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British Columbia Medical Journal - November 2010: Library

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2010 issue …

2010 issue

Please download or visit this entire issue online at http://www.bcmj.org/november-2010-0

Published in: Health & Medicine, Education
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  • 1. www.bcmj.org VOL. 52 NO. 9, NOVEMBER 2010 BC MEDICAL JOURNAL 437 ied and the appropriate dosage is unclear. “Many regulatory authorities (Colleges) have considered these facts. Some have stated clearly that physicians should not support an application for the medical use of marijuana, while others have cho- sen to simply remind their mem- bers of the importance of evidence- based medicine and the lack of evidence about the benefits and risks of this substance. “However, patients who believe that marijuana is effective for treat- ing certain symptoms from which they suffer can apply to Health Canada for authorization to pos- sess and use marijuana under the Marijuana Medical Access Regu- lations (the Regulations). Those Regulations require the applicant (patient) to submit two declara- tions, one of which is the appli- cant’s and the other a Medical Dec- laration signed by the applicant’s medical practitioner.” The full statement is available at www.cmpaacpm.ca/cmpapd04/ docs/resource_files/infosheets/20 09/com_is09103-e.cfm. —ED personal view By BC physicians, for BC physicians GPAC clinical practice guidelines are now available in iPod Touch and iPhone format — FREE! This free application contains over 30 clinical practice guidelines in abridged format. It serves as a condensed, portable companion to the full clinical practice guidelines found at www.BCGuidelines.ca, where over 50 guidelines are available in a range of formats. Download app from: http://itunes.apple.com/us/app/bc-guidelines/id377956292?mt=8 I ncorporatinghigh-qualityevidence into clinical decision making re- quiressystematicsearching,apprais- ing, and synthesizing of the literature. Performing these complex and time- consuming tasks on a regular basis is beyond reasonable expectations for busy physicians, so using existing sources of evidence-based informa- tion, particularly systematic reviews, is helpful. Unlike traditional narrative reviews that are generally written by a few authors who subjectively select literaturetocommentonabroadtopic, systematic reviews tend to be pro- duced by a team that endeavors to search the literature on a narrow clin- ical question in an unbiased and repro- duciblemannerandanalyzethesearch results according to explicit criteria. Two initiatives of note that produce carefully synthesized and appraised systematic reviews are Clinical Evi- dence from BMJ Publishing Group and the Cochrane Collaboration. Both tendtofocusonthebenefitsandharms of clinical interventions. ClinicalEvidence,createdin1999, summarizessystematicreviews,RCTs, and observational studies, and states college library Best evidence: The tip of the information iceberg the current view on what is known and unknown about specific aspects of disease management. Conveniently, patient leaflets on general topics sup- plement the more precisely focused systematic reviews. Clinical Evidence is both a stand-alone publication as well as a component of BMJ Point of Care. The Cochrane Collaboration, a distinctandindependentorganization, has been producing the Cochrane Database of Systematic Reviews since 1993. The Collaboration is not-for- profit, funded by agencies such as universities, charities, and personal donations. Like Clinical Evidence, Cochrane reviews tend to focus on the risks and benefits of therapeutic inter- ventions. Both of these resources are available for free to all College mem- bers at www.cpsbc.ca/library. In addition the College Library offers workshops on identifying and effectively searching high-quality medical evidence, and we are also happy to arrange one-on-one learning sessions with College members. —Karen MacDonell, Judy Neill Librarians/Co-Managers, College of Physicians and Surgeons of BC Library

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