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PubMed1995

The evaluation of computer knowledge and skills of medical students: a three-year comparison.

In 1991, four hundred and forty three (443) first-fourth-and final-year students from the Monash University, Faculty of Medicine were surveyed to seek details of previous computer use [1], knowledge of computer concepts, individual computer skills, perceived usefulness of computers in medicine, and the level of interest in further education on medical computing. his poster will demonstrate the comparison of statistics obtained in the first questionnaire (1991) with the results of the same questionnaire that is currently being distributed and analyzed (1994 -1995). As a response to the first study, Medical Informatics as an optional subject was introduced in 1992 to first, second, and third year medical students. Medical Informatics is currently being developed for inclusion as a compulsory subject for first year students in 1995, taking into account the results of both the first and second survey.

Computer Literacy↗
PubMed1996

[Internet--an introduction not only for the physician].

The Internet, a global computer network, is not only a fascinating new media limited to scientists and computer specialist but medical doctors in hospitals as well as private practitioners are increasingly finding interesting applications in their field. Access to data-bases of medical literature, forums dedicated to experts as well as the possibilities of instantaneous electronic data transfer open new possibilities for communication and ongoing education in their everyday work. A serious and yet playful interaction with this new technology offers the chance to prepare for future developments, perhaps to communicate with other physicians, colleagues and institutions using a yet to be founded "German Medical Network". This contribution is particularly suited for colleagues for whom the use of computers is not yet a daily routine.

Computer Communication Networks↗
PubMed1996

Attitudes of community pharmacists, university-based pharmacists, and students toward on-line information resources.

The study sought to explore the attitudes of community pharmacists, university-based pharmacists, and pharmacy students before and after exposure to computerized systems of on-line information services. A 42-item attitudinal survey was administered to 21 community pharmacists, 7 university clinical pharmacist faculty, and 17 senior pharmacy students, prior to and at the end of a year of access to Grateful Med and BRS Colleague. Few significant differences were noted among the participants at baseline. No significant interaction-effect differences for type of participant or system used were found. Participants were generally positive about computers in general, the accuracy of on-line information services, their impact on knowledge and confidence, and their usefulness for pharmacists.

Adult↗
PubMed1996

[A computer-assisted patient databank for the ENT field].

In this study, a patient database program was prepared for patients admitted to the ENT Department of Ege University Hospital, Izmir. The algorithm of the program was created by using dBASE IV. In order to develop a patient database, a careful preparation and running stage had to be accomplished. However, the most important factor was proper maintenance. The greatest problem during the maintenance stage was compliance of the doctors or secretaries using the program. This was overcome by choosing or making a user-friendly, flexible, practical and beneficial patient database program. The study also showed that doctors could make their own patient databases and use them efficiently if they are interested in computers.

Algorithms↗
PubMed1996

The wired physician: current clinical information on the Internet.

The Internet and associated World Wide Web are electronic technologies that can help physicians identify needed clinical information quickly and can put physicians in ready contact with other specialists for communication and consultation. This article outlines the kinds of resources available on the Internet and methods for connecting your personal computer to the "information superhighway." Selected Internet sites and a short bibliography of books and articles relating to the Internet are included.

Computer Communication Networks↗
PubMed1995

Family practice educators' perceptions of computer-based patient records.

BACKGROUND: Despite the National Institute of Medicine's endorsement of computer-based patient records (CPRs), the majority of family practice residency programs continue to use paper records. This study examined the perceptions of family medicine educators about CPRs to understand their limited use of computerized patient record systems. METHODS: A survey was mailed to the directors of 247 family practice residency programs; 199 were completed and returned (response rate 81%). Respondents were asked to identify their concerns about CPRs, what they perceived as the advantages and disadvantages of CPRs compared with paper records, and the likelihood that their program will implement a CPR within the next year and within the next 5 years. RESULTS: The perceived benefits of CPR were greater efficiency, accuracy, and quality in patient care. However, many respondents were concerned about cost, mechanical breakdowns, conversion hardships, training needs, and physicians' attitudes. Despite these objections, the majority of respondents reported it is ¿somewhat¿ or ¿very¿ likely that their program will implement a CPR system within the next 5 years. CONCLUSIONS: Although the surveyed family medicine educators believed that CPRs offer significant benefits, they also perceived several disadvantages of converting from paper to computer-based patient records. Widespread use of CPRs among family practice programs in the near future depends on the extent to which vendors and others heighten awareness and knowledge about the benefits of CPRs and address concerns about cost, mechanical breakdowns, and transition difficulties.

