A Bridge Between the Academic and Clinical Setting: Evi*

描述（由申请人提供）： 学术和临床环境之间的桥梁：临床循证医学实践。 医疗保健提供者在日常护理中经常做出影响患者的决定。传统上，这样的决定是基于经验，直觉，老师或同事的讲座，以及研究文献的发现等因素。另一方面，循证医学（EBM）是最佳研究证据与临床专业知识和患者价值的整合。信息技术使人们比以往任何时候都更容易获得科学文献，但获得在线服务仍然受到“数字鸿沟”的影响。“阻碍卫生保健提供者使用PubMed或Medline等数据库回答临床问题的障碍包括：无法访问互联网，缺乏有效搜索数据库的技能，以及对评估研究报告缺乏信心等。 阿卡迪亚大学要求拨款，将更好地准备本科生和研究生在生物学，心理学和健康科学，并协助15个临床站点走向循证医学在其临床实践中的使用。这里描述的程序将合并NLM Medline数据库的功能与订阅同行评审的期刊，使阿卡迪亚教师和学生和专业人员在小型医疗保健设施（我们的学生完成实习或临床教育回合）可以访问全文文章在线。 如果获得资助，该赠款将为阿卡迪亚大学以下研究生课程的学生和教师提供大幅提高的医学研究能力：物理治疗博士学位，医师助理研究理学硕士学位，遗传咨询理学硕士学位，公共卫生理学硕士学位，健康教育理学硕士学位和咨询心理学硕士学位。心理学和生物学系的本科生和教师也将使我们的医学图书馆服务。这笔赠款将为农村和服务不足的城市地区的15家小型医院和医疗机构的临床工作人员和学生提供图书馆访问和服务。选定的机构为我们的物理治疗，医生助理研究和咨询心理学学生提供临床教育机会。 赠款资助的活动将包括：两年订阅费约55同行评议的期刊在联合健康领域将访问的诊所网站和阿卡迪亚的学生，为期两天的培训课程，以证据为基础的做法，信息素养，并使用Medline数据库的临床医生从参与网站;为每个参与研究的临床研究中心提供一台新的戴尔台式计算机，为尚未接入Internet的参与研究中心提供两年的有线Internet服务，网站的队列的诊所网站和学生实习生;和一个研讨会上的循证医学队列从诊所网站。首席研究员是Rebecca Craik，阿卡迪亚大学物理治疗系教授兼系主任。这项赠款的规划小组包括阿卡迪亚大学信息技术负责人Param Bedi和图书馆技术服务负责人Ann Ranieri。

DESCRIPTION (provided by applicant): A Bridge between the Academic and Clinical Setting: Evidence-based Heatthcare Practice in the Clinic. Healthcare providers routinely make decisions affecting patients in daily care. Traditionally, such decisions have been based on such factors as experiences, intuition, lectures from teachers or colleagues, and findings from the research literature. Evidence-based medicine (EBM), on the other hand, is the integration of best research evidence with clinical expertise and patient values. Information technology makes access to scientific literature more available than ever before, but access to on-line services is still subject to the "digital divide." Obstacles preventing health care providers from using databases such as PubMed or Medline to answer clinical questions include: lack of access to Internet, lack of skills to search databases effectively, and lack of confidence in evaluating research reports, among others. Arcadia University requests a grant that will better prepare undergraduate and graduate students in biology, psychology, and health sciences and also assist fifteen clinical sites to move towards the use of evidence-based medicine in their clinical practices. The program described here will merge the capabilities of the NLM Medline database with subscriptions to peer-reviewed journals so that Arcadia faculty and students and the professional staff at small health care facilities (where our students complete internships or clinical education rounds) may access full-text articles on-line. If funded, the grant will provide substantially improved medical research capabilities for students and faculty in the following graduate programs at Arcadia University: doctorate of physical therapy, master of science in physician assistant studies, master of science in genetic counseling, the master of science in public health, master of science in health education, and master of arts in counseling psychology programs. Undergraduate students and faculty in the psychology and biology departments will also make us of the medical library services. The grant will provide library access and services for clinical staff and students at fifteen smaller hospitals and healthcare institutions in rural and underserved urban locations. The institutions selected provide clinical education opportunities for our physical therapy, physician-assistant studies, and counseling psychology students. Grant-funded activities will include: two years subscription fees for approximately 55 peer-reviewed journals in the Allied Health field to be accessed by clinic sites and Arcadia students, a two-day training session on evidence-based practice, information literacy, and use of Medline database for clinicians from participating sites; a new Dell desktop computer for each participating clinic site dedicated to research, two years of cable Internet service for participating sites that don't already have lnternet access, website for cohort of clinic sites and student interns; and a symposium on evidence-based medicine for cohorts from clinic sites. The principal investigator is Rebecca Craik, professor and chair of the Department of Physical Therapy at Arcadia University. The planning team for this grant includes Param Bedi, head of information technology and Ann Ranieri, head of library technical services at Arcadia University.