Residency ProgramsInternal Medicine
Computer & Library Services
Medical Records
Access to information continues to grow and be more convenient. The institution has a fully incorporated an outpatient electronic medical record, Centricity, into the residents' weekly continuity practice. On both the inpatient and outpatient side of care, Powerchart, ECG TraceMaster View, Access Anywhere, and PACSNET allow physicians and other health care providers access to all dictations (H&Ps, discharge summaries, operative, consultation reports), pathology reports, laboratory data, radiologic studies, ER records, and ECGs 24 hours a day, 7 days a week. Inpatient paper records from past hospitalizations are also available 24 hours a day. This academic year, we will start using Powerchart to generate sign-out lists. By so doing, more comprehensive information, with less chance of error due to transcription mistakes, will be available to residents.
Remote Access
Residents have the ability to access all of the aforementioned web-based technologies (Centricity, Powerchart, electronic medical library services, along with Microsoft Outlook, Microsoft Power Point, Microsoft Word, and Microsoft Excel) remotely from home.
Other Electronic Organizers/Computer Access
All residents receive a personal digital assistant (PDA) to help them organize information. In addition, they are loaned a pocket sized notebook computer (Fujitsu LifeBook) which is carried on rounds and gives them wireless access to the hospital's intranet, with its attendant programs, and ready access to patient care information.
Medical Library
Christiana Care maintains two fully-staffed, computer-equipped clinical libraries, available 24/7 to all staff. Over 30 networked library PCs are available and all the libraries offer wireless access for your laptop. Two consumer health libraries, designed to assist patients, families and staff, are also available and highly regarded. The libraries hold subscriptions for over 400 journals and book collections of more then 5,000 volumes. The extensive print holdings are enhanced by online computer resources which offer a full spectrum of bibliographic and full-text databases providing broad coverage of clinical medicine, evidence-based and patient-care decision-making and research. Networked computer access includes UpToDate, major online books and journals, MICROMEDEX, Ovid Medline and Cochrane databases, AccessMedicine and AccessSurgery, Cardiosource, RefWorks, Essential Evidence and more. These resources create a virtual library network through the Christiana Care intranet accessible to all residents at home and from any Christiana Care location (over 1500 computers). Residents can do their own searching or request immediate search services from the librarians at no cost. Additional print resources are available through our document delivery and interlibrary loan services. The libraries also offer a discounted book buying service.
Clinical medical librarians attend rounds in some departments and offer one-on-one instruction as well as classes in evidenced-based information retrieval and literature searching skills.




