To prepare competent, safe, and knowledgeable Respiratory Care Practitioners ready to assume patient care responsibilities in all the different settings where respiratory therapy is practiced. To provide our service community with adequate numbers of qualified Respiratory Care graduates to meet the current and burgeoning needs of the industry.
The Respiratory Care Program at Butte College has been successful in meeting the goals of its mission statement by providing our service community with graduates that are highly sought after. The program has had an excellent reputation throughout Northern California and beyond since its first graduating class in 1970. The program grew from its traditional pedagogical cap of twenty-four students to forty students from 2007-2011. The program reduced enrollment to thirty-two with the class entering the program in the fall of 2011 due to required budget cuts in the Health Occupations area. This growth has been supported by equipment grant money through the Chancellor�s Office, an adequate associate faculty pool, an ongoing need in the industry of new graduates, and an increased student interest in the program. A waiting list continues to exist for the program on the main campus. To reduce the impact on the local clinical sites, rotations are being conducted in both the Redding and Yuba City/Marysville areas. Currently there are 59 students enrolled in the first and second years of the program.
AARC Summer Forum
The first morning of the conference, we attended a lecture series on “Student Evaluations and Standardized Patients” in which we learned how one RT program uses the concept of standardized patients (a patient with the capability of evaluating the student as they are delivering therapy to them), which we had never heard of before. Through the knowledge we gained from this lecture series, we have adapted this concept from the high technology approach presented at the conference, to a low technology option utilizing our clinical faculty as the patient. We have had to create evaluation forms for the both the students and the standardized patients that is specific to each of the seven (7) procedures the students will need to complete during this class, along with grading rubrics for each. We have also had to create scripts for the “standardized patients” per procedure to ensure our students each have a similar experience.
During an afternoon session, we attended a Committee on Accreditation of Respiratory Care (CoARC) lecture series that addressed moving the entry level for Respiratory Care to a baccalaureate degree. Options were discussed for Associate Degree programs in particular, including 2+2 option with a 4-year institution. We are currently investigating a 2+2 option with CSUC’s Health Science program and our Articulation Officer. During this series, we also learned that we will need to add both a research and an interprofessional education component to our program to meet current accreditation requirements. We are currently building research content to add to our RT 160 course, along with working with our medical director to create basic research assignments (i.e. review of studies on a single topic) as a start. Our ultimate goal is to establish an Institutional Review Board at Butte College, which would allow us to use human subjects in our program research. We are also working with the Nursing Simulation coordinator to create simulations utilizing care given by both nursing and respiratory therapy students. This involves revising scenarios incorporating both roles which will require the development of RT role by one of us.
During one of our last presentations of the conference, Dr Wissing discussed how to make brain science work for instructors. Of particular interest to us was how visual stimulation improves learning and strategies to get and hold students’ attention. From this presentation, we have been adapting our PowerPoint presentations and classroom delivery for all program courses to include more pictures, less text, use of the Arial font, and more active learning strategies (e.g. question/answer sessions, directed small group work with program developed worksheets).
Overall, our attendance at the AARC Summer Forum has resulted in significant changes for the better for our program. With an accreditation site visit looming in our future, the knowledge we gained from this conference will not only improve our students’ outcomes, but will also assist us in having a successful re-accreditation cycle in a couple of years.
Departmental Administrative Support
The addition of another full-time support person in our Health Occupations office this fall has resulted in this office running more efficently than it ever has in the past when student assistants staffed the front desk.
RT Medical Director Stipend
The addition of a stipend for our medical director has resulted in his increased participation in the classroom and clinical settings this year. He has provided all of the students currently in the program with classroom lectures, assigns clinical question problems the students in clinic at Oroville Hospital and seeks them out for answers during their next rotation. He is assisting us with developing a research component for the program, which is a requirement of our accrediting body. Prior to the stipend, he was often unable or unwilling to assist in these areas as it resulted in a loss of pay for him to do so.
Avea Ventilator
Enloe Medical Center, one of our primary clinical sites, replaced their fleet of ventilators with the Avea last year. The purchase of this ventilator allows are students to gain proficiency with the device prior to their use of it with critically ill patients in the ICU environment, to maintain patient safety.
(2) Oxygen Analyzers
The oxygen analyzers for the program have not been replaced for many years and frequently the faculty were unable to get them to work correctly for student use in the laboratory setting. The addition of these devices helps to assure the students know how to correctly and safely use the analyzer in clinical settings.
