Affiliation of the authors: Yale University, New Haven, Connecticut.
To describe application of GEM to analysis and categorization of guideline
We examined the application of GEM constructs to the AAP guideline on
neurodiagnostic evaluation of febrile seizures. Subjects at 4 sites marked-up
the guideline content using a hierarchical template that includes branches for
identity, developer, purpose, intended audience, method of development,
knowledge components, testing, and review. The types of elements used were
tabulated. Subjects were surveyed regarding the usability of the model.
Eight subjects analyzed the guideline, using between 46 and 149 elements
to model its content. There was considerable variation in the application of
elements. The number of elements used correlated with time to complete task.
Subjects found application of GEM to be straightforward in 6 of 8 categories and
sufficiently comprehensive to model the guideline’s information content.