Internet Resources for Physicians
Newbies, Netiquette
& Getting Started

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Most of the data provided here was compiled from various resources on the Internet while I was a "newbie" and is intended to provide new comers with a quick way to get a brief overview of the wonderful resources available to them via the Internet. Happy surfing! Jeffrey R. Cates, DC cates@essex1.com

Those new to the Internet are referred to as "Newbies". There are several books available (Internet for Dummies & etc.) that will help introduce you to the nuances of "web surfing". However, much of the information is available on the Internet itself ... of course that doesn’t help if you don’t know how to access it!

Once you have accessed the Internet (as you obviously have), I recommend that you visit a site for Newbies and learn "Netiquette" so that you can learn to employ the common rules of courtesy while surfing the net. Some such sites to visit include:

http://www.learnthenet.com/

Remember, when interacting with people via a keyboard, they can’t hear your tone of voice, the inflection of your voice, or see facial features that so often give non-verbal clues to the meaning of our words. It is probably wise to avoid sarcasm as it is often misunderstood. When visiting a new chat site or joining a new e-mail or news list it is probably best to simply watch it for few days to a week before participating.

Writing something offensive to someone over the Internet is called a "flame". It is probably best to simply avoid such exchanges as they rarely lead to anything productive and they simply slow up the Internet by taking up band width.

Medical Data Base Search Engines:

There are several free Medline services online. Most offer free access to the abstracts of the articles you wish to review and some charge a fee for copies of the complete article. If time is not of the essence, you can print the references and request the articles from your local library. Medline is best used to research medical / chiropractic topics that are too specific to be listed on a regular search engine. Articles from many medical journal are indexed including the JMPT. This is a wonderful resource that allows you to do research at the touch of a button. A free Medline search engine is available at: http://www.ncbi.nlm.nih.gov/PubMed/

An alta vista search engine and a link to quick Medline search engines are provided at:

http://www.ACCC-chiro.com . For convenience you may like to make this page your default home page.

E-MAIL

It is very easy send and receive e-mail over the Internet. and most likely you received an e-mail program with your ISP setup, Netscape Mail, Microsoft Mail or Eudora freeware. There are other e-mail programs available. You can check out other E-mail Clients at Tucows or Nonags.

With an e-mail, you can send any type of binary file - sound, graphics or program file as part of a message. These are called e-mail attachments. To attach files to e-mail messages, you usually point to the file you want to send in a pop-up dialog box and clicking on it and it is inserted into the email message. This sometimes handy as some servers have difficulty with long e-mail messages causing them to be garbled or unreadable. sending a document as a file attachment overcomes that difficulty.

If you do a lot of e-mail you will want to learn to to filter your mail. you can set up your e-mail client to place mail into different folders automatically, thereby, simplifying the process of sorting your mail. For example, you might want all messages from the chiropractic mailing list into a special file.

E-MAIL MAILING LISTS

Mailing lists provide a forum for interaction and debate for people with interests in a common topic such as chiropractic. If you join a mailing list and send a message to the list address, everyone on the list will receive that message. Anyone may post a reply to the list for further discussion. Some people participate in discussions and some only read the messages or "lurk". There are several chiropractic mailing lists that you can access from chiro.org. The "chirosci list" is my favorite, it is a professional moderated list that focuses on the scientific developments and concept in chiropractic Again, you can check out this and several other lists at http://www.chiro.org .

To subscribe to Chirosci-list send an e-mail to "Majordomo@silcom.com" with the following command in the body of your email message: subscribe chirosci-list.

NEWS GROUPS

Your browser should also have the ability to access "news groups". These groups are like public bulletin boards where messages are posted for all to see. There are many health oriented newsgroups such as:

sci.med.Informatics
sci.med.Orthopedics
sci.med.Radiology
sci.med.Occupational
sci.med.Nutrition

These are just a few of the groups that may interest you, there are hundreds more available.

- HTML -

If you are interested in creating your own web pages, you will have to either learn HTML (hyper text markup language) or use a web page editor like Front-page or Hotdog. If you plan on creating a lot of pages or maintaining a site I recommend you purchase such an editor. If you wish to just have a plain page on the web Microsoft has an HTML editor add on for MS word that can be downloaded for free on the Internet. There are other resources available, many of them for free or nominal cost. Many useful programming and development resources can be found at -
Tucows ( http://www.tucows.com ) , Nonags ( http://nonags.com ) these sites also containing many other useful freeware and shareware. .

