Physician use of research articles in five clinician roles with illustrative quotations
| Role | Supporting quotations (n=25) |
|---|---|
| Clinical: keeping current | That [article] was prompted by a clinical situation because in a lung transplant practice we are looking at a donor that had Hepatitis B or question of Hepatitis B, so I wanted to see what the latest recommendation was and data regarding transmission of Hepatitis B by by organ donors. (MD-174, pulmonologist) |
| Clinical: ensuring patient safety | The patient told my nurse…they used cocaine earlier in the day…Everybody's in an uproar—‘What are we going to do? Is it safe to sedate?’ They call our anesthesia department and they're like, ‘You can't touch him.’ So I pulled up this research so I could get the guidelines and the articles…I shared that with our nurse anesthetist because I said, ‘You know what, here's what this hospital is doing with these people with cocaine. You can't just put them upstairs and wait for 2 weeks.’ (MD-250, gastroenterologist) |
| Clinical: refreshing knowledge | I had a patient, a trauma patient…and there's a question of whether or not to do this very invasive, possibly horrific procedure that has normally a terrible outcome, less than 1% survival rate. So should we do it? And I just wanted to refresh my own memory on all the data surrounding it, and controversy, and if there's any new data out recently that suggest anything different. (MD-179, surgeon) |
| Clinical: engaging in shared decision-making | There was a patient [with Hepatoma] we were going to be discussing between the board. He's a potential transplant candidate, and there's some heated discussions about what the best way is to treat his tumor while waiting for the liver transplant. We talked about things [based on the article], and he's actually going to get radiation so I think that was a pretty big step. (MD-223, radiation oncologist) |
| Clinical: sharing information with patients | Basically [I] was looking for more information and for review articles that I could actually print out and share with the patient. And that review article that I gathered from that search, I filed away in clinic and…I've given out the consensus statement article to probably three patients. (MD-239, internal medicine) |