Infant CPR manikins
Our students are required to obtain a Neonatal Resuscitation Program provider card prior to the neonatal rotations in the winter session of each year. The program has had to borrow infant manikins from one of our local hospitals for the simulation portion of this program, and have had difficulty in the past getting enough for our students. This year, we had the manikins we needed for neonatal simulation, resulting in a smoother, less stressful process than in the past.
Infant intubation heads
Students are required to demonstrate successful intubation of a neonate or infant during the simulation portion of the Neonatal Resuscitation program. The program lacked adequate numbers of intubation heads to meet student need for this certification. Purchase of infant intubation heads faciilitated the students completing this portion of the simulation without the need to borrow equipment or send our students elsewhere to complete this competency.
Crash Cart
Participation in code situations is very common for a respiratory therapist, and all of our students are required to complete Advanced Cardiac Life Support and Pediatric Advanced Life Support certifications prior to graduating from the program. Crash carts play a big role in these processes, and we have had employers complain our students are not familiar with the contents and their placement in a crash cart. The purchase of a crash cart that addresses both pediatric and adult resuscitation will assist our students with their knowledge of crash cart contents during simulated code situations.
Opti-Flow High Flow Nasal Cannula
High flow nasal cannulas are used in all of our clinical sites and prior to this purchase, students did not have hands-on access to this device prior to encountering it in a hospital. The purchase of this device will now allow the students to learn this system in the safe environment of the laboratory.
Adult and pediatric laryngoscopes and blades
Intubation of adults and pediatric patients falls into the scope of practice for RTs in many hospitals, including those who hire our students upon graduation. Prior to this purchase, the program had inadequate numbers of these devices as many were very old and no longer functioning. We now have enough to accommodate all of our students needing to practice intubation in laboratory settings.
RECOMMENDATIONS STILL OUTSTANDING:
1. Funding sources be identified for the software, laptops and tablets needed for the program. Ideally, Perkins funding will be identified. Alternatively, other (possibly district) funding should be pursued.
2. That the Respiratory Care Program add a full time faculty member to help reduce the significant overload currently required of the two full time faculty and to provide the opportunity for program expansion if needed.
3. Augmentation of the department budget to allow for reimbursement of all travel necessary to assure proper evaluation of all clinical sites. Mileage has also been funded through the Dean's budget.
ACTIONS STILL TO BE ADDRESSED FROM ABOVE:
1. We are requesting 6 more laptops to be shared with the Aliied Health Programs. These will be utilized for online testing, clinical simulations, etc. We currently do not have enough laptops to allow every student in our classes to use one at the same time.
3. There have been no augmentations made at this time to allow the DCE to travel to clinical sites. This visit is needed to maintain clinical relationships and ensure that students are having the most appropriate training at their clinical sites. These visits have primarily been paid for by the faculty member out of their own pocket.
Strategy 1 - Clinical Simulation Development
Collaboration with Nursing and Paramedic Programs on Clinical Simulation Development
The ADN, Paramedic, and Respiratory Care programs are interested in developing clinical simulations that involve students from each of these programs, utilizing our current technology in this area. 4th semester nursing and respiratory students, along with 1st semester paramedic students would be managing the care of a simulated patient from the pre-hospital scene to the emergency department of a hospital and beyond. The development of clinical simulations that involve so many facets of clinical care will require extensive time to plan, build and implement outside of the faculty’s normal workloads. Our accrediting body, the Committee on Accreditation of Respiratory Care programs now requires us to have an interprofessional education simulations component in the program to maintain accreditation.
The Respiratory Care program is asking for a $1000.00 stipend for the Respiratory Care program faculty member who will be collaborating with the nursing and paramedic instructors in the development of these extensive clinical simulations. The stipend would be paid after the successful completion and implementation of a collaborative clinical simulation.
Strategy 2 - Clinic Site Travel by DCE
Budget Augmentation for Travel to Out-of-Area Clinical Sites.
The program is asking for an ongoing budget augmentation of the program's Travel and Conference budget of $1500.00 The program's Director of Clinical Education is required by our accrediting body, Committee for the Accreditation of Respiratory Care programs (CoARC) to regularly visit all of the clinical affiliates of the program. The program rotates students through hospitals in Southern Oregon, Northern Nevada, and the Sacramento area, as well as locally.
