EVIDENCE-BASED EMERGENCY MEDICINE

WORKING GROUP

MINUTES 1/2/2001

Present: Jim Celentano, Barney Eskin and Peter Wyer.

The meeting was called to order at 5:30 PM by Peter Wyer.



OLD BUSINESS

Minutes of the December meeting were reviewed and approved.

NEW BUSINESS

GRANT APPLICATION FOR THE 2002 WORKSHOP

Discussion of the planned 2002 workshop centered around applying for the EMF grant.

1. Assessment of the efficacy of the workshop.

a. "A small group adult learning format improves the ability to use the medical literature for patient care" was proposed as the research hypothesis.

(1) We have documented interest in taking this approach since we have done this before. In the application, we need to include our previous experience in the "Rationale for the Study" section.

(2) We are planning on studying this scientifically and generating numbers.

(3) We are relying on our experience over the last few years. It is validated because it is internally consistent (construct validity), eg., experienced subjects do better on testing than neophytes.

(4) We need to decide on the components of the assessment.

(5) We could use the internet to help gather data.

b. Peter Wyer met with Ann Boehme who is interested in developing evaluation programs and publishing summaries of NYAM projects.

c. Rob Hayward, through his CCHE site, has a system that theoretically would be able to follow clinicians to see if they use the EBM approach and what effect this has on patient care.

d. Barney Eskin reports that he interviewed participants of the 1999 workshop via telephone asking how often they used the internet to search the medical literature. The frequency of searches was no different for workshop participants than for a comparison group who had not taken a workshop in EBM. It would appear that, if a difference truly exists, it might lie in the number of different topics searched per week or the quality of the searching. Furthermore, the questions in future surveys need to be validated. For example, the issue of whether the interviewees understand the questions as intended could be studied by posing them to a small group of volunteers, then discussing with them what they meant by their answers. We also need to inquire about ease of access to the internet (ie., is it available in the ED?) since this probably has a significant effect on searching. One strategy suggested was surveying people before and after the workshop by phone or visiting sites. Approaches to minimize bias were discussed. We could ask for funds to pay those conducting the surveys (residents or others).

2. Ilene Wilets should be able to give us information about what the grant reviewers are looking for. We also need to contact EMF directly about this. We need to ask Ilene whether we should take a focused or broad approach.

3. Jim Celentano is working on choosing dates for the workshop, which will be held from Tuesday evening to Friday afternoon. The dates need to avoid conflicts with SAEM and ACEP and scheduled holiday periods. Possibilities include April 9-12 and 16-19. Jim will also check on room availability at NYAM

4. Lecture schedule: we will obtain summaries of lectures at the last workshop from Rosanne Leipzig and Tom McGinn.

EDUCATION AT FUTURE WORKING GROUP MEETINGS

It was suggested that an educational component be included at each of our meetings when there is no educational program following with the general group. This might broaden the appeal of our meetings and increase attendance and interest in our efforts.



The next monthly meeting will be held at the NY Academy of Medicine, 1215 Fifth Avenue (at 103rd St.) at

5:15 PM on Tuesday, February 6th. Food will be available. An educational program on the Users' Guides 2000 will follow at 6:30 PM.



There being no further business, the meeting was adjourned at 7:25 PM

Respectfully submitted


Barney Eskin