What is the process for identifying and evaluating PURLs?
1) Nomination of a Potential PURL. Five designated family physicians perform literature surveillance of multiple sources for new research and nominate studies via e-mail that seem like they might change practice as judged by reading the abstract. If the PURLs Editor agrees, then the study is assigned for formal review as a Potential PURL. 2) Review of a Potential PURL. This includes a formal critical appraisal and literature review which is recorded on standardized form (the Potential PURL Review Form), submitted to the PURLs Editor and presented to a peer group at a PURL Jam, similar to a journal club format. If the study still seems as though it will meet criteria for a PURL and is approved by the PURLs Editor, it goes to the next step, Pending PURL for Review. 3) Review of Pending PURL. In this step, we conduct surveys of practicing physicians and analyses of secondary databases to empirically establish current practice and barriers to immediately applicability. In addition, validit