The last 20 years have seen significant international shifts towards greater patient and public involvement (PPI) in health research and development (R and D). In England, then first health R and D strategy in 1991 did not mention PPI. Twenty years later, PPI is deeply embedded within the National Institute for Health Research. This article…

This article explores issues raised in knowledge transformation processes through three separate, but related lenses. It starts with a discussion of the relationship between knowledge transformation and research outputs. In so doing, it encompasses both direct research outputs, that is research reports and papers in journals, and indirect outputs,…

Is the United States in danger of losing its competitive edge in science and technology (S&T)? This concern has been raised repeatedly since the end of the Cold War, most recently in a wave of reports in the mid-2000s suggesting that globalization and the growing strength of other nations in S&T, coupled with inadequate U.S. investments in…

Introduction: Evidence-based medicine (EBM) integrates published clinical evidence with patient values and clinical expertise, the output of which is informed medical decision making. Key skills for evidence-based practice include acquisition and appraisal of clinical information. Faculty clinicians often lack expertise in these skills and are…