Strategies and methods for aligning current and best medical practices. The role of information technologies.
Rapid change in American medicine requires that physicians adjust established behaviors and acquire new skills. In this article, we address three questions: What do we know about how to change physicians' practices? How can physicians take advantage of new and evolving information technologies that are likely to have an impact on the future practice of medicine? and What strategic educational interventions will best enable physicians to show competencies in information management and readiness to change practice? We outline four guiding principles for incorporating information systems tools into both medical education and practice, and we make eight recommendations for the development of a new medical school curriculum. This curriculum will produce a future medical practitioner who is capable of using information technologies to systematically measure practice performance, appropriateness, and effectiveness while updating knowledge efficiently.
Schneider
E C
EC
Institute for Health Care Research and Policy, Georgetown University, Washington, DC, USA.
Eisenberg
J M
JM
D003197:Computer Literacy; D003479:Curriculum; D003658:Decision Making, Computer-Assisted; D003695:Delivery of Health Care / Q000458:organization & administration*; D004219:District of Columbia; D004501:Education, Medical / Q000458:organization & administration / Q000639:trends; D004502:Education, Medical, Continuing / Q000639:trends; D019317:Evidence-Based Medicine; D005544:Forecasting; D018166:Health Care Reform; D006801:Humans; D008490:Medical Informatics / Q000193:education / Q000639:trends; D016347:Medical Records Systems, Computerized; D017410:Practice Guidelines as Topic; D011216:Practice Management, Medical / Q000191:economics / Q000592:standards* / Q000639:trends; D010818:Practice Patterns, Physicians' / Q000191:economics / Q000592:standards* / Q000639:trends; D013685:Telecommunications; D017749:Total Quality Management / Q000458:organization & administration*