JJacllground:The concepts of evidence-based medicine are penneating all specialties, including family practice. This article describes a curriculum to teach residents the principles and practices of infonnation mastery, a derivation of evidence-based medicine that is more relevant to family physicians.Metbods: The curriculum is a 2-year longitudinal experience consisting mainly of didactic presentations and demonstrations in the first year followed by small-group sessions in the second year. Residents are taught the concepts of the previously described approach of infonnation mastery and the application of these concepts to the variety of information resources available to them. Specifically, residents are taught how to find, evaluate, and apply infonnation available from original research literature, review articles, meta-analyses, translation (controlled-circulation) journals, continuing education lectures, experts and colleagues, pharmaceutical representatives, and clinical experience.Results: Using a before-after design at two institutions, the curriculum improved residents' attitudes, confidence regarding the medical literature, their perceptions of their ability to evaluate the published literature, and their use of information sources.Conclusions: Offering a structured curriculum to family practice residents creates dynamic, confident, and independent clinicians skilled in the art of infonnation mastery. (J Am Board Fam Pract 1999;
12:444-9.)Everyone who teaches learners at any level can be thought of as being in the business of delivering information. The goal of the business is to deliver one's product -the information to be taught -to the learner-buyers. Effectively packaging information for clinician consumers to use for delivering highquality care to their patients requires the coordination of four divisions of the information business (Figure 1).The overall concept of medical information management can be illustrated using a business analogy involving an oil company. Just as the production division of an oil company has to drill for oil in the ground, the production division in medical information has to use original research to drill for new information. Like crude oil, information derived from research has to be refined into systematic reviews, cost-effectiveness analyses, decision analyses, meta-analyses, practice guidelines, and consensus statements. Informatics is the distribution division of our medical information company, getting the refined information out to the clinician consumers.The last division of the medical information business, consumer education, has the goal of making consumers aware of the product -new and better information for use in the care of their patients -and how best to acquire, evaluate, and use this information. To address the need for an effective method of marketing new medical information, we developed a longitudinal residency curriculum that provides specific strategies for acquiring active, ongoing, and confident approaches to managing new medical information. It...