How much effort is needed to keep up with the literature relevant for primary care?

Medicine must keep current with the research literature, and keeping current requires continuously updating the clinical knowledge base (i.e., references that provide answers to clinical questions). The authors estimated the volume of medical literature potentially relevant to primary care published...

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Veröffentlicht in:Journal of the Medical Library Association 2004-10, Vol.92 (4), p.429-437
Hauptverfasser: ALPER, Brian S, HAND, Jason A, ELLIOTT, Susan G, KINKADE, Scott, HAUAN, Michael J, ONION, Daniel K, SKLAR, Bernard M
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container_end_page 437
container_issue 4
container_start_page 429
container_title Journal of the Medical Library Association
container_volume 92
creator ALPER, Brian S
HAND, Jason A
ELLIOTT, Susan G
KINKADE, Scott
HAUAN, Michael J
ONION, Daniel K
SKLAR, Bernard M
description Medicine must keep current with the research literature, and keeping current requires continuously updating the clinical knowledge base (i.e., references that provide answers to clinical questions). The authors estimated the volume of medical literature potentially relevant to primary care published in a month and the time required for physicians trained in medical epidemiology to evaluate it for updating a clinical knowledge base. We included journals listed in five primary care journal review services (ACP Journal Club, DynaMed, Evidence-Based Practice, Journal Watch, and QuickScan Reviews). Finding little overlap, we added the 2001 "Brandon/Hill Selected List of Print Books and Journals for the Small Medical Library." We counted articles (including letters, editorials, and other commentaries) published in March 2002, using bibliographic software where possible and hand counting when necessary. For journals not published in March 2002, we reviewed the nearest issue. Five primary care physicians independently evaluated fifty randomly selected articles and timed the process. The combined list contained 341 currently active journals with 8,265 articles. Adjusting for publication frequency, we estimate 7,287 articles are published monthly in this set of journals. Physicians trained in epidemiology would take an estimated 627.5 hours per month to evaluate these articles. To provide practicing clinicians with the best current evidence, more comprehensive and systematic literature surveillance efforts are needed.
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source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Clinical Competence - standards
Coverage
Current awareness services
Education, Medical, Continuing - methods
Exact sciences and technology
Family Practice - education
Family Practice - standards
Health care
Humans
Information and communication sciences
Information dissemination (open archives, open access,...) and document delivery
Information publishing, dissemination and reproduction
Information science. Documentation
Journalism, Medical - standards
Medicine
Online information retrieval
Overlap
Peer Review, Research - standards
Periodicals
Physicians
Physicians - standards
Primary health care
Primary Health Care - standards
Quality
Sciences and techniques of general use
Time Factors
United States
title How much effort is needed to keep up with the literature relevant for primary care?
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