Education and Development of Exemplary Physicians at The Florida State University College of Medicine
The Florida State University College of Medicine is dedicated to educating and developing exceptional physicians who prioritize patient-centered healthcare. Emphasizing lifelong learning to stay updated in the ever-evolving field of medicine, the institution focuses on recognizing rapid changes and efficient ways to keep up with medical advances. Through a commitment to knowledge and evidence-based practices, students are equipped to provide the best care possible to their patients.
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THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Lifelong Learning: Keeping Up to Date in the 21stCentury An Introduction Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine Summer 2014 1
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE 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 2014 2
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE Educating and developing exemplary physicians who practice patient-centered health care Knowledge Quote over the entrance to Dodd Hall, FSU Summer 2014 3
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE Educating and developing exemplary physicians who practice patient-centered health care In the Beginning Journals http://ovidsp.tx.ovid.com/FullTextService/CT%7b06b9ee1beed59419d271b467760d0d790ed5cee4e96827e956359e35bce03a478c313f95543ff6d2df8c6c3764a6b1f0%7d/schwartz.gif Pocket Manuals Drug Info Text Books Oxford Textbook of Medicine (3 Volume Set) Note Cards Summer 2014 4
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE Educating and developing exemplary physicians who practice patient-centered health care THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE 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) The half life of medical information is estimated at 5 years. Summer 2014 5
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE Educating and developing exemplary physicians who practice patient-centered health care 21st Century Medical Information Journals http://ovidsp.tx.ovid.com/FullTextService/CT%7b06b9ee1beed59419d271b467760d0d790ed5cee4e96827e956359e35bce03a478c313f95543ff6d2df8c6c3764a6b1f0%7d/schwartz.gif Pocket Manuals Drug Info Text Books Oxford Textbook of Medicine (3 Volume Set) Note Cards Summer 2014 6
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE Educating and developing exemplary physicians who practice patient-centered health care Guess Which are Most Effective At changing physician behaviors 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? 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. 7 Summer 2014
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE 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 2014 8
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE 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 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. Summer 2014 9
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE 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 2014 10
THE FLORIDA STATE UNIVERSITY COLLEGEOFMEDICINE 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 2014 11