Strategy 3 - Continuing Education Units
Development of Continuing Education Units (CEU) for Faculty and Program Graduates
The Respiratory Care Program is interested in developing continuing education unit (CEU) courses via Canvas and in face-to-face formats to assist faculty and program graduates in completing the required CEU’s for ongoing licensure. The Respiratory Care Board of California recently increased the required number of CEU's from 15 to 30, and there are very few opportunities to obtain these units in the North/Far North of California
The Respiratory Care program is asking for a $2000.00 stipend for the Respiratory Care program faculty member(s) who will be developing and implementing continuing education units. The stipend would be paid after the successful completion and implementation of approximately 4-8 CEU’s.
Strategy 4 - UpToDate clinical decision support system
Up to date, library housed, current medical literature consolidating information from related medical articles into evidence-based synopsis for both research and clinical uses.
UpToDate® is the premier evidence-based clinical decision support resource, trusted worldwide by healthcare practitioners to help them make the right decisions at the point of care. It is proven to change the way clinicians practice medicine, and is the only resource of its kind associated with improved outcomes.
Medical librarians play a critical leadership role in ensuring that the clinicians in their institution have access to the most current medical literature and best available evidence. UpToDate goes well beyond compiling a list of evidence; we sythesize the latest research with the full body of existing information and make recommendations about how the evidence should be applied at the point of care.
The most trusted and widely used clinical decision support resource in the world, UpToDate has become an essential part of the everyday practice of medicine and is the only evidence-based clinical decision support resource associated with improved outcomes.
Our local physicians and Medical Director involved with our program recommend its use by our students.
We are waiting for further pricing information. It is approximately $5,000.
Strategy 5 - Avtrach Suctioning Simulator
The Avtrach system will provide our students with more realistic deep suctioning experience than our traditional airway mannequins provide, by providing a mechanism for patient cough response which our current mannequins can't provide.
Currently when students practice suctioning in the lab, there is no response from the mannequin indicating to student indicating coughing or patient distress with the procedure. This device will trigger the "patient" to cough when the suction catheter reaches an area of the trachea where the cough reflex is stimulated. With our current system of teaching suctioning, the students are always VERY surprised and shocked by the patient response to the suctioning procedure. Purchase and use of this product will potentially reduce/eliminate this response in the clinical environment.
Strategy 6 - CPR Manikins
The Respiratory Care program is requesting the funds to purchase (10) cardiopulmonary resuscitation (CPR) manikins with compression rate monitors to be in compliance with the American Heart Association guidelines for CPR instruction
Cardiopulmonary resuscitation (CPR) certification process now requires manikins that monitor the rate of compressions. Currently non of our CPR manikins have this capability. The program is asking for the funds to purchase (10) CPR manikins to meet the American Heart Association guidelines for CPR mankins. CPR certification is required for all students in an Allied Health program.
Strategy 7 - Vital Signs Equipment
The Respiratory Care program is asking for (10) blood pressure cuffs and (2) temperature probes for use in their vital signs lab in the fall of each year.
The Respiratory Care program has frequently ran into difficulites accessing the vital signs cart utilized by all of the nursing programs at Butte College. Access to this equipment in the vital signs lab is essential for students' to correctly use thiese devices. The purchase of (2) thermometers and (10) blood pressure cuffs will meet the needs of our program.
Strategy 8 - Full time Faculty
The Respiratory Care program lost a full time faculty member last spring to another department, and a replacement is needed to address the excessive workload of the remaining program faculty, student clinical issues noted this year, and development of continuring education units (CEU) for program graduates and practicing RTs.
Currently the two (2) full time faculty carry workloads of 140% and 165%. Twelve (12) associate faculty carry the remaining hourly workload of 516%. For the first time in the 49 year history of the program, neither full-time faculty taught in the clinical environment in the fall of 2017. This change resulted in numerous complaints from our clinical sites regarding multiple student performances in the spring of 2018 during their practicum rotations. The number of complaints we are receiving by far in excess to the issues we have encountered in previous years (1-2 student in the past, as compared to 5-6 students this year).
We are requesting one (1) additional full time faculty position as soon as possible to alleviate the stress and burnout associated with these excessive workloads, improve student clinical performance, and develop CEUs to increase the College's FTES.
Strategy 9 - Zoll AEDs
Automatic Electronic Defibrillators (AEDs) are a required device for the instruction of Basic Life Support, Advanced Cardiac Life Support and Pediatric Advanced Life support certification courses. The Respiratory Care and EMS students are required to have these certifications for employment in their respective fields.
