Naval Hospital Jacksonville Information Mastery Curriculum

1
Naval Hospital Jacksonville Information Mastery
Curriculum

• CDR Ken Yew
• STFM EBM Teaching Theme Day
• September 23, 2003

2
Overview

• Goal
• Critical users of medical information
• Lifelong learners
• Change agents for Clinical Quality Improvement
• Scope
• Two-level longitudinal curriculum
• Six major components

3
Context

• Setting
• 12-12-12 program
• Community hospital serving active duty, their
  families and retirees
• Curriculum history
• EBM teaching began 1995
• Curriculum formalized in 2000

4
Major Curricular Components

• Search clinic
• Lectures
• Pharmaceutical critical appraisals
• Two-tiered information mastery rounds
• EBM workshop
• Information mastery project

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Limitations

• Evaluation subjective
• Feedback sessions
• Satisfaction questionnaires
• Integration
• Faculty time

6
Strengths

• Longitudinal nature
• Broad structured curriculum
• Targets long-term learner needs

7
Questions?
8
Search Clinic

• Introduction to medical databases and one page
  search strategy
• Ovid
• PubMed, including Clinical Queries
• Clinical Evidence
• MD Consult
• The Cochrane library
• SumSearch

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Lectures

• 40 minute lectures
• Introduction to evidence-based medicine
• Introduction to information mastery
• 15 minute lectures
• Study design (2)
• Searching
• Sensitivity, specificity and predictive value
• Family practice incidence rate
• Screening
• Number needed to treat
• P-value, power and perspicuity

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10
EBM Workshop

• Large group
• Asking questions
• Critical appraisal
• Information sources
• Statistics
• Guidelines and change management
• Lifelong learning

• Searching clinic
• Small group
• Therapy
• Diagnosis
• Reviews

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11
Information Mastery Project

• Done during PGY2
• Possible projects include
• CAT/POEM
• Critical debate
• Outpatient guideline proposal
• Patient education tool
• Evaluated by peers and faculty

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