-Resources and Useful Sites-

http://www.pointcast.com - Pointcast -great program that gets the news you like & it’s free!
http://www.essex1.com/people/cates/ - Well I’m biased, but I like my site!
http://www.ACCC-chiro.com - Great links page for many resources
http://www.chiro.org - A great chiropractic site with many resources.
http://www.panix.com/~tonto1/dc_guest.html - Chiropractic Online Today - another good chiro site.

Here are a just a few of the things you can do on the Internet: At the ACCC site you can find links to download the ICD 9 codes. There is a medical dictionary add on for your word processor that will help you with spelling of medical terms. You can find links to medical and chiropractic clip art. Exam forms and treatment protocols are available online. You can participate on on line discussions. You can request advice on difficult cases on a discussion list or mail list. You can post your own page or information.

FTP and Downloading Files

FTP stands for File Transfer Protocol, a methods of transferring files over the Internet. FTP was the most common method of transferring files before the Web became popular. It is still important because, whereas http (hyper text transfer protocol) is used receive information and files, FTP can be used to upload files or send to another computer such as a server. So if you create Web pages on your PC, an FTP program is necessary to transfer these web page from your PC to the Internet server where your pages can then be accessed by Web surfers. Cute-ftp and ws-ftp are popular FTP clients. You can find theses at Nonags or Tucows or by using your search engine! Many files are downloaded in a *.zip / "Zipped" or compressed format. This allows you to download a lot more data in a much shorter time but it also requires you have another little program to "unzip" the files once you have them on your hard drive. Once again you should be able to find a program like PKzip or WinZip under utilities at Nonags ( http://nonags.com/nonags/main.html ) or
Tucows ( http://www.tucows.com ).

INFORMATICS
(from sci.med,informatics)

Medical informatics concerns computer applications in medical care. Biomedical Informatics is an emerging discipline that has been defined as the study, invention, and implementation of structures and algorithms to improve communication, understanding and management of medical information. The end objective of biomedical informatics is the coalescing of data, knowledge, and the tools necessary to apply that data and knowledge in the decision-making process, at the time and place that a decision needs to be made. The focus on the structures and algorithms necessary to manipulate the information separates Biomedical Informatics from other medical disciplines where information content is the focus.

The focus of this newsgroup is the discussion of the grand challenges facing medical informatics today. Appropriate topics include, but are not limited to: Medical Information Standards (e.g. UMLS, HL-7), Medical Informatics Training, IAIMS (Integrated Academic Information Management Systems), Computerized Medical Records, Clinical Information Systems (including radiology, laboratory, pharmacy, nursing, etc.), Physician Order Entry Systems, Computer-Aided Instruction, Medical Expert Systems, Nursing Informatics, Announcements of Interest, e.g. conferences, journals, societies, National Library of Medicine, Health Information Networks, Medical Software Reviews, Research Funding Opportunities, Policy Making, (including procurement and certification of medical software) Medical Software Engineering, Cultural / Sociologic Changes, Medical Software Security, Telemedicine, Veterinary Informatics

For those that wish to learn more about medical informatics; Popular textbook include: Medical Informatics by Shortliffe and Perreault. Popular journals: Journal of the American Medical Informatics Association, M.D. Computing, Methods of Information in Medicine, Computers and Biomedical Research Other sources: Yearbook of Medical Informatics, Proceedings of Symposium on Computer Applications in Medical Care, MEDINFO Proceedings Good Review article: Greenes RA. Shortliffe EH. Medical informatics. An emerging academic discipline and institutional priority. JAMA.263(8):1990 Feb 23. The AI in Medicine FAQ: ftp://lhc.nlm.nih.gov/pub/ai-medicine/FAQ . A Few WWW Home-Pages: Stanford: http://www-camis.stanford.edu/

Yale: http://paella.med.yale.edu/ NASA 3D Reconstruction: 

HL7 - HL7 (Health Level 7) is a specification for electronic data exchange between health care institutions, particularly hospitals, and between different computer systems within hospitals. It defines standard message types (for example, admit a patient, report a lab result) with required and optional data for each. Messages are defined to be independent of computer system and communications protocol, and they are constructed so that later versions of the HL7 standard can add data elements without "breaking" systems using older versions of HL7. HL7 began as a bottom-up movement by system vendors and hospitals to replace custom-built system interfaces with a shared standard. It has become the de facto standard for hospital system interfaces in the United States. Other standards in the field include ASC X12N, widely used for insurance payment and remittance messages; and the ACR/NEMA DICOM standards for radiology images.

More information on HL7 can be found on the HL7 WWW server: http://dumccss.mc.duke.edu/ftp/standards.html . (INACTIVE LINK ) There is also an HL7 list server to which you can subscribe by sending the message "subscribe HL7" to < majordomo@virginia.edu >.

For more newbie informations for physicians => click here

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