By January 31, 2019, the AHA will require the use of an instrumented directive feedback device or manikin in all AHA courses that teach the skills of adult CPR. This requirement will impact AHA BLS, ACLS, ACLS for ExperiencedProviders. Specific and targeted feedback is critical to students understanding and delivering high-quality CPR when faced with a cardiac emergency. Incorporating feedback devices into adult CPR courses improves the quality and consistency of CPR training, which increases the chance of a successful outcome when CPR is performed.
Strategy 10 - Zoll Training Monitor/Defibrillator
Non-Clinical X Series ® Manual Monitor/Defibrillator with 4 trace tri-mode display monitor/ defibrillator/printer, comes with Real CPR Help®, advisoryalgo rithm, advanced communications package (Wi-Fi, Bluetooth, USB cellular modem capable) USB data transfer capable and large 6.5"( 16.5cm) diagonal screen, full 12 ECG lead view with both dynamic and static 12-lead mode display.
The Respiratory Care program frequently utilizes the monitor/defibrillator(s) of the EMS program for the instruction of ECG interpretation, Advanced Cardiac Life Support and Pediatric Advanced Life Support certifications. The current monitors/defibrillators are being discontinued due to the company's inability to obtain replacement parts for this series. All of the monitors/defbrillators have required service in recent years and some are currently not functioning correctly. The EMS and RT programs propose a joint purchase of this item, along with the AEDs for use in both programs.
Strategy 11 - Skyway Center Remodel
The Allied Health programs (RT, EMS, Nursing) are requesting approximately 5.5 million dollars for the remodel of the Skyway Center to house the Respiratory Care and EMS programs.
Currently the Allied Health/Public Service building has a shortage of the necessary lecture and lab room space to accommodate the Allied Health programs currently lodged here. In the fall of 2017, the ADN program expanded their enrollment from 48 students to 60 students; this change has significantly impacted room availability in the building. Currently every classroom and most of our lab space in this building is scheduled all day for every day of week; faculty are using storage rooms and the hallways to conduct skills check offs due to our lack of space. Moving the Respiratory Care and EMS programs will significantly reduce the impact on the AHPS building and provide these programs with the stable classroom and lab space needed to conduct their programs effectively.
Strategy 12 - Percussionaire Intrapulmonary Percussive Ventilator (IPV)
Intrapulmonary Percussive Ventilation (IPV) assists patients with the removal of secretions from their lungs and is commonly used at many of our clinical sites.
The RT program is asking for an IPV machine so our students will learn how to safely use this device prior to administering to a patient in the clinical setting. This device uses a driving pressure along with percussive ventilation, which has the potential to cause significant consequences (including death) if not used correctly. Currently the majority of our clinic sites are using this device in patient care.
Strategy 13 - Program Assistant - Provide 100% District Funding
We would like to institutionalize our program assistant's position.
Our Program Assistant is crucial to the clerical support of our programs and requires long term stability. Our Allied Health Programs and Services Program Assistant salary is currently grant funded position. We would like to see this moved to a district funded position. The amount requested is $60,284 to cover salary and benefits on an annual basis.
Strategy 14 - RT Medical Director Stipend
The RT program is asking for $10,000 yearly stipend to compensate our Medical Director for the duties and responsibilities as defined by the Committee on Accreditation of Respiratory Care.
The following are the duties and responsibilities of the Butte College Respirator yCare Program's Medical Director as defined by the Committee on the Accreditation of Respiratory Care (CoARC) Standards for Entry Level into Respiratory Care Professional Practice 2018:
1. Provide competent medical guidance to the program, including curriculum review.
2. Interact with Program Director (PD) and Director of Clinical Education (DCE) to ensure both didactic and supervised clinical instruction meets current practice guidelines.
3. Attend Program Advisory Committee (PAC) meetings
4. Interact with the students in both the classroom and clinical environments (i.e. provide at least (2) two classroom lectures per semester, along with clinical instruction in the hospital setting)
None.
