1. La necesidad de información en el profesional sanitario… …y algunas cosas más Carlos Fernández Oropesa Farmacéutico de Atención Primaria @rincondesisifo/www.elrincondesisifo.es

2. Jiuston, tenemos un problema… Quote attributed to the Dean of Cornell Medical College*: “Half of what we will teach you is wrong. The problem is, we don’t know which half!” * Joseph Bernstein, MD: Evidence Based Medicine;J Am AcadOrthopSurg 2004;12:80-88

9. Macrogestión del conocimiento Microgestión del conocimiento

10. CMAJ • APRIL 28, 2009 • 180(9) About 10 years ago, if general internists wanted to keep abreast of the primary clinical literature, they would have needed to read 17 articles daily. Today, with more than 1000 articles indexed daily by MEDLINE, that figure is likely double.

11. PURPOSE The aim of this study was to determine the information needs of primary care physicians in Spain and to describe their information-seeking patterns. METHODS This observational study took place in primary care practices located in Madrid, Spain. Participants were a random stratified sample of 112 primary care physicians. Physicians’ consultations were video recorded for 4 hours. Clinical questions arising during the patient visit and the sources of information used within the consultation to answer questions were identified. Physicians with unanswered questions were followed up by telephone 2 weeks later to determine whether their questions had since been answered and the sources of information used. Clinical questions were classified by topic and type of information. RESULTS A total of 3,511 patient consultations (mean length, 7.8 minutes) were recorded, leading to 635 clinical questions (0.18 questions per consultation). The most frequent questions were related to diagnosis (53%) and treatment (26%). The most frequent generic type of questions was “What is the cause of symptom x?” (20.5%). Physicians searched for answers to 22.8% of the questions (9.6% during consultations). The time taken and the success rate in finding an answer during a consultation and afterward were minutes (100%) and 32 minutes (75%), respectively. CONCLUSIONS Primary care physicians working in settings where consultations are of short duration have time to answer only 1 in 5 of their questions. Better methods are needed to provide answers to questions that arise in ofice practice in settings where average consultation time is less than 10 minutes. 1 de cada 5!!!

13. ¿Producen los fármacos ISRS malformaciones congénitas cuando son administrados a mujeres embarazadas?

21. Sistemas(toma de decisiones) Sumarios (textos basados en la evidencia) Sinopsis (resúmenes basados en la evidencia) Síntesis (revisiones sistemáticas) Estudios (estudios originales)

25. Sistemas(toma de decisiones) Sumarios (textos basados en la evidencia) Sinopsis (resúmenes basados en la evidencia) Síntesis (revisiones sistemáticas) Estudios (estudios originales)

26. La Web 2.0

34. ¿Qué tiene ese… …que no tenga yo?

35. Elementosclave de la Web 2.0 Podcastsy videoblogs

36. Elementosclave de la Web 2.0 Imágenes

37. Elementosclave de la Web 2.0 Healthcare Social Media in Europe Wikis

38. Elementosclave de la Web 2.0 Blogs (blogosfera sanitaria)

39. Blogosfera docente

40. Elementosclave de la Web 2.0 Redes sociales

41. Muchas gracias!!! carlosf.oropesa@elrincondesisifo.es https://sites.google.com/site/ifmsagranada2011/home