Eisenhower Medical Center Evidence Based Practice 7/8/2014
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Eisenhower Medical Center Evidence Based Practice 7/8/2014



PPT for library orientation for EMC

PPT for library orientation for EMC



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  • To clarify the nomenclature

Eisenhower Medical Center Evidence Based Practice 7/8/2014 Eisenhower Medical Center Evidence Based Practice 7/8/2014 Presentation Transcript

  • Using the Norris Medical Library Eisenhower Medical Center – 7/8/2014
  • • Where to start looking for information • Start from NML homepage http://www.usc.edu/hsc/nml/ OR • Clinicians Portal http://norris.usc.libguides.com/clinicians Norris Medical Library 2
  • • Sign in with USC username and password Off-Campus Access: Authentication 3 • Username = USC email username (up to @ symbol) • Password = USC email password
  • • Don’t know/remember your USCNet Username/Password? Call or email the Technology Support Center: (323) 442-1968 or hscaccts@usc.edu Off-Campus Access: Authentication 4
  • • aka Interlibrary Loans or ILL • Used when Norris Medical Library does not subscribe/own material • Requests cost $11 per article DocRetriever
  • • Evidence Based Practice EBP Clinical Expertise Patient’s Needs Best Evidence
  • EBP – 5S Model Based on the 5S model, Sladen Library, Henry Ford http://henryford.libguides.com/ebm
  • EBP – 5S Model Based on the 5S model, Sladen Library, Henry Ford http://henryford.libguides.com/ebm
  • • PubMed/MEDLINE: database of article citations (not a full-text database) • 23 million citations • MeSH: dictionary of terms used to organize articles in PubMed • Searches by subject not keyword • Searches synonyms, narrower terms PubMed / MeSH 9
  • Clarifying confusing nomenclature PubMed (search engine) is the tool used to search in PubMed and MEDLINE MEDLINE (database) > 21 Million Articles are added to PubMed by publishers MEDLINE and PubMed PubMed (database) > 23 million …then moved to MEDLINE as they are indexed (have MeSH terms added) by NLM What is MeSH? 10
  •  Most important single concept of today!!  A “dictionary” in which you look up the best words to use in MEDLINE searches  Using MeSH in searches increases the number of relevant articles  Limitations:  New concepts, procedures, drugs may not have a MeSH term ▪ Use a Keyword (= any search term you choose that is not a MeSH term)  Takes time for new articles to be “indexed” for MEDLINE ▪ Can miss the newest articles Medical Subject Heading (MeSH) 11
  • • Your patient is a healthy postmenopausal woman who’s sister was diagnosed with breast cancer in the past two years and is in remission. She’s concerned with her own risk of breast cancer, and has heard that exercise helps prevent it in patients like her. Even though you routinely recommend exercise to patients, you’d like to know if there is evidence supporting this claim. Asking A Focused Question
  • • PICO • Patient/population/problem • Intervention • Comparison/counter-intervention • Outcome • (M) Methodology • (T) Time Asking A Focused Question
  • • P – postmenopausal woman with hereditary risk factors for breast cancer • I – Exercise • C – None/no-exercise • O – breast cancer prevention Asking A Focused Question
  • • P – "Menopause"[Mesh] • I – "Exercise"[Mesh] OR "Exercise Therapy"[Mesh] • C – None/no-exercise • O – "Breast Neoplasms/prevention and control"[Mesh] Asking A Focused Question
  • • ("Menopause"[Mesh] OR post-menopausal OR postmenopausal OR post-menopause) AND ("Breast Neoplasms/prevention and control"[Mesh] OR breast cancer OR breast neoplasm) AND ( "Exercise"[Mesh] OR "Exercise Therapy"[Mesh] OR exercise OR physical activity OR aerobic exercise OR strength training OR running OR sports) Asking A Focused Question
  • • ACP Smart Medicine • American College of Physicians • Browse diseases alphabetically or by organ system • UpToDate • Expert opinion • Topic outline in right pane as you hover over title Clinical Information Tools 19
  • • Many names, many functions • Web of Science • Science Citation Index • Cited Reference Search, aka “times cited” • Journal Citation Reports, aka “that thing where you find impact factors” • etc… Web of Knowledge 20
  • • ClinicalKey: http://www.usc.edu/e_resources/hsl/gateways/24946.php • Visual DX: http://www.usc.edu/e_resources/hsl/gateways/12696.php • Gideon: http://www.usc.edu/e_ resources/hsl/gateways/6227.php Other Resources 21
  • • Refworks • Online • Free (through USC Libraries) Access • EndNote Online • Online • Free (through USC Libraries) Access • Limited functionality (depending on several factors) • EndNote • Desktop • Fee-Based • Can link to EndNote Web account • All are extremely similar! There are other freely available tools such as Mendeley and Zotero. Personal preference is the deciding factor. Bibliographic Management Software 22
  • • Reference Desk - (323) 442-1116 • Monday – Friday 9am-5pm • Email • medlib@usc.edu • Instant Messaging • AIM and Yahoo! Messenger NorrisMedicalLib • MSN Messenger NorrisMedicalLib@hotmail.com • Google norrislib@gmail.com • Ask A Librarian Form http://www.usc.edu/hsc/nml/assets/forms/ask-a-libn.html Other ways to contact library staff…
  • Robert Johnson, MLIS Norris Medical Library robertej@usc.edu 323.442.1121 http://www.usc.edu/hsc/nml/ Questions? 24