Cochrane Collaboration –Michel will contact

17. Need for Web Site Localization National, provincial, regional, local? Needs by topic area: EBM teaching resources, on-line course work vs. clinical resources and links Language localization. National, provincial, regional, local? Needs by topic area: EBM teaching resources, on-line course work vs. clinical resources and links Language localization.

18. Show and Tell: Laval website demo and update UBC Links -website of clinical links, e- learning centre www.gpfaqs.com - a system for writing cats online and offline International Centre for EBM Others Laval website demo and update UBC Links -website of clinical links, e- learning centre www.gpfaqs.com - a system for writing cats online and offline International Centre for EBM Others

19. Technology Options  Are we ready to talk about technology options?  There are several options on how to proceed.  Are we ready to talk about technology options?  There are several options on how to proceed.

22. Content Licensing  It is better to get content licensing organized before there is content.  Suggest an open and sharable license for content  Free Document license  Creative Commons license  It is better to get content licensing organized before there is content.  Suggest an open and sharable license for content  Free Document license  Creative Commons license

23. Making the Ideas a Reality

24. Leadership / Roles How to structure this national collaboration? Who plays the coordinating role? Is there a role for the College in this? Is there room / space for a project manager for this? How to structure this national collaboration? Who plays the coordinating role? Is there a role for the College in this? Is there room / space for a project manager for this?

25. Budget Funding Opportunities - what can we leverage to develop this site and tool for our residents and faculty? Need budget for original development and maintenance Funding Opportunities - what can we leverage to develop this site and tool for our residents and faculty? Need budget for original development and maintenance