Internet Point of Care (iPOC) Activity


In day-to-day practice, physicians and healthcare professionals encounter clinical problems or situations which require further investigation. Utilizing online evidence-based sources to find answers to diagnostic or treatment questions to answer clinical questions offers a means for a reflective learning experience. Flagler Hospital recognizes this method of learning as a valid, structured and self-directed learning opportunity at the point of care.

Needs Assessment/Professional Practice Gap

The clinical question will be the self-identified professional practice gap. It may be based on a rare condition, a condition not managed recently by the physician, a diagnostic dilemma, new clinical information, or controversial clinical needs.

Point-of-Care Learning Objectives

The specific objectives are to 1.) identify practice-based knowledge need(s), 2.) complete extensive background research on a clinical question, 3.) reinforce clinical decisions through review of published evidence, 4.) learn new information related to clinical practice, 5.) translate knowledge into professional practice, 6.) improve patient care by utilizing current published evidence.

Targeted Audience

The Internet Point-of-Care Learning CME Activity is directed to all Flagler Hospital staff physicians, physicians' assistants and other credentialed clinicians who's accrediting bodies accept internet point of care credit.

Desired Results

As a clinical reference tool, this activity is designed to facilitate quality improvement through self-directed learning.

Teaching Methods /Approved iPOC Sources

The teaching method will consist of self-directed learning of a self-directed clinical question through use of evidence-based medical databases, journals, and books accessible through the hospital medical library/intranet site or through personal subscriptions providing they are not controlled by a commercial interest and meet ACCME independence criteria. A number of resources are approved, but not limited to the following: CINAHL, EBSCO Host, peer-reviewed Journals, ClinicalKey, MedLine, PubMed, Toxnet, UpToDate, or government websites, such as Centers for Disease Control and Prevention, Food and Drug Administration, The Joint Commission, National Institutes of Health, etc.

Participants will then complete a verification/evaluation form, which includes documenting each source and citation consulted and describing the application of their findings to their practice for each researched clinical question.

Standards of Commercial Support and Disclosure

Sources have been chosen to ensure independence, lack of commercial bias and evidence-based content. The planners of this activity have no financial affiliations relevant to the content. Commercial grants will not be solicited for this activity.

How to Obtain Credit:

1. Access/research journals through evidence-based resources as outlined in Teaching Methods/Approved iPOC Sources above.

Directions to access journals through ClinicalKey: How to access ClinicalKey for iPOC

2. Complete an Electronic CME evaluation per clinical question.

Submit iPOC questions to Flagler Hospital Library/CME office: or

Accreditation and Credit Designation

The maximum time associated for each search conducted is approximately 30 minutes. Participants may only claim CME credits through the verification/evaluation form associated with each clinical topic or question searched.

Flagler Hospital is accredited by the Florida Medical Association to provide continuing medical education for physicians.

Flagler Hospital designates this educational activity for 0.50 AMA PRA Category 1 Credit (s)TM for each iPOC/Search and Learn submitted for a total of 20 AMA PRA Category 1 Credit(s)TM per year. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For the purpose of applying for an AMA Physician's Recognition Award, physicians may claim a maximum of 20 AMA PRA Category 1 Credit (s)TM per year through iPOC/Search and Learn activities. Please contact the AMA directly for additional information on the AMA Physician's Recognition Award process.