PubMed Health⌕ Search

Biomedical subjects

Neil Korsen

Publications and source records attributed to Neil Korsen.

7 recordsLinked to original sources

Implementing an office system to improve primary care management of depression.

Studies have shown that many patients treated for depression in primary care settings do not achieve the outcomes demonstrated to be possible in randomized controlled trials. In general, multifaceted interventions have been more successful than single focus interventions in improving care of depression in this setting. This article reports on the implementation of such a mulitfaceted intervention in primary care practices. Part of the strategy in this case is to introduce the intervention through an intermediary organization that has a relationship with the practices and has a quality improvement infrastructure to support the implementation and help to sustain changes.

Case Management↗

Teaching the teachers: helping faculty in a family practice residency improve their informatics skills.

Faculty members in family practice residencies are increasingly being asked to help residents develop skills in the use of informatics and evidence-based medicine (EBM). In order to do this successfully the teachers themselves must be skilled in the use of these tools. Recognizing the need for such training, the Maine Medical Center Family Practice Residency Program designed a faculty development project to increase knowledge and skills in the use of information technology. This project, which was carried out in 1999-2001, utilized a multifaceted approach that included improving the residency's technology infrastructure, conducting two instructional workshops, and offering EBM mentoring for preceptors. Faculty members also designed and carried out independent informatics projects. Pre- and post-project assessments of faculty members demonstrated a significant improvement in computer and EBM skills, and informal feedback from residents indicates that these skills have been successfully applied to the faculty members' teaching of residents and their practice of family medicine. This project had a positive impact on the faculty members in the residency program, increasing both their ability to employ information technology in individual and group teaching sessions and their use of EBM in clinical practice. Also, the culture within the residency program has been changed to one of utilizing computers and the Internet as principal resources for up-to-date information.

Curriculum↗