Jayantee Kalita, Usha K Misra, Gyanendra Kumar
Annals Of Indian Academy Of Neurology, 2007
"Aim: To study the use of computer-based literature search and its application in clinical training and patient care as a surrogate marker of evidence-based medicine.
Materials and Methods: A questionnaire comprising of questions on purpose (presentation, patient management, research), realm (site accessed, nature and frequency of search), effect, infrastructure, formal training in computer based literature search and suggestions for further improvement were sent to residents and faculty of a Postgraduate Medical Institute (PGI) and a Medical College. The responses were compared amongst different subgroups of respondents.
Results: Out of 300 subjects approached 194 responded; of whom 103 were from PGI and 91 from Medical College. There were 97 specialty residents, 58 super-specialty residents and 39 faculty members. Computer-based literature search was done at least once a month by 89% though there was marked variability in frequency and extent. The motivation for computer-based literature search was for presentation in 90%, research in 65% and patient management in 60.3%. The benefit of search was acknowledged in learning and teaching by 80%, research by 65% and patient care by 64.4% of respondents. Formal training in computer based literature search was received by 41% of whom 80% were residents. Residents from PGI did more frequent and more extensive computer-based literature search, which was attributed to better infrastructure and training.
Conclusion: Training and infrastructure both are crucial for computer-based literature search, which may translate into evidence based medicine."