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Becoming a medical information master: feeling good about not knowing everything.

The body of knowledge in medicine is growing at a phenomenal pace. Clinicians rely on many sources of medical information--journal articles and reviews, textbooks, colleagues, continuing medical education conferences, videotapes and audiotapes, and pharmaceutical representatives--although they probably have had little formal training in assessing the clinical usefulness of the information obtained from each source. Excellent reader guides on how to evaluate clinical trials and review articles have been published, but these techniques are time-consuming and are rarely employed by busy clinicians. In this paper, we present a "user-friendly" method of managing new information in a practical and time-efficient manner. This approach allows clinicians to disregard most of the available medical information and focus on patient-oriented evidence that truly matters.

Clinical Trials as Topic↗

The role of the information architect at King Faisal Specialist Hospital and Research Centre.

Successful implementation of integrated clinical information system requires modification of the institution's long range strategic plans and its personnel's behavior. The changes warrant a concerted effort on the part of many different individuals; this paper describes the role of the Information Architect whose primary functions are to steer the process to fulfill stated objectives and build consensus where divergent forces are at work. The workings of the Architect is presented in context of a unique Middle-Eastern institution currently undergoing automation of clinical information.

Academic Medical Centers↗

Building an information culture: the top team.

This paper describes a learning process, used by the NHS, which aims to improve the management of information in NHS organizations by enabling the top team to develop a more strategic view of information management and technology in line with the Management in the 1990s approach.

Focus Groups↗

The NCIC-Manitoba Breast Tumor Bank: a resource for applied cancer research.

The NCIC-Manitoba Breast Tumor Bank is one of several tumour banks that have been established through the Molecular Epidemiology Program of the National Cancer Institute of Canada (NCIC). The NCIC-Manitoba Breast Tumor Bank is an example of one model developed to facilitate research designed to translate the findings of basic science into information useful in the clinical arena. The tumour bank's mandate is to provide a national resource that consists of a preassembled dataset of matched samples of paraffin-embedded and frozen tumour tissue with corresponding pathological and clinical data. In the first 3 years the tumour bank has accrued data and samples from over 1800 cases of breast cancer and has provided support for 20 research projects across Canada and the United States.

Academies and Institutes↗

[Family physicians and scientific information. Survey on hypertension and diuretics].

In order to analyse the quality of scientific communication in the field of hypertension, we have conducted a survey among French physicians. The topics of the questions were partly related to hypertension and partly to diuretics; 3,600 questions forms have been mailed: 610 answers were returned (17%). The results show that most of physicians are unsufficiently informed about primary prevention therapeutical trials and recommendations. Moreover, whereas all physicians questionned (97%) consider that diuretics constitute a current therapeutic approach, this class remains largely unknown concerning its mechanisms, efficacy and tolerance dose relationships. As 80% of general practitioners having participated to this survey wish to be more informed on recent data in this field, these results emphasize the necessity of adapting information to the need of practitioners, raise questions concerning the information supports, the role of scientific committees in the medical information and the necessity to complete clinical research by studies which results may be rapidly applicable in clinical practice.

Adult↗

Nursing education to celebrate learning.

Institutions of higher education currently face a number of challenges, from the increasing diversity of students, a growing disparity between what society and what the university defines as its core mission, and society's transition from an industrial economy to an information economy. As part of such institutions, schools of nursing will need to consider a new "business design," which may include: new course formats that will keep groups of students together for several years in the same "learning communities"; use of Internet communications for projects and public exhibitions and defenses of results instead of the regular weekly scheduled class; offering programs for learning entrepreneurship, business practice, management, and leadership; and establishing programs for working professionals that promise, deliver, and certify specified competencies.

Commerce↗

The evolution of modern technology and its societal impact on biocommunications in academe.

A perspective is presented on how communications technology has evolved over the last century and has resulted in the digital revolution and information explosion affecting biocommunications today. The paper includes three sections: historical perspective, current situation, and future direction. The relationship between information technology and societal factors impacting on higher education, health care, and the field of biocommunications is discussed and suggestions made for understanding and coping with this change.

Communication↗