dear Doreen,
Contact your collaegue, Heleen Dyserinck, librarian-searcher, Central
Medical Library, Academic Medical Centre, University of Amsterdam.
She and her collaegues run several services to provide busy
clinicians with tailormade literature on clinical issues. One of
these services is to join the daily clinical rounds, at least of one
department, as far as I know. Questions are posed about particular
patients by the responsible physician. At lunch she provides him/her
with one or two articles. That article is critically appraised at
lunch and the evidence is presented at the daily meeting of the
department at the end of the day. They have a lot of experience now
with the techniques, the acceptance and the prerequisites of such an
endavour. One of them certainly is the full support of the head of
the department. Their expertise is welcomed now, a position that is
nog challenged, not even by the most arrogant examples of the species
'busy clinicians'. Her mail adress:
h.c.dyserinck.amc.uva.nl
Nico van Duijn, GP-epidemiologist
depart general practice
division public health
academic medical centre
university of amsterdam
amsterdam
the netherlands
university
> Date: Wed, 02 Jun 1999 21:03:02 -0400
> From: Doreen Lewis <[log in to unmask]>
> Reply-to: [log in to unmask]
> Organization: HOME LIBRARY
> To:
> "[log in to unmask]" <[log in to unmask]>,
> "[log in to unmask]" <[log in to unmask]>
> Subject: Ref Q
> This message is being cross posted - sorry for the duplication.
>
> My small hospital administrator is taking part in a workshop "Using
> Evidence to Improve Quality". She would like some ideas, articles
> anedotes on what obstacles there are to bringing evidence-based medicine
> to rural clinical practices. She is interested in srategies to change
> clinical behaviour to support evidence-based medicine.
> Ideas for the nursing staff would be welcome also.They seem further
> ahead in this.
> We need to identify impediments to this process in a small/rural
> hospital setting.
> We are not that far from large teaching hospitals but our docs are so
> busy that I do not think
> this is going to be an easy sell.It means a real change for what many of
> them were taught.
> I of course have offered my services as I have been to a couple of the
> courses.I did pose the question at the last one - how are small
> hospitals going to enact this and really did not get an answer since the
> presenters were from a large teaching facilty.
> If any of you can give me some ideas from your own experience both here
> in Canada and in the US I would be most grateful. I have searched Pub
> Med and Healthstar.
> Librarians can certainly play a major role in this process. We have some
> physicians who are very stubborn and will have to be dragged kicking and
> screaming in the new era.
> Please reply to me privately and if there is an interest I could
> summarize for the list.
> Doreen Lewis
> Librarian
> Alexandra Hospital
> INGERSOLL,ON
> N5C 3V6
> 519-485-1732 X278
> 519-485-5486 FAX
>
> --
>
>
>
>
>
> Doreen Lewis
>
> mailto:[log in to unmask]
>
> Librarians do it by the book
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