Attitude of Health Personnel↗
PubMedDate not supplied

Taking stock of America's youth.

Approximately 40 million Americans are between the ages of 14 and 24. This age cohort currently represents about 15 percent of the total U.S. population. Members of this age group are developing their identities and experiencing occasional confrontation between generations. This period of development also includes education, training and job market testing. The direction these youths set out to follow will largely determine their course for much of their adult lives. A good start is therefore essential. Unfortunately, high school dropout rates are still very high and raise concerns about a widening economic gap between high income/low unemployment and low income/high unemployment members of society in an increasingly complex job world. The average income of young workers naturally tends to be low-a fact that belies the economic clout and future potential of this group. Every generation of young adults has left its mark on society as it passes through this stage of life, and the echo boomers--the offspring of the baby boomers--are certain to do just that.

Adolescent↗
PubMed1996

The image of health sciences librarians: how we see ourselves and how patrons see us.

A survey was conducted to solicit data related to health professionals image of librarians. Physicians, residents, nurses, medical students, dentists, pharmacists, physical therapists, and occupational therapists were questioned about their experiences with and opinions of librarians, particularly the skills and characteristics needed by helpful, successful librarians. Health sciences librarians were also questioned about their own professional image and their perceptions of their patrons' impression of librarians. Librarians and health professionals alike ranked good communication as the most important skill for librarians. Computer or technological skills were ranked fourth by librarians but second by health professionals. Although librarians tended to describe themselves in slightly more positive terms than did their patrons, health professionals viewed librarians as approachable, responsive, supportive, and open to change. Health professionals also reported that they received accurate, reliable, and timely information from librarians and that this information was valuable.

Attitude of Health Personnel↗
PubMed1996

An electronic consumer health library: NetWellness.

NetWellness is a community-based, consumer-defined grant program supporting the delivery of electronic health information to rural residents of southern Ohio and urban and suburban communities in the Greater Cincinnati tri-state region. NetWellness is a collaboratively developed and publicly and privately funded demonstration project. Information is delivered via ISDN, standard dial, dedicated network connections, and the Internet. TriState Online (Greater Cincinnati's Free-Net) and other southern Ohio Free-Nets are key access points in the larger project communities. The other access points are more than forty workstations distributed at public sites throughout the project's primary geographical area. Design strengths and limitations, training initiatives, technical issues, and the project's impact on medical librarianship are examined in this paper. Also discussed are ways of determining community needs and interest, building political alliances, finding and developing funding sources, and overcoming technical obstacles. NetWellness's Internet address is: http:@www.netwellness.org.

Community Participation↗
PubMed1996

Information retrieval patterns and needs among practicing general surgeons: a statewide experience.

Information retrieval has progressed from a reliance on traditional print sources to the modern era of computer databases and online networks. Surgeons, many from remote areas not served by professional medical libraries, must develop and maintain skills in information retrieval and management in both electronic and standard formats. One hundred thirty-three New Mexico general surgeons were surveyed to identify their information-seeking patterns in five areas: retrieval purposes, retrieval sources, barriers to access, techniques used, and continuing education needs. Ninety-nine (74.4%) surgeons responded to the survey. Ninety-five percent utilize professional meetings, the medical literature, and physician colleagues as information sources. Only 17% utilize the outreach services of the state's only medical school library. Common retrieval barriers were practice demands (71%), isolation from medical schools (30%), computer illiteracy (28%), and rural environment (25%). Continuing education topics related to information management would be valuable to 61% of the surgeons. Sixty-nine percent believe their current ability to access biomedical information is adequate, despite most frequently accessing their personal libraries for information related to decision-making or patient management. These data suggest that, despite significant information needs, surgeons have not embraced newer forms of information retrieval. It is imperative that surgeons acquire and maintain modern information retrieval skills as a means of remaining up-to-date in their profession. Professional surgical organizations and medical librarians should collaborate on these continuing education ventures.

Chi-Square Distribution↗
PubMed1996

Promotion of health information access via Grateful Med and Loansome Doc: why isn't it working?

Information gathered from Grateful Med and Loansome Doc outreach projects, including one involving seven health centers in rural southwest Alabama, raises questions about the effectiveness of such programs. This paper presents a review of the literature on Grateful Med as well as of information access and usage behaviors of physicians, an overview of the Alabama project, and data from other projects. Analysis of the responses and observations of the researchers reveal some strategies for enhancing the outcomes of such projects and improving access to medical care literature by health care professionals at rural sites.

Alabama↗