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A residency-based information system.

J W Murphy1, N W James, P A Williams

  • 1Maine Medical Center, Portland.

Annals of Internal Medicine
|June 15, 1990
PubMed
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Medical residents created an accessible article database for clinical decision-making. This system organizes over 1800 references, improving access to vital medical information.

Area of Science:

  • Medical Informatics
  • Medical Education

Background:

  • The exponential growth of medical literature necessitates improved information systems for accessibility.
  • Internal medicine residency programs offer a practical environment for developing such systems.

Purpose of the Study:

  • To develop and implement an efficient system for screening and organizing medical articles for clinical decision-making within an internal medicine residency program.
  • To create a readily accessible and cost-effective medical information resource for residents.

Main Methods:

  • Utilized clinical problem-solving, journal club reviews, and conference preparation to identify relevant articles via PAPERCHASE (MEDLINE) searches.
  • Supervised by a chief resident, articles were selected and cataloged using the Reference Manager software.
  • Employed standard Medical Subject Heading (MeSH) vocabulary for keyword searching and organization.

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Main Results:

  • Collected over 1800 relevant references within an 18-month period.
  • Established a computerized article file that is now a daily medical information resource for residents.

Conclusions:

  • The developed system effectively addresses the challenge of information overload in medical literature.
  • The system enhances clinical decision-making by providing rapid access to organized, relevant medical articles.
  • This approach demonstrates a sustainable model for creating practical medical knowledge repositories in training programs.