Your SlideShare is downloading. ×
Swomen Retreat Oct 2009
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Swomen Retreat Oct 2009

908
views

Published on

Presentation given to clinical preceptors as part of the SWOMEN (Southwestern Ontario Medical Education Network) Teaching Retreat, held on October 24, 2009 at the Elm Hurst Inn in Ingersoll, Ontario

Presentation given to clinical preceptors as part of the SWOMEN (Southwestern Ontario Medical Education Network) Teaching Retreat, held on October 24, 2009 at the Elm Hurst Inn in Ingersoll, Ontario

Published in: Health & Medicine, Education

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
908
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Information Rx: Western Libraries’ Prescription for Accessing Clinical Evidence SWOMEN/Family Medicine Teaching Retreat Robin Featherstone, BA, MLIS Clinical Medicine Librarian University of Western Ontario [email_address]
  • 2. Disclosure
    • I received fellowship funding from the National Library of Medicine (who produces PubMed)
  • 3. Agenda
    • Library services
    • Accessing Western Libraries’ collections
    • Using Western’s collections to answer background questions
    • Using Western’s collections to answer clinical questions
  • 4. Library Services
    • Canadian Library of Family Medicine
    • Hospital Libraries
    • Leddy Library
    • Western Libraries
  • 5. Western Libraries: What we’ve got Journals and databases Books Clinical Tools Learning modules Calculators Drug Identification Tools Images
  • 6. Medicine Information: How to access - Go to: http://www.lib.uwo.ca/
    • Log in to Off-Campus Access with your UWO username and password (same as your UWO email account)
    • jsmith27
    • sdK?8N*5
    - Select Browse by Program - Select Medicine and Dentistry - Select Clinical Outreach
  • 7. http://www.lib.uwo.ca/programs/clinicaloutreach/ Use this page to find selected medical resources Electronic Books Point of Care & EBM Tools Databases Image and video collections And more...
  • 8. How to search our collections Select “Catalogue”
    • Search the Catalogue to find anything Western Libraries owns or subscribes to
    • ...including:
    • Journals
    • Books
    • Databases
    • Point of Care Tools
  • 9. Catalogue Searching You can even search for electronic full-text journals. Select “Journal Title” Then enter the name of the journal And select “Go” Tip: For best results, use the Advanced Search
  • 10. Parts of a Catalogue Record Full title of the journal Links to electronic articles Coverage dates Call # & location of print volumes
  • 11. Other ways to access electronic full text
    • When searching for articles in databases, use the button to link to full-text
    • Tip: To see the buttons in PubMed
        • Use the PubMed links from the library website
        • Change the display in PubMed to Abstract or AbstractPlus
  • 12. Using the button Select the “Go” button to link to full text
  • 13. Access Exercise 1
    • How would you get a hold of this article?
    • Weber M. Achieving blood pressure goals: should angiotensin II receptor blockers become first-line treatment in hypertension? J Hypertens. 2009 Jul;27 Suppl 5:S9-14.
  • 14. Access Exercise 2
    • How would you get a hold of this article?
    • Olsson SB, Orndahl G, Erneström S, Eskilsson J, Persson S, Grennert ML, Johansson BW. Spontaneous reversion from long-lasting atrial fibrillation to sinus rhythm . Acta Med Scand. 1980;207(1-2):5-20. PubMed PMID: 7368973.
  • 15. Access Key Points
    • Off-Campus Access – Remember to log in
    • Browse by Program > Clinical Outreach
    • Search the catalogue to find anything UWO owns or subscribes to
    • Use Getit@Western button to access full-text
    • Select “Request Item” from the catalogue to request ARCC and RDL items for Desktop Delivery
  • 16. Answering questions using Western’s collections
  • 17. Background Questions
    • What are the general preventative measures for otitis externa?
    • What are the mechanisms of Gabapentin?
    • What conditions are in the differential diagnosis for atrial fibrillation?
    • What are current guidelines for use of carotid endarterectomy?
  • 18. Resources for Background Questions
    • Textbooks
    • Library Catalogue (can limit to electronic)
    • Books@Ovid (623 clinical textbooks)
    • Harrison’s Online (AccessMedicine)
    • STAT!Ref (27 clinical textbooks)
  • 19. Clinical/Foreground Questions
  • 20. Using the Evidence to Answer Clinical Questions
    • Identify your problem
    • Define a structured question
    • Find the best evidence
    • How valid is the evidence?
    • What are the results?
    • How should I apply the results to patient care? 1
    1 Guyatt, Gordon, Drummond Rennie, Evidence-Based Medicine Working Group, and American Medical Association. Users‘ Guides to the Medical Literature :A Manual for Evidence-Based Clinical Practice. Chicago, IL: AMA Press, 2002. We’ll be focusing on two steps
  • 21. Case study
    • Using the PICO model, formulate an answerable question
    A patient with chronic asthma and a BMI of 36 asks if the low-calorie diet that you’ve recommended may also help with her asthma.
  • 22. Create an answerable question
    • In patients with asthma, does a low-calorie diet help to decrease symptoms?
    Population Patients with asthma Intervention Low-calorie diet Comparison Outcomes Decreased symptoms
  • 23. 6 Question Types
      • Aetiology: the causes of the disease and their modes of operation
      • Diagnosis: signs, symptoms or tests for diagnosing a disorder
      • Prognosis: the probable course of the disease over time
      • Therapy: selection of effective treatments which meet you patient’s values.
      • Cost-effectiveness: is one intervention more cost-effective than another?
      • Quality of life: what will be the quality of life of the patient? 3
    3 Heneghan, Carl, and Douglas Badenoch. Evidence-Based Medicine Toolkit. 2nd ed. Malden, Mass.: BMJ Books/Blackwell Pub., 2006.
  • 24. Find the Best Evidence
    • Studies which best answer each question type
    4 Heneghan, Carl, and Douglas Badenoch. Evidence-Based Medicine Toolkit. 2nd ed. Malden, Mass.: BMJ Books/Blackwell Pub., 2006. Type of Question Type of Evidence Aetiology Case-control or cohort study Diagnosis Diagnostic validation study Prognosis Inception cohort study Therapy Randomized controlled trial Cost-effectiveness Economic evaluation Quality of life Qualitative study 4
  • 25. Evidence Pyramid Less time Less work Less evidence More time More work More evidence http://www.mh.org.au/royal_melbourne_hospital/www/353/files/pyramidopt.jpg
  • 26. Exercise
    • Search the following resources to answer the question: In patients with asthma, does a low-calorie diet help to alleviate symptoms associated with the condition?
            • Cochrane Library
            • Essential Evidence Plus
            • PubMed
            • SCOPUS
  • 27. Conclusions
    • Number of results
    Source Hits Cochrane Library 7 Essential Evidence Plus 23 PubMed 949 (75 if using Clinical Queries) SCOPUS 2010
  • 28. Evidence Pyramid Cochrane Library EMBASE PubMed SCOPUS
  • 29. Summary & Key Points
    • Library Services
    • Access
      • Log in to off-campus access
      • Browse by Program > Clinical Medicine
      • Search the Catalogue (use the Advanced search)
      • Access full text by using the Get it @ Western button
    • Searching
      • Use textbooks to answer background questions
      • Use PICO to formulate answerable clinical questions
      • Save time by searching filtered information sources first
  • 30. QUESTIONS?

×