Ifmsa. granada. abril 2011. cfo

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Ifmsa. granada. abril 2011. cfo

  1. 1. La necesidad de información en el <br />profesional sanitario…<br />…y algunas cosas más<br />Carlos Fernández Oropesa<br />Farmacéutico de Atención Primaria<br />@rincondesisifo/www.elrincondesisifo.es<br />
  2. 2. Jiuston, tenemos un problema…<br />Quote attributed to the Dean of Cornell Medical College*: <br /> <br />“Half of what we will teach you is wrong. The problem is, we don’t know which half!”<br /> <br />                * Joseph Bernstein, MD: Evidence Based Medicine;J Am AcadOrthopSurg 2004;12:80-88 <br />
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  9. 9. Macrogestión del conocimiento<br />Microgestión del conocimiento<br />
  10. 10. CMAJ • APRIL 28, 2009 • 180(9)<br />About 10 years ago, if general internists wanted to keep abreast of the primary clinical literature, they would have needed to read 17 articles daily.<br />Today, with more than 1000 articles indexed daily by MEDLINE, that figure is likely double. <br />
  11. 11. PURPOSE The aim of this study was to determine the information needs of primary care physicians in Spain and to describe their information-seeking patterns. <br />METHODS This observational study took place in primary care practices located in Madrid, Spain. Participants were a random stratified sample of 112 primary care physicians. Physicians’ consultations were video recorded for 4 hours. Clinical questions arising during the patient visit and the sources of information used within the consultation to answer questions were identified. Physicians with unanswered questions were followed up by telephone 2 weeks later to determine whether their questions had since been answered and the sources of information used. Clinical questions were classified by topic and type of information.<br />RESULTS A total of 3,511 patient consultations (mean length, 7.8 minutes) were recorded, leading to 635 clinical questions (0.18 questions per consultation). The most frequent questions were related to diagnosis (53%) and treatment (26%). The most frequent generic type of questions was “What is the cause of symptom x?” (20.5%). Physicians searched for answers to 22.8% of the questions (9.6% during consultations). The time taken and the success rate in finding an answer during a consultation and afterward were minutes (100%) and 32 minutes (75%), respectively.<br />CONCLUSIONS Primary care physicians working in settings where consultations are of short duration have time to answer only 1 in 5 of their questions. Better methods are needed to provide answers to questions that arise in ofice practice <br />in settings where average consultation time is less than 10 minutes.<br />1 de cada 5!!!<br />
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  13. 13. ¿Producen los fármacos ISRS malformaciones congénitas <br />cuando son administrados a mujeres embarazadas?<br />
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  21. 21. Sistemas(toma de decisiones)<br />Sumarios (textos basados en la evidencia)<br />Sinopsis (resúmenes basados en la evidencia)<br />Síntesis (revisiones sistemáticas)<br />Estudios (estudios originales)<br />
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  25. 25. Sistemas(toma de decisiones)<br />Sumarios (textos basados en la evidencia)<br />Sinopsis (resúmenes basados en la evidencia)<br />Síntesis (revisiones sistemáticas)<br />Estudios (estudios originales)<br />
  26. 26. La Web 2.0<br />
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  34. 34. ¿Qué tiene ese…<br />…que no tenga yo?<br />
  35. 35. Elementosclave de la Web 2.0<br />Podcastsy videoblogs<br />
  36. 36. Elementosclave de la Web 2.0<br />Imágenes<br />
  37. 37. Elementosclave de la Web 2.0<br />Healthcare Social Media in Europe <br />Wikis<br />
  38. 38. Elementosclave de la Web 2.0<br />Blogs (blogosfera sanitaria)<br />
  39. 39. Blogosfera docente<br />
  40. 40. Elementosclave de la Web 2.0<br />Redes sociales<br />
  41. 41. Muchas gracias!!!<br />carlosf.oropesa@elrincondesisifo.es<br />https://sites.google.com/site/ifmsagranada2011/home<br />

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