Program: Abstracts - Orals, Featured Poster Presentations, and Posters
Session: SAT 281-290-Comparative Effectiveness/Health Outcomes/Quality Improvement/Patient or Provider Education/Endocrine Emergencies
Saturday, June 15, 2013: 1:45 PM-3:45 PM
Expo Halls ABC (Moscone Center)

Poster Board SAT-284
Roberto Attanasio*1, Luca Gualano2, Irene Misischi3, Silvia Caprioli4, Roberto Castello5, Piernicola Garofalo6, Enrico Papini3 and Vincenzo Toscano7
1Galeazzi Institute IRCCS, Milan, Italy, 2Cromosoma, Milan, Italy, 3Ospedale Regina Apostolorum, Albano Laziale, Italy, 4Ospedale S. Andrea, Rome, Italy, 5Azienda Ospedaliera, Verona, Italy, 6AO Villa Sofia-Cervello, Palermo, Italy, 7Sapienza, UniversitÓ di Roma, Roma, Italy
On behalf of Italian Association of Clinical Endocrinologists (AME) and AME Onlus.
Background. Conventional tools for medical education are burdened by many drawbacks. Textbooks become rapidly outdated, meeting attendance is expensive, results reported in journals are not easily suitable for clinical practice. Uptodate and Endotext are excellent online tools (encompassing continuous updating and revisions), but they have been planned and developed for a clinical context far different from that of our country.
Methodology. AME charged a task-force aiming to develop an educational tool specifically tailored for Italian clinical endocrinologists. Required characteristics were clinical approach, modularity, continuous updating, full online availability (even by mobile devices), open sections and sections for registered members only, opportunity for individualization, indexing and search engine to facilitate browsing. Several changes were then operated on an open-source platform, Joomla. A cascade control system was implemented, enabling the online revision of paragraphs in progress by section coordinators and editors. Publication was unlocked only when articles complied requirements for clinical completeness as well as communicating clarity, concordance and lack of overlap with other sections. An individualized page was also appointed, enabling each registered reader to insert personal notes and/or pictures linked to single topics, that could be easily retrieved and updated at each individual access.
Results. Until now 3 editors, 2 central editorial secretaries, 10 section coordinators and 144 authors have been involved in the system development. The first 5 sections have been issued on pituitary, thyroid, parathyroids and bone metabolism, adrenals, ovary. Endowiki includes at the moment 680 articles, 350 pictures, 7 clips about procedures, 31 cards about drug classes, 22 cards with patient information, 14 cards about lab procedures, 15 forms for daily clinical use, and further sections are in progress. The access to Endowiki (available at is reserved freely to AME members and is fully open in sections for patients. All readers are requested to serve as referee, pointing to mistakes and need for revision. The system is attended daily by a mean of 100 individuals, each consulting a mean of 11 pages. Customer satisfaction ranks very high.

Nothing to Disclose: RA, LG, IM, SC, RC, PG, EP, VT

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