TUSK: Tools to Integrate and Share Health Knowledge

知识管理正在成为卫生专业人员教育中越来越重要的因素，因为教职员工和学生都在努力应对信息的爆炸性增长和日益增长的时间限制。图斯克，塔夫茨大学科学知识库(前身为HSDB)是在过去8年中开发的一个数据库驱动的软件系统，被塔夫茨的医学、牙科和兽医学校广泛使用，最近安装在纽约医学院(NYMC)。Tusk使用开源工具构建，具有基于开放标准的架构，支持本地内容共享和个人知识管理。尽管在支持综合医学课程方面非常有效，但教职员工和学生都表示需要更容易地获得更广泛的外部内容资源，特别是那些与临床多年培训相关的资源。该项目的总体目标是通过一个共同的图斯克界面，以自由和安全的方式实现本地和机构间医疗内容的无缝共享。该项目的第一个目标是扩展Tusk系统，以整合外部和内部内容接口，在所有内容来源之间形成连贯的连接。这将涉及将来自不同来源的内容表示为Tusk中的可搜索“节点”，以及实现将所有内容节点与公共医疗词汇表(UMLS)相关联的系统。第二个目标是实施自动化授权和权利管理，以促进跨机构使用内容。Internet2/NSF认证和授权中间件(Shibboleth)以及数字版权管理标准将被集成到Tusk系统中，使学校能够使用Tusk和其他启用Shibboleth的系统对内容进行受控访问。该项目的成果将为图斯克系统的当前用户带来直接和直接的好处，因为它提供了获取更广泛的临床相关内容的途径，促进了课程材料的受控共享，并加强了图斯克知识管理功能的使用，特别是在临床培训期间。此外，在实施基于标准的跨机构认证和数字版权管理方面获得的经验预计将对这些服务在卫生科学教育中的发展和应用产生更广泛的影响。

Knowledge management is becoming an increasing important factor in the education of health professionals as both faculty and students wrestle with the explosive growth of information and growing time constraints. TUSK, the Tufts University Scientific Knowledgebase (formerly HSDB) is a database-driven software system developed over the past 8 years that is used extensively by the medical, dental, veterinary schools at Tufts and has recently been installed at the New York Medical College (NYMC). Built using open source tools and with an architecture based on open standards, TUSK supports local content sharing and personal knowledge management. Although extremely effective in supporting integrated medical curricula, both faculty and students have expressed the need for easier access to a wider range of external content resources, particularly those relevant to the clinical years of training. The overall goal of this project is to enable seamless local and inter-institutional sharing of medical content in a discretionary and secure manner through a common TUSK interface. The first aim of this project is to extend the TUSK system to integrate external as well as internal content interface, forming coherent connects between all sources of content. This will involve the representation of content from diverse sources as searchable "nodes" within TUSK and the implementation of system that associates all content nodes against a common medical vocabulary (the UMLS). The second aim is to implement automated authorization and rights managements to facilitate the cross-institutional use of content. The Internet2/NSF authentication and authorization middleware (Shibboleth) as well as digital rights management standards will be integrated into the TUSK system enabling controlled access to content among schools using TUSK and other Shibboleth-enabled systems. The results of this project will provide immediate and direct benefits to current users of TUSK-based systems by providing access to a wider range of clinically relevant content, facilitating the controlled sharing of curricular material and enhancing the use of the TUSK knowledge management features particularly during the clinical years of training. In addition, the experiences gained in the implementation of standards-based cross-institutional authentication and digital rights management are expected to have broader impact on the development and application of these services to health sciences education.