The role of expert searching in the Family Physicians' Inquiries Network (FPIN).

OBJECTIVE: This article describes the contributions of medical librarians, as members of the Family Physicians' Inquiries Network (FPIN), to the creation of a database of clinical questions and answers that allows family physicians to practice evidence-based medicine using high-quality information at the point of care. The medical librarians have contributed their evidence-based search expertise and knowledge of information systems that support the processes and output of the consortium. METHODS: Since its inception, librarians have been included as valued members of the FPIN community. FPIN recognizes the search expertise of librarians, and each FPIN librarian must meet qualifications demonstrating appropriate experience and training in evidence-based medicine. The consortium works collaboratively to produce the Clinical Inquiries series published in family medicine publications. RESULTS: Over 170 Clinical Inquiries have appeared in Journal of Family Practice (JFP) and American Family Physician (AFP). Surveys have shown that this series has become the most widely read part of the JFP Website. As a result, FPIN has formalized specific librarian roles that have helped build the organizational infrastructure. CONCLUSIONS: All of the activities of the consortium are highly collaborative, and the librarian community reflects that. The FPIN librarians are valuable and equal contributors to the process of creating, updating, and maintaining high-quality clinical information for practicing primary care physicians. Of particular value is the skill of expert searching that the librarians bring to FPIN's products.     

Creating a consumer health outreach program for Western New York senior citizens: continuing a library school project

The Internet has made accessing information a simple task. Each day millions of Americans log on to the Web in search of information on a variety of subjects. One of the most sought after type of information is medical information. Individuals are taking a more proactive role in their personal health care and the health care of their friends and families. Attempting to locate and evaluate quality health care information can pose a variety of problems for the consumer. Academic libraries have an opportunity to play a crucial role in facilitating the consumer's access to quality, reliable health information by developing and implementing consumer health outreach programs designed to address search problems and information interpretation difficulties. The benefits for both the community and the library are numerous when a consumer health information outreach program is successfully employed. This article will chronicle the creation of a Consumer Health Outreach program, entitled "WNY Consumer Health," intended for senior citizens in Western New York. This program was designed to satisfy the requirements of a graduate special project for the completion of the authors' MLS degree.     

Teaching portfolios: A strategy for developing learning and teaching in preservice education

Teaching portfolios have been used in the preservice teacher education program at Monash University to help student teachers to reflect on their learning about learning and teaching and to help them to convey this to others. The portfolio is an open-ended and un-graded task designed to explore teaching from many different vantage points. It is organised as a dynamic assessment task, not simply a static end product. This is done by considering teaching portfolios as comprising two important aspects, one is the process the other is the product. The process involves learning from the variety of experiences offered in the preservice education program and encouraging student teachers to reflect on these. The product is the development of the individual portfolio items that are used to demonstrate this learning to others. The portfolio comprises a number of individual items which act as a prompt to “tap” the creator's understanding of what it means to be a (science) teacher. This paper reports on the effectiveness and value of portfolios from the student-teachers' perspective by exploring how their understanding of the task evolved as they completed their preservice teacher education program.     

Peer Review and Post-tenure Review

This essay focuses on four themes, which are post-tenure review as a summative moment in a cycle of formative occasions, the post-tenure period as characterized by flux and change, the post-tenure period as one of crisis in intellectual growth, and peer collaboration and review of teaching as appropriate modes of faculty development.     

Career Success in Training & Development: Is It What You Know or Who You Know?

A model illustrating the relationship between mentoring and job competency was developed and tested in a sample of 82 members of a local chapter of a national association for training and development professionals. Human capital was conceptualized in terms of job competency attainment and social capital in terms of mentoring and protégé relationships. A series of hierarchical regression analyses were run to test the path model. Although a positive relationship was found between acting as a protégé and job satisfaction, acting as a mentor had a negative relationship with income. The results showed a strong relationship between career competence and income, promotion, job satisfaction and career choice satisfaction. For training and development professionals, job competency is the key factor in their career success.     

Use of Knowledge, Skill, and Ability Statements in Developing Licensure and Certification Examinations

The task inventory approach is commonly used in job analysis for establishing content validity evidence supporting the use and interpretation of licensure and certification examinations. Although the results of a task inventory survey provide job task-related information that can be used as a reliable and valid source for test development, it is often the knowledge, skills, and abilities (KSAs) required for performing the tasks, rather than the job tasks themselves, which are tested by licensure and certification exams. This article presents a framework that addresses the important role of KSAs in developing and validating licensure and certification examinations. This includes the use of KSAs in linking job task survey results to the test content outline, transferring job task weights to test specifications, and eventually applying the results to the development of the test items. The impact of using KSAs in the development of test specifications is illustrated from job analyses for two diverse professions. One method for transferring job task weights from the job analysis to test specifications through KSAs is also presented, along with examples. The two examples demonstrated in this article are taken from nursing certification and real estate licensure programs. However, the methodology for using KSAs to link job tasks and test content is also applicable in the development of teacher credentialing examinations.     

Comparison of 1-, 2-, and 3-Parameter IRT Models

This module discusses the 1-, 2-, and 3-parameter logistic item response theory models. Mathematical formulas are given for each model, and comparisons among the three models are made. Figures are included to illustrate the effects of changing the a, b, or c parameter, and a single data set is used to illustrate the effects of estimating parameter values (as opposed to the true parameter values) and to compare parameter estimates achieved though applying the different models. The estimation procedure itself is discussed briefly. Discussions of model assumptions, such as dimensionality and local independence, can be found in many of the annotated references (e.g., Hambleton, 1988).     

Using multimedia to teach personal safety to children with severe learning difficulties

This paper presents a review of the use of computer technology as a medium to teach personal safety skills to young people with severe learning difficulties. The authors, working from the Psychology Department of Glasgow Caledonian University, present two main areas which they considered when designing teaching materials for these pupils. Firstly, pupils with severe learning difficulties may not understand the appropriate language for sexual issues. Materials based on the ability to speak, listen, read or write will not produce a deep level of understanding about the topic. Secondly, pupils with severe learning difficulties may find acting out a situation through role play difficult. The authors describe their use of computer technology as a possible solution to these areas and illustrate the personal experiences of educators following this novel use of multimedia.     

Information needs of United Kingdom primary care clinicians

BACKGROUND: The scope of primary care makes knowledge management in this context very challenging, especially as access to information increases and the role of primary care within the NHS expands. OBJECTIVES: This paper reviews the literature on the information needs of primary care clinicians to enable evidence-based decision making. Drawing on the literature, and using a specific example of a clinical informaticist service, some lessons are drawn on the role of information professionals in facilitating evidence-based health care. METHODS: Literature review. Case study of clinical informaticist service. CONCLUSIONS: There are numerous barriers to clinicians engaging with evidence-based practice. However, providing evidence-based information to clinicians' questions in a user-friendly format has the potential to facilitate changes in practice. The successful implementation of information services requires attention to both academic and service dimensions, fostering closer working relationships between clinicians and information professionals.