The need for effective and efficient exchange of clinical knowledge is
increasing. Paper based methods for managing clinical knowledge are n
ot meeting the demand for knowledge and this has undoubtedly contribut
ed to the widely reported failures of clinical guidelines. Internet af
fords both opportunities and dangers for clinical knowledge. Systems s
uch as Wax have demonstrated the importance of intuitive structure in
the management of knowledge. We report on a new initiative for the glo
bal management of clinical knowledge. (C) 1997 Elsevier Science B.V.