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