Doctors reflecting on medical knowledge

Two interesting items this week about information access and medical education:

Dr. Joshua Schwimmer writes about Google Books in the Tech Medicine blog at Healthline. He relates an experience using Google Books to find quick access to a page on necrotizing fasciitis while examining a patient with medical students and residents in the emergency room: Google Book Search and Emergency Medicine. Dr. Shwimmer also writes the blog The Efficient MD. (via DavidRothman.net)

Also, in this week’s JAMA, Dr. Harold W. Horowitz reflects on the evolution of medical knowledge since his days as a resident, and the resulting changes in his role as an educator. He writes,

    I teach about multiple portals—how there is no single way to approach a case and how the one we choose may not be the only or even the best strategy despite our attempts to get the facts right and review the relevant data…. In this era of evidence-based medicine, I am more likely to point out how scanty the evidence actually may be when making a decision. Although I may refer to the “classic” article in a particular field, all too often I will point out how in retrospect it looks much less convincing than when it was first published just 10 years ago. Rather than giving my team answers, I am more likely to ask them to formulate a question….

    Horowitz HW. The interpreter of facts.JAMA 2008; 299(5): 497-498. http://jama.ama-assn.org/cgi/content/extract/299/5/497

    (via Becky at JMLA Case Studies in Health Sciences Librarianship.)

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    One Response

    1. Thanks for the link, Sandy!

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