A Canadian Evidence-based Family Practice Web Site

- A Discussion -

A Canadian Evidence-based Family Practice Web Site

- A Discussion -

FMF 2005

Saturday 2-5pm

FMF 2005

Saturday 2-5pm

AgendaAgenda

• A review: our 2004 proposal

• Updated Show and Tell

• Making the ideas a reality• What are our next steps for funding• What are our next steps for organization

• A review: our 2004 proposal

• Updated Show and Tell

• Making the ideas a reality• What are our next steps for funding• What are our next steps for organization

Last YearLast Year

We met in Toronto to discuss the website as a concept

After lively discussion, we decided to move forward on a proposal.

We met in Toronto to discuss the website as a concept

After lively discussion, we decided to move forward on a proposal.

Goals of projectGoals of project

• national collaboration

• sharing of resources

• Bilingual

• Family Practice focus (what makes this project unique)

• national collaboration

• sharing of resources

• Bilingual

• Family Practice focus (what makes this project unique)

Proposal: What?Proposal: What?

one Canadian web site to help health professionals in training and practice access sites relevant to evidence-based family practice.

one Canadian web site to help health professionals in training and practice access sites relevant to evidence-based family practice.

What makes this website unique is:What makes this website unique is:

a national collaboration, with input from each of the 16 residency programs in Family Practice

focused on evidence based information relevant to Family Practice

bilingual sections for learners, teachers and

practitioners

a national collaboration, with input from each of the 16 residency programs in Family Practice

focused on evidence based information relevant to Family Practice

bilingual sections for learners, teachers and

practitioners

Proposal: Why?Proposal: Why?

Canadian universities are duplicating the work of creating an EBP web site. costly unable to keep up to date on the amount of quality

content.

By collaborating and sharing tasks we make one shared site more up to date, more complete, and ensure the evaluation of quality content is more robust.

Canadian universities are duplicating the work of creating an EBP web site. costly unable to keep up to date on the amount of quality

content.

By collaborating and sharing tasks we make one shared site more up to date, more complete, and ensure the evaluation of quality content is more robust.

Proposal: How?Proposal: How? central organizing committee leverage current conferences of health professionals

and health librarians to raise the issue and seek partners through posters and presentations

seek funding from government and/or non-government sources for site development.

set up processes for site development (development platform, hosting, site structure, content and tools), and site management (content selection, validation, updating and evaluation of the website).

A pilot site would be developed and feedback from the larger collaboration used to modify and finalize a working version.

Long term funding would be identified for the continued assessment and refinement of the site.

central organizing committee leverage current conferences of health professionals

and health librarians to raise the issue and seek partners through posters and presentations

seek funding from government and/or non-government sources for site development.

set up processes for site development (development platform, hosting, site structure, content and tools), and site management (content selection, validation, updating and evaluation of the website).

A pilot site would be developed and feedback from the larger collaboration used to modify and finalize a working version.

Long term funding would be identified for the continued assessment and refinement of the site.

Key Features of the Web Application / Web Site:

Key Features of the Web Application / Web Site:

Available online 24/7 Searchable database of EBM links that are

relevant to clinical family medicine practice and training

Ability to define regional sub-sections of the web-site such that each university (or group) can share national / global resources as well as include local resources for each school.

Available online 24/7 Searchable database of EBM links that are

relevant to clinical family medicine practice and training

Ability to define regional sub-sections of the web-site such that each university (or group) can share national / global resources as well as include local resources for each school.

Key Features of ContentKey Features of Content

Content transparently evaluated for EBM quality (based on work already started at Laval University)

Defined and automated workflow for the suggestion, review, addition, and maintenance of links.

Users can propose new content material (These would be posted to the review body)

Content review will be shared amongst faculty members across the country using the web site as the central repository.

Seek endorsement from the Canadian College of Family Physicians

Content transparently evaluated for EBM quality (based on work already started at Laval University)

Defined and automated workflow for the suggestion, review, addition, and maintenance of links.

Users can propose new content material (These would be posted to the review body)

Content review will be shared amongst faculty members across the country using the web site as the central repository.

Seek endorsement from the Canadian College of Family Physicians

Content for Point of CareContent for Point of Care

Links to reliable sources for evidence-based practice. Each site would be systematically reviewed and graded.

Each link would have an expiry date, when it would need to be critically appraised again.

sites that are nationally relevant a local section for each University. sites would be searchable to make access more

intuitive and fast. Links to evidence-based prescribing information. Links to evidence-based patient materials.

Links to reliable sources for evidence-based practice. Each site would be systematically reviewed and graded.

Each link would have an expiry date, when it would need to be critically appraised again.

sites that are nationally relevant a local section for each University. sites would be searchable to make access more

intuitive and fast. Links to evidence-based prescribing information. Links to evidence-based patient materials.