None
| Original Priority | Program, Unit, Area | Resource Type | Account Number | Object Code | One Time Augment | Ongoing Augment |
| Description | Supporting Rationale | Potential Alternative Funding Sources | Prioritization Criteria | |||
| 1 | RT | Personnel | $0.00 | $109,000.00 | ||
| Full time Faculty | The Respiratory Care program lost a full time faculty member last spring to another department, and a replacement is needed to address the excessive workload of the remaining program faculty. Currently the two (2) full time faculty carry workloads of 140% and 165%. Twelve (12) associate faculty carry the remaining hourly workload of 516%. We are requesting one (1) additional full time faculty position as soon as possible to alleviate the stress and burnout associated with these excessive workloads. |
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| 2 | RT | Operating Expenses | $0.00 | $10,000.00 | ||
| RT Medical Director Stipend | The RT program is asking for $10,000 yearly stipend to compensate our Medical Director for the duties and responsibilities as defined by the Committee on Accreditation of Respiratory Care. The following are the duties and responsibilities of the Butte College Respiratory Care Program's Medical Director as defined by the Committee on the Accreditation of Respiratory Care (CoARC) Standards for Entry Level into Respiratory Care Professional Practice 2018: 1. Provide competent medical guidance to the program, including curriculum review. 2. Interact with Program Director (PD) and Director of Clinical Education (DCE) to ensure both didactic and supervised clinical instruction meets current practice guidelines. 3. Attend Program Advisory Committee (PAC) meetings 4. Interact with the students in both the classroom and clinical environments (i.e. provide at least (2) two classroom lectures per semester, along with clinical instruction in the hospital setting) |
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| 3 | RT | Equipment | $1,156.00 | $0.00 | ||
| CPR Manikins | The Respiratory Care program is requesting the funds to purchase (10) cardiopulmonary resuscitation (CPR) manikins with compression rate monitors to be in compliance with the American Heart Association guidelines for CPR instruction |
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| 4 | RT | Equipment | $3,790.00 | $0.00 | ||
| Intrapulmonary Percussive Ventilator | The RT program is asking for an IPV machine so our students will learn how to safely use this device prior to administering to a patient in the clinical setting. This device uses a driving pressure along with percussive ventilation, which has the potential to cause significant consequences (including death) if not used correctly. Currently the majority of our clinic sites are using this device in patient care. |
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| 5 | RT | Facilities | $5,500,000.00 | $0.00 | ||
| Skyway Center Remodel | Currently the Allied Health/Public Service building has a shortage of the necessary lecture and lab room space to accommodate the Allied Health programs currently lodged here. In the fall of 2017, the ADN program expanded their enrollment from 48 students to 60 students; this change has significantly impacted room availability in the building. Currently every classroom and most of our lab space in this building is scheduled all day for every day of week; faculty are using storage rooms and the hallways to conduct skills check offs due to our lack of space. Moving the Respiratory Care and EMS programs will significantly reduce the impact on the AHPS building and provide these programs with the stable classroom and lab space needed to conduct their programs effectively. |
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| 6 | RT | Personnel | $0.00 | $60,284.00 | ||
| Program Assistant - Provide 100% District Funding | Our Program Assistant is crucial to the clerical support of our programs and requires long term stability. Our Allied Health Programs and Services Program Assistant salary is currently grant funded position. We would like to see this moved to a district funded position. The amount requested is $60,284 to cover salary and benefits on an annual basis. |
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| 7 | RT | Equipment | $106.00 | $0.00 | ||
| Vital Signs Equipment | The Respiratory Care program has frequently ran into difficulites accessing the vital signs cart utilized by all of the nursing programs at Butte College. Access to this equipment in the vital signs lab is essential for students' to correctly use thiese devices. The purchase of (2) thermometers and (10) blood pressure cuffs will meet the needs of our program. |
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| 8 | RT | Equipment | $12,527.00 | $0.00 | ||
| (4) Zoll AEDs and Monitors | By January 31, 2019, the AHA will require the use of an instrumented directive feedback device or manikin in all AHA courses that teach the skills of adult CPR. This requirement will impact AHA BLS, ACLS, ACLS for ExperiencedProviders. Specific and targeted feedback is critical to students understanding and delivering high-quality CPR when faced with a cardiac emergency. Incorporating feedback devices into adult CPR courses improves the quality and consistency of CPR training, which increases the chance of a successful outcome when CPR is performed. The EMS and Respiratory Care programs are asking for (4) Zoll AED and monitors to comply with the requirements from the American Heart Association for the instruction of ACLS, PALS and BLS. |
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| 9 | RT | Equipment | $28,292.00 | $0.00 | ||
