Resources Relevant to the Implementation
of Core ACGME-Required Competencies


Module II
    Practice-based learning & improvement
          Resources




Information technology
      
The ACGME expects residents to, “use information technology to manage information, access on-line medical information; and support their own education.”

The set of skills required to meet these expectations consists both of technical proficiency and also of appropriate judgment to know what information is useful.

The resources provided in this module are designed to focus on both aspects of skill development.

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Personal Digital Assistants
(PDAs)
Small handheld computers, commonly known as personal digital assistants (PDAs) are tools that physicians increasingly find useful. PDAs not only can manage information such as schedules and contact lists, but also can provide access to references and record-keeping. Their small size and portability makes them readily accessible for use when access to laptop or desktop computers would be impractical.

A number of sites are available to provide health care professionals with information about PDA use, hardware, and software:

      • pdaMD.com provides extensive information about handheld hardware and software for medical professionals. This site offers tutorials on PDA information and use, as well as descriptions of software applications for medical professionals.

     • Healthy PalmPilot organizes medical software applications into categories such as diagnosis, interventions, references, and reference tools.

     • Ectopic brain provides a current A-Z listing of software applications described briefly and succinctly.

     • The Duke University Affiliated Physicians site provides physicians with basic information about using PDAs. Most helpful is a listing of 'almost essential' applications.

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Introduction to Evidence-based Medicine The optimal use of evidence begins with acquiring the knowledge and skills needed to construct clinical questions and searches, and evaluating the evidence obtained as a result. Duke University Medical Center and the University of North Carolina have collaborated to produce this tutorial on the use of evidence-based medicine.

This well-constructed site provides clear information and examples, as well as several exercises where one can test one’s skill at locating the best evidence.

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SUNY Health Sciences Evidence-based Medicine Course In-depth information about understanding and interpreting evidence is available from SUNY Health Sciences Evidence-based Medicine Course.

This site is a useful resource for information on topics such as constructing effective searches for a variety of types of questions and on evaluating the results of various types of studies such as prognosis and harm studies and meta-analysis.

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University of Toronto
Health Network
Centre for Evidence-based Medicine
The University of Toronto Health Network’s Centre for Evidence-based Medicine site provides extensive resources for learning and using evidence-based medicine.

Sections such as the one on child health provide the user with information about EBM specific to the domain in question. The learner is guided through the process of formulating clinical questions from a case, locating evidence resources, then analyzing the information obtained. A number of worksheets, designed to be used with studies of diagnosis, harm, prognosis, systematic review, and therapy are available to download and use.

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NHS Centre
for Evidence-based Medicine
The Centre for Evidence-based Medicine has been developed in Oxford, UK as a free resource.

The site includes an EBM toolbox containing resources such as spreadsheets and calculating programs, as well as information on study designs and tips to increase the utility of searches. The site also contains materials for teaching EBM, including worksheets and practice scenarios.

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Netting the Evidence:
A ScHARR Introduction
to Evidence-based Practice on the Interne
Netting the Evidence is produced by the School of Health and Related Research at the University of Sheffield, UK.

This site provides a wealth of resources including information about the most effective ways to search for evidence and how to appraise evidence. It includes a set of self-assessment exercises.

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