TUSK: Tools to Integrate and Share Health Knowledge

知识管理正成为卫生专业人员教育中越来越重要的因素，因为教师和学生都在与信息的爆炸性增长和日益增长的时间限制作斗争。TUSK，塔夫茨大学科学知识库（原HSDB）是一个数据库驱动的软件系统，在过去的8年中开发的，广泛用于医疗，牙科，兽医学校在塔夫茨，最近已安装在纽约医学院（NYMC）。TUSK使用开源工具和基于开放标准的架构构建，支持本地内容共享和个人知识管理。虽然在支持综合医学课程非常有效，教师和学生都表示需要更容易获得更广泛的外部内容资源，特别是那些相关的临床年的培训。该项目的总体目标是通过一个通用的TUSK接口，以自由和安全的方式实现医疗内容的无缝本地和机构间共享。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界面，在所有内容源之间形成连贯的连接。这将涉及来自不同来源的内容表示为TUSK内的可搜索“节点”，以及将所有内容节点与通用医学词汇表（UMLS）相关联的系统的实现。第二个目标是实施自动授权和权利管理，以促进内容的跨机构使用。Internet 2/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，使使用TUSK和其他Shibboleth系统的学校能够控制访问内容。该项目的结果将通过提供更广泛的临床相关内容的访问，促进课程材料的受控共享，并增强TUSK知识管理功能的使用，特别是在临床培训期间，为基于TUSK的系统的当前用户提供即时和直接的好处。此外，在实施基于标准的跨机构认证和数字版权管理方面取得的经验预计将对这些服务的开发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.