the use of clinical guidelines for education efforts in the academic setting

The Use of Clinical The Use of Clinical Guidelines for Education Guidelines for Education Efforts in the Academic Efforts in the Academic

SettingSetting

Edward P. Sloan, MD, MPHEdward P. Sloan, MD, MPH

Associate ProfessorAssociate ProfessorDepartment of Emergency MedicineDepartment of Emergency Medicine

University of Illinois at ChicagoUniversity of Illinois at ChicagoChicago, ILChicago, IL

Attending PhysicianAttending PhysicianOur Lady of the Resurrection Medical CenterOur Lady of the Resurrection Medical Center

Chicago, ILChicago, IL

Attending PhysicianAttending PhysicianUniversity of Illinois HospitalUniversity of Illinois Hospital

Chicago, ILChicago, IL

AcknowledgementsAcknowledgementsAndy Jagoda

ProfessorMount Sinai School of Medicine

New York, NY

William DalseyACEP Chairman, ACEP Clinical Policies Committee

Robert Wood Johnson University HospitalNew Brunswick, NJ

Nederlandse Vereniging van Spoedeisende Hulp ArtsenOur Amsterdam Hosts

SettingSetting

As an academic Emergency Physician, you are asked to give a lecture to

your Emergency Medicine residents regarding traumatic brain injury (TBI).

QuestionsQuestions

• How do you maximize learning?

• Medical literature for educational efforts?

• What clinical guidelines exist?

• Clinical guidelines in lecture?

QuestionsQuestions

• Internet resources to enhance efforts?

• Report on development of lecture?

• Lecture available to largest audience?

Key Learning PointsKey Learning Points

• Lectures should utilize clinical guidelines

• Medical literature and internet search

• Maximize experience with content

• Inform learners on search method

• See www.ferne.org for relevant examples

Maximizing LearningMaximizing Learning

• Ask clinically relevant questions

• Illustrate relevance of questions

• Provide key learning points

Maximizing LearningMaximizing Learning

• Utilize visuals for content interest

• Process by which info was obtained

• Provide opportunity for questions

Maximizing LearningMaximizing Learning

• Provide outcome for patient cases

• Provide reference list and bibliography

• Use Q&A for CME purposes

• Documentation and medico-legal issues

Utilizing the Medical LiteratureUtilizing the Medical Literature

• Conduct search using MEDLINE/PubMed

• Utilize relevant key words

• Obtain whole article for context

• Guidelines, clinical trials, and case series

Finding Clinical GuidelinesFinding Clinical Guidelines

• Availability at www.guidelines.gov

• Relevant foundations’ websites

• Physician organizations’ websites

Turning Guidelines into Lecture ContentTurning Guidelines into Lecture Content

• Address situations and therapies

• Therapies for different situations

• Recommendation based on evidence

Turning Guidelines into Lecture ContentTurning Guidelines into Lecture Content

• Therapies and issues not in guidelines

• Future research to enhance quality

• Public health issues

• Efforts to disseminate clinical info

Utilizing Internet ResourcesUtilizing Internet Resources

• www.update-software.com

• Radiology teaching files

• www.google.com

• Name all websites used

• Paste important pages into presentation

Process Info Provided to LearnersProcess Info Provided to Learners

• Words used in the following searches:

• MEDLINE/PubMed search

• www.google.com

• www.guidelines.gov

Process Info Provided to LearnersProcess Info Provided to Learners

• Provide navigation methods for websites

• Cut/paste info from website

• Name of website with lecture

• Useful websites for additional info

Maximizing Lecture AvailabilityMaximizing Lecture Availability

• Content in written format at meeting

• PDF file format

• Provide free PDF software

• CD-ROM with written lecture and slides

Maximizing Lecture AvailabilityMaximizing Lecture Availability

• Content without PowerPoint software

• Videostream on internet

• Possible to download content off internet

ConclusionsConclusions

• Information explosion

• Technology expansion

• Focus on guidelines

• Need to optimize patient care

RecommendationsRecommendations

• Simplify information

• Utilize guidelines

• Use technology to enhance process

• Optimize cost, quality, access