Saturday, October 07, 2006

Try this quick quiz

Want to know your JASPA (Journal associated score of personal angst?
Try this quick quiz.
J - Are you ambivalent abut renewing your journal subscriptions?
A - Do you feel anger towards prolific authors?
S - Do you ever use journals to help you sleep?
P - Are you surrounded by piles of periodicals?
A - Do you feel anxious when journals arrive?
If you answered yes to none of these questions, chances are you're a liar.
If you answered yes to between one and three questions, you're probably pretty normal for a doctor.
Sorry, but if you answered yes to more than three, then you're really just one sick puppy.
I'm not giving my own score away, but did this quiz at the annual RACGP conference last week in a talk by Professor Paul Glasziou from Oxford. Originally outlined in a BMJ article, the JASPA score is a measure of information overload.
In fact, it's overload, not incompetence, that explains the majority of the gap etween evidence and practice, said Professor Glasziou. To update your medical knowledge by learning about just one condition per day, it would take 25 years to cover the territory, and of course well before then much of the information you'd learnt would be out of date.
Journal searches on the other hand have their own problems, and Medline now publishes about half a million articles per year. Ninety RCTs are published every day.
Simply put, the number of trials are just getting away from us.
Solutions to this problem are gradually evolving. One such solution for UK doctors is the Primary Care Question Answering Service, and although Aussie docs cant post questions, most of our questions arent unique and a quick search on the site will reveal one similar.
Apparently a similar service exists in Wales.
I'm going to bookmark these sites and given them a go.

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