Content for teachersContent for teachers

platform for sharing teaching tools including: PowerPoint presentations/lectures Links that are relevant to teaching EBP Teaching packages Teaching cases that emphasize EBM principles Techniques for evaluating learners EBM skills –

EBM OSCE, Fresno test A collection of critically appraised topics (CATs)

from all universities

platform for sharing teaching tools including: PowerPoint presentations/lectures Links that are relevant to teaching EBP Teaching packages Teaching cases that emphasize EBM principles Techniques for evaluating learners EBM skills –

EBM OSCE, Fresno test A collection of critically appraised topics (CATs)

from all universities

Content for learnersContent for learners

Interactive self tutorials for students / residents / practitioners’ CME

Reporting tools for teachers that show student’s participation and scores

CAT maker and CAT bank (teaching skills of formulating a good question using PICO, critically appraisal, basic stats –NNT, ARR,etc.)

Interactive self tutorials for students / residents / practitioners’ CME

Reporting tools for teachers that show student’s participation and scores

CAT maker and CAT bank (teaching skills of formulating a good question using PICO, critically appraisal, basic stats –NNT, ARR,etc.)

Proposal: EvaluationProposal: Evaluation

The site would be regularly evaluated to determine if it is meeting the objectives described above.

Internal evaluation will be built into the system through the use of system logs, user feedback systems such as discussion forums and mailing lists.

The site would be regularly evaluated to determine if it is meeting the objectives described above.

Internal evaluation will be built into the system through the use of system logs, user feedback systems such as discussion forums and mailing lists.

Proposal: MembersProposal: Members McGill University: Dr. Martin Dawes Laval: Dr.Michel Labrecque UBC: Dr.Colleen Kirkham UBC: Dr.Morgan Price McMaster: Dr. Janusz Kaczorowski McMaster: Dr. Inge Schabort East Tennessee State University: Dr. Fred Tudiver Memorial University: Dr. Marshall Godwin University of Ottawa: Dr. Tom Emslie

University of Calgary: Dr. Roger Thomas University of Alberta: Dr. Michael Allan University of Saskatchewan: University of Manitoba: University of Toronto: University of Western Ontario: Sherbrooke: Dr. Catherine Hudon Dalhousie University: Queens University:

McGill University: Dr. Martin Dawes Laval: Dr.Michel Labrecque UBC: Dr.Colleen Kirkham UBC: Dr.Morgan Price McMaster: Dr. Janusz Kaczorowski McMaster: Dr. Inge Schabort East Tennessee State University: Dr. Fred Tudiver Memorial University: Dr. Marshall Godwin University of Ottawa: Dr. Tom Emslie

University of Calgary: Dr. Roger Thomas University of Alberta: Dr. Michael Allan University of Saskatchewan: University of Manitoba: University of Toronto: University of Western Ontario: Sherbrooke: Dr. Catherine Hudon Dalhousie University: Queens University:

Possible PartnersPossible Partners

Canadian College of Family Practice –Anita Lambert-Lanning

Canadian Library of Family Medicine –Lynn Dunikowski

Jeremy Grimshaw from University of Ottawa, Director of The Canadian Cochrane Collaboration –Michel will contact

Canadian College of Family Practice –Anita Lambert-Lanning

Canadian Library of Family Medicine –Lynn Dunikowski

Jeremy Grimshaw from University of Ottawa, Director of The Canadian Cochrane Collaboration –Michel will contact

Need for Web Site Localization

Need for Web Site Localization

• National, provincial, regional, local? 

• Needs by topic area: EBM teaching resources, on-line course work vs. clinical resources and links

• Language localization.  

• National, provincial, regional, local? 

• Needs by topic area: EBM teaching resources, on-line course work vs. clinical resources and links

• Language localization.  

Show  and Tell: Show  and Tell: 

• Laval website demo and update• UBC Links  -website of clinical links, e-

learning centre • www.gpfaqs.com - a system for writing

cats online and offline • International Centre for EBM  • Others

• Laval website demo and update• UBC Links  -website of clinical links, e-

learning centre • www.gpfaqs.com - a system for writing

cats online and offline • International Centre for EBM  • Others

Technology OptionsTechnology Options

Are we ready to talk about technology options?

There are several options on how to proceed.

Are we ready to talk about technology options?

There are several options on how to proceed.

Content LicensingContent Licensing

It is better to get content licensing organized before there is content.

Suggest an open and sharable license for content Free Document license Creative Commons license

It is better to get content licensing organized before there is content.

Suggest an open and sharable license for content Free Document license Creative Commons license

Making the Ideas a RealityMaking the Ideas a Reality

Leadership / RolesLeadership / Roles

• How to structure this national collaboration?

• Who plays the coordinating role?• Is there a role for the College in this?

• Is there room / space for a project manager for this?

• How to structure this national collaboration?

• Who plays the coordinating role?• Is there a role for the College in this?

• Is there room / space for a project manager for this?

BudgetBudget

• Funding Opportunities  - what can we leverage to develop this site and tool for our residents and faculty? 

• Need budget for original development and maintenance

• Funding Opportunities  - what can we leverage to develop this site and tool for our residents and faculty? 

• Need budget for original development and maintenance