Information Needs and Information Seeking in Community Medical Education

Cogdill, Keith W.; Friedman, Charles P.; Jenkins, Carol G.; Mays, Brynn E.; Sharp, Michael

doi:10.1097/00001888-200005000-00020

Cited by 40 publications

(32 citation statements)

References 4 publications

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Mentioning

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“…Table 1 2–35 provides a comparison of the studies selected for this review. The actual date for data collection, the country where the research was undertaken, the research methodology utilized, the doctors’ professional role and the number of active participants in the research are detailed.…”

Section: Methodsmentioning

confidence: 99%

The information‐seeking behaviour of doctors: a review of the evidence

Davies

2007

Health Info Libraries J

293

260

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This paper provides a narrative review of the available literature from the past 10 years (1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006) that focus on the information seeking behaviour of doctors. The review considers the literature in three sub-themes: Theme 1, the Information Needs of Doctors includes information need, frequency of doctors' questions and types of information needs; Theme 2, Information Seeking by Doctors embraces pattern of information resource use, time spent searching, barriers to information searching and information searching skills; Theme 3, Information Sources Utilized by Doctors comprises the number of sources utilized, comparison of information sources consulted, computer usage, ranking of information resources, printed resource use, personal digital assistant (PDA) use, electronic database use and the Internet. The review is wide ranging. It would seem that the traditional methods of face-to-face communication and use of hard-copy evidence still prevail amongst qualified medical staff in the clinical setting. The use of new technologies embracing the new digital age in information provision may influence this in the future. However, for now, it would seem that there is still research to be undertaken to uncover the most effective methods of encouraging clinicians to use the best evidence in everyday practice.

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Section: Methodsmentioning

confidence: 99%

The information‐seeking behaviour of doctors: a review of the evidence

Davies

2007

Health Info Libraries J

293

260

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“…13,14 When primary care practitioners included medical students in their work, the number of questions resulting from patient care decreased, pointing to another kind of time constraint. 15 If best evidence is necessary for good care, practitioners' skills in searching for it must be adequate to address the constraints of time. Easy and convenient access and support services are important to success.…”

Section: Introductionmentioning

confidence: 99%

Information-seeking behaviors and reflective practice

Bennett

Casebeer

Zheng

et al. 2006

Journal of Continuing Education in the Health Professions

105

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Although physicians are increasingly successful and confident in their Internet searching to answer questions raised in patient care, few choose to seek medical information during a patient encounter. Internet information access may facilitate overall reflection on practice; physicians do not yet use this access in a just-in-time manner for immediately solving difficult patient problems but instead continue to rely on consultation with colleagues. Professional association Web sites and point-of-care databases are helpful. From physicians' use of the Internet, professionals in continuing medical education must learn which search engines and sites are trusted and preferred.

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“…A review study by Davies [58] also seeking the clinical information needs of doctors, conducted an analysis on 15 research studies that suggested the top categories of information needs of doctors were treatment, diagnosis, and drug therapy/information. In a study by Cogdill et al [43] investigating the information needs of primary care physician and students, 162 questions indicating information needs were generated with both physicians and medical students. Questions most frequently asked were related to diagnoses and drug therapy.…”

Section: Assessment and Plan As The Most Important Information In Ambmentioning

confidence: 99%

“…Previous research has not explicitly stated that physicians found HPI useful [15,43,58,59]. The HPI may be important to physicians because it includes a summary and background of what the patient is feeling, which can be helpful for diagnosis and treatment.…”

Section: Assessment and Plan As The Most Important Information In Ambmentioning

confidence: 99%

Determining Primary Care Physician Information Needs to Inform Ambulatory Visit Note Display

Clarke¹,

Steege²,

Moore³

et al. 2014

Appl Clin Inform

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SummaryBackground: With the increase in the adoption of electronic health records (EHR) across the US, primary care physicians are experiencing information overload. The purpose of this pilot study was to determine the information needs of primary care physicians (PCPs) as they review clinic visit notes to inform EHR display. Method: Data collection was conducted with 15 primary care physicians during semi-structured interviews, including a third party observer to control bias. Physicians reviewed major sections of an artificial but typical acute and chronic care visit note to identify the note sections that were relevant to their information needs. Statistical methods used were McNemar-Mosteller's and Cochran Q. Results: Physicians identified History of Present Illness (HPI), Assessment, and Plan (A&P) as the most important sections of a visit note. In contrast, they largely judged the Review of Systems (ROS) to be superfluous. There was also a statistical difference in physicians' highlighting among all seven major note sections in acute (p = 0.00) and chronic (p = 0.00) care visit notes. Conclusion: A&P and HPI sections were most frequently identified as important which suggests that physicians may have to identify a few key sections out of a long, unnecessarily verbose visit note. ROS is viewed by doctors as mostly "not needed," but can have relevant information. The ROS can contain information needed for patient care when other sections of the Visit note, such as the HPI, lack the relevant information. Future studies should include producing a display that provides only relevant information to increase physician efficiency at the point of care. Also, research on moving A&P to the top of visit notes instead of having A&P at the bottom of the page is needed, since those are usually the first sections physicians refer to and reviewing from top to bottom may cause cognitive load.

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Information Needs and Information Seeking in Community Medical Education

Abstract: These findings cast light on information needs and seeking in the context of community medical education. Further research is needed to explore variables such as practice size and access to appropriate Web-based information resources.

Cited by 40 publications

References 4 publications

The information‐seeking behaviour of doctors: a review of the evidence

The information‐seeking behaviour of doctors: a review of the evidence

Information-seeking behaviors and reflective practice

Determining Primary Care Physician Information Needs to Inform Ambulatory Visit Note Display

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