PT - JOURNAL ARTICLE AU - Jonathan Kronick AU - Catherine Blake AU - Eeva Munoz AU - Lila Heilbrunn AU - Lynn Dunikowski AU - William Kenneth Milne TI - Improving on-line skills and knowledge. A randomized trial of teaching rural physicians to use on-line medical information. DP - 2003 Mar 01 TA - Canadian Family Physician PG - 312--317 VI - 49 IP - 3 4099 - http://www.cfp.ca/content/49/3/312.short 4100 - http://www.cfp.ca/content/49/3/312.full SO - Can Fam Physician2003 Mar 01; 49 AB - OBJECTIVE To assess the change in frequency and methods with which a pilot group of rural physicians consulted on-line medical resources before and after an educational intervention. DESIGN Physicians were randomly assigned to an educational intervention or control group. Self-administered questionnaires were completed before and 3 months after the intervention. SETTING Rural practices in southwestern Ontario. PARTICIPANTS Eighty rural (defined as a population of 15000 or less) physicians in southwestern Ontario, with a computer with Internet access. INTERVENTIONS Individualized 3-hour training session on using the World Wide Web to research patient-related questions. MAIN OUTCOME MEASURES Frequency of access and comfort with on-line medical information were compared after intervention with baseline data using the Wilcoxon two-sample test. RESULTS At follow up, the intervention group showed a significant improvement over the control group in their frequency of accessing the World Wide Web to address patient-related questions (P = .009), in their comfort level in using on-line databases (P = .032), and in their frequency of accessing on-line databases (P = .044). CONCLUSION Rural physicians' comfort and competence in using computers to address patient problems can be improved by an individualized 3-hour training session.