Knowledge Management Flashcards
You are finishing residency and will begin practice in a small town. You want to keep up with new developments in your field even though there are few professional colleagues in your community. All of the following might be useful but which will be most useful to you?
A. Subscribe to a few good journals
B. Buy new editions of printed textbooks
C. Subscribe to a service that review the literature in your field
D. Search Medline at regular intervals
E. Keep up contact with colleagues in your training program by e-mail and telephone
C
When it comes to keeping up with new developments, important journal articles are so widely dispersed among journals that there is no substitute for getting some help with surveillance of the literature as a whole in your field.
You can rely on the best general medical journals in your field to:
A. Provide answers to clinical question
B. Assure that you have kept up with the medical literature
C. Guarantee that the information they contain is beyond reproach
D. Expose you to the many dimensions of your profession
E. Accept all submitted articles that meet a certain level of quality
D
General journals typically have a rich array of articles, exposing you to the many aspects of your profession as a whole. Although they publish their share of research articles and review, they are not in themselves a particularly good solution for keeping up.
Many children in your practice have attacks of otitis media. You want to base your management on the best available evidence. Which of the following is the least credible source of information?
A. A clinical practice guideline by a major medical society
B. A systematic review published in a major journal
C. The Cochrane Database of Systematic Reviews
D. The most recent research article on this question
E. Clinical evidence
D
The most recent articles are part of the information base on a clinical question, but they may or may not make the most important contribution. Currency alone is not an especially strong credential.
Medline is especially useful for which of the following:
A. Finding all of the best articles bearing on a clinical question
B. An efficient strategy for finding the good articles
C. Looking up reports of rare events
D. Keeping up with the medical literature
E. Being familiar with the medical profession as a whole
C
Medline contributes to all of the listed tasks, especially for researchers and teachers; but for clinicians, it is uniquely valuable for finding out whether unusual events have been reported.
T/F. Peer review and editing assure readers that articles meet all criteria for scientific strength.
F
Peer review and editing improves articles, on average, but do not make them perfect.
T/F. Peer review and editing assure readers that articles are better than when they were first submitted.
T
Peer review and editing do improve articles
T/F. Peer review and editing assure readers that all important new developments in the journal’s field are covered.
F
Journal editors review what is submitted to them, and the journals themselves do not necessarily cover all important new developments in a field.
Which of the following factors may affect applicability of a clinical practice guideline to a particular patient?
a. Availability of the intervention in the geographic location
b. Burden of illness
c. Unique circumstances of the patient
d. Values of the patient
e . All of the above
e
Which of the following are necessary to effectively practice evidence-based medicine?
a. Ask an answerable question
b. Critically appraise the evidence for validity, impact, and applicability
c. Evaluate the patient’s unique biology, values, and circumstances
d. Search the available evidence
e. All of the above
d
What part of a structured abstract will point to the strength of the study and how well it is matched to the research question?
a. Objective
b. Setting
c. Design
d. Intervention
e . Main outcome measures
c
Which of the following databases contains mainly systematic reviews?
a. Cochrane
b. MEDLINE
c. Clinical Evidence publication
d. National Guideline Clearinghouse
e. Oxford Journals
a
Choose one or more of the following: critical appraisal is important because it
a. Guarantees that you have found a good quality article
b. Ensures a comprehensive assessment of the whole paper
c. Helps you skim read the article
d. Enables you to identify any bias in the research
e . Allows you to identify the strengths and weaknesses of a piece of research
a, d, e
The criteria for useful sources of clinical information includes
A. Up-to-date B. Can be tailored to specific question C. Can be sorted by scientific strength D. A and B only E. A, B, and C
E
Guidelines you can trust includes the following EXCEPT
A. Current B. Has diverse expertise of authors C. Had been reviewed by internal reviewers D. Evidence-based E. NOTA
E
CPGs are
A. Recommendations for clinicians regarding care for patients with specific conditions
B. Guidelines and not hard rules
C. Can be modified by clinical judgment of the physician
D. A and B only
E. AOTA
E