| Zoll Monitor/Defibrillator | The Respiratory Care program frequently utilizes the monitor/defibrillator(s) of the EMS program for the instruction of ECG interpretation, Advanced Cardiac Life Support and Pediatric Advanced Life Support certifications. The current monitors/defibrillators are being discontinued due to the company's inability to obtain replacement parts for this series. All of the monitors/defbrillators have required service in recent years and some are currently not functioning correctly. The EMS and RT programs propose a joint purchase of this item, along with the AEDs for use in both programs. |
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| 10 | Respiratory Care | Equipment | $10,408.00 | $0.00 | ||
| Avtrach Suctioning Simulator | Currently when students practice suctioning in the lab, there is no response from the mannequin indicating to student indicating coughing or patient distress with the procedure. This device will trigger the "patient" to cough when the suction catheter reaches an area of the trachea where the cough reflex is stimulated. With our current system of teaching suctioning, the students are always VERY surprised and shocked by the patient response to the suctioning procedure. Purchase and use of this product will potentially reduce/eliminate this response in the clinical environment. |
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| 11 | RT | Personnel | $1,000.00 | $0.00 | ||
| Collaboration with Nursing and Paramedic Programs on Clinical Simulation Development | The ADN, Paramedic, and Respiratory Care programs are interested in developing clinical simulations that involve students from each of these programs, utilizing our current technology in this area. 4th semester nursing and respiratory students, along with 1st semester paramedic students would be managing the care of a simulated patient from the pre-hospital scene to the emergency department of a hospital and beyond. The development of clinical simulations that involve so many facets of clinical care will require extensive time to plan, build and implement outside of the faculty�s normal workloads. Our accrediting body, the Committee on Accreditation of Respiratory Care programs now requires us to have an inter-professional education simulations component in the program to maintain accreditation. The Respiratory Care program is asking for a $1000.00 stipend for the Respiratory Care program faculty member who will be collaborating with the nursing and paramedic instructors in the development of these extensive clinical simulations. The stipend would be paid after the successful completion and implementation of a collaborative clinical simulation. |
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| 12 | RT | Personnel | $2,000.00 | $0.00 | ||
| Development of Continuing Education Units (CEU) for Faculty and Program Graduates | The Respiratory Care Program is interested in developing continuing education courses via Canvas and in face-to-face formats to assist faculty and program graduates in completing the required CEU�s for ongoing licensure. The Committee on the Accreditation of Respiratory Care programs (CoARC) recommended during a recent site visit that the program provide a course for practicing RT�s on preceptorship of students as a tool for demonstrating inter-rater reliability during practicum rotations. The program is required to demonstrate that all persons evaluating students do so in a similar manner (inter-rater reliability) to maintain ongoing program accreditation; providing a course on preceptorship to all of our clinical affiliates, which includes information on student evaluations, would greatly assist the program towards this goal. The Respiratory Care program is asking for a $2000.00 stipend for the Respiratory Care program faculty member(s) who will be developing and implementing continuing education units. The stipend would be paid after the successful completion and implementation of approximately 4-8 CEU�s. |
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| 13 | RT | Operating Expenses | $0.00 | $1,500.00 | ||
| Budget Augmentation for Travel to Out-of-Area Clinical Sites and Conferences | The program is asking for an ongoing budget augmentation of the program's Travel and Conference budget of $1500.00 The program's Director of Clinical Education is required by our accrediting body, Committee for the Accreditation of Respiratory Care programs (CoARC) to regularly visit all of the clinical affiliates of the program. The program rotates students through hospitals in Southern Oregon, Northern Nevada, and the Sacramento area, as well as locally. |
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| 14 | RT | Equipment | $5,000.00 | $0.00 | ||
| UpToDate clinical decision support system | UpToDate® is the premier evidence-based clinical decision support resource, trusted worldwide by healthcare practitioners to help them make the right decisions at the point of care. It is proven to change the way clinicians practice medicine, and is the only resource of its kind associated with improved outcomes. Medical librarians play a critical leadership role in ensuring that the clinicians in their institution have access to the most current medical literature and best available evidence. UpToDate goes well beyond compiling a list of evidence; we sythesize the latest research with the full body of existing information and make recommendations about how the evidence should be applied at the point of care. The most trusted and widely used clinical decision support resource in the world, UpToDate has become an essential part of the everyday practice of medicine and is the only evidence-based clinical decision support resource associated with improved outcomes. Our local physicians involved with our program recommend its use by our students. We are waiting for further pricing information. It is approximately $5,000. |
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