Professional & Clinical Information Skills Beyond UM (1)  Patricia F. Anderson, [email_address] March 27, 2007
Sessions <ul><li>Mar. 27: PubMed for Clinicians (TODAY) </li></ul><ul><li>Mar. 29:  Advanced PubMed (Productivity & Effici...
Handouts for Today <ul><li>These slides </li></ul><ul><li>FRIAR form </li></ul><ul><li>CHAIN of TRUST </li></ul>
PubMed Searching For Clinical Decisionmaking <ul><li>Selecting MeSH Terms </li></ul><ul><li>Clinical Queries Searching </l...
PubMed
PubMed: Services  <ul><li>You should already know: </li></ul><ul><ul><li>Single Citation Matcher </li></ul></ul><ul><ul><l...
PubMed: MeSH: Why MeSH? <ul><li>Why use MeSH? </li></ul><ul><ul><li>PubMed’s easy search interface makes assumptions about...
PubMed: MeSH: Why MeSH? <ul><li>Assumptions: Example: </li></ul><ul><li>Root canal  perforation (200 results) </li></ul>
PubMed: MeSH: Why MeSH? <ul><li>Assumptions: Example: </li></ul><ul><li>Root canal  perforations (196 results) </li></ul>
PubMed: MeSH: Why MeSH? <ul><li>Assumptions: Example: Root canal perforations </li></ul><ul><ul><li>“ Root canal” became “...
PubMed: MeSH Database
PubMed: MeSH Database <ul><li>Example: Caries </li></ul><ul><li>Suggestions </li></ul><ul><li>Other terms </li></ul><ul><l...
PubMed: MeSH Database <ul><li>Example: Caries: Result #3 </li></ul><ul><li>Example: Caries: Result #6 </li></ul>
PubMed: MeSH Database <ul><li>Full entry for Dental Caries </li></ul>
PubMed: MeSH Database: Entry Terms <ul><li>MeSH term is  equivalent to words and phrases listed as “Entry Terms” </li></ul...
PubMed: MeSH Database:  Cross References <ul><li>MeSH entry will also provide “See Also” terms.  </li></ul><ul><li>These s...
PubMed: MeSH Database: Tree Display <ul><li>Here is your first real clue that “Tooth Demineralization” should usually be u...
PubMed: MeSH Database: Send to Search <ul><li>From MeSH Browser,  you can send  selections directly  to the Search box. </...
PubMed: MeSH Database: Send to Search 2
PubMed: MeSH Database: Send to Search 3 <ul><li>See result in expert search form in the Search Box. </li></ul><ul><li>Clic...
PubMed: Clinical Queries <ul><li>What Clinical Queries do for you: </li></ul><ul><ul><li>Fast </li></ul></ul><ul><ul><li>F...
PubMed: Clinical Queries <ul><li>Screenshot of opening clinical queries screen </li></ul>
PubMed: Clinical Queries: Categories
PubMed: Clinical Queries: Caries Example 1
PubMed: Clinical Queries: Caries Example 2
PubMed: Clinical Queries: Caries Example 3
PubMed: Clinical Queries: Caries Example 4
PubMed: Clinical Queries: Root Canal Example 1
PubMed: Clinical Queries: Root Canal Example 2
PubMed: Clinical Queries: Root Canal Example 3
PubMed: Clinical Queries <ul><li>What PubMed is really doing: </li></ul><ul><ul><li>((&quot;dental pulp cavity&quot;[MeSH ...
PubMed: Systematic Reviews <ul><li>Located on same page as Clinical Queries, directly below. </li></ul>
PubMed: Systematic Reviews: Example <ul><li>Tooth demineralization: </li></ul><ul><li>Note: Root canal performation =  0 s...
Chain of Trust /  Levels of Evidence Tool <ul><li>CHAIN =  </li></ul><ul><li>Candor </li></ul><ul><li>Honesty </li></ul><u...
Chain of Trust /  Levels of Evidence Tool <ul><li>CHAIN =  </li></ul>
Chain of Trust /  Levels of Evidence Tool <ul><li>TRUST =  </li></ul>
Chain of Trust /  Levels of Evidence Tool <ul><li>Scoring = 0 to 5 </li></ul><ul><li>1 = bad, 5 = good, 0 = not applicable...
Chain of Trust /  Levels of Evidence Tool <ul><li>“ Informal”  or dated  sources  (not original research or not peer revie...
Chain of Trust /  Levels of Evidence Tool <ul><li>Original research and/or  peer reviewed publication </li></ul><ul><li>SO...
Chain of Trust /  Levels of Evidence Tool <ul><li>File available from: </li></ul><ul><li>http://www-personal.umich.edu/~pf...
Assignment: <ul><li>See provided case study </li></ul><ul><ul><li>Select 2-4 MeSH Terms </li></ul></ul><ul><ul><li>Create ...
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PubMed Searching for Clinical Decisionmaking: Professional & Clinical Information Skills Beyond UM (1)

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Part One of a Four Session Class on information skills for graduating dental students. Today's session: PubMed Searching for Clinical Decisionmaking: Selecting MeSH Terms; Clinical Queries Searching; Systematic Review Searching; Quality, Authority & Credibility -- Chain of Trust

PubMed Searching for Clinical Decisionmaking: Professional & Clinical Information Skills Beyond UM (1)

  1. 1. Professional & Clinical Information Skills Beyond UM (1) Patricia F. Anderson, [email_address] March 27, 2007
  2. 2. Sessions <ul><li>Mar. 27: PubMed for Clinicians (TODAY) </li></ul><ul><li>Mar. 29: Advanced PubMed (Productivity & Efficiency) </li></ul><ul><li>Apr. 3: Getting Articles: Loansome Doc Etc. </li></ul><ul><li>Apr. 5: Finding the Clinical Internet </li></ul>
  3. 3. Handouts for Today <ul><li>These slides </li></ul><ul><li>FRIAR form </li></ul><ul><li>CHAIN of TRUST </li></ul>
  4. 4. PubMed Searching For Clinical Decisionmaking <ul><li>Selecting MeSH Terms </li></ul><ul><li>Clinical Queries Searching </li></ul><ul><li>Systematic Review Searching </li></ul><ul><li>Quality, Authority & Credibility: Chain of Trust </li></ul>
  5. 5. PubMed
  6. 6. PubMed: Services <ul><li>You should already know: </li></ul><ul><ul><li>Single Citation Matcher </li></ul></ul><ul><ul><li>Journals Database </li></ul></ul><ul><li>Today: </li></ul><ul><ul><li>MeSH Database </li></ul></ul><ul><ul><li>Clinical Queries </li></ul></ul><ul><li>Next Class: </li></ul><ul><ul><li>My NCBI </li></ul></ul><ul><li>On Your Own: </li></ul><ul><ul><li>Special Queries </li></ul></ul>
  7. 7. PubMed: MeSH: Why MeSH? <ul><li>Why use MeSH? </li></ul><ul><ul><li>PubMed’s easy search interface makes assumptions about what you want, and interprets what you search </li></ul></ul><ul><ul><li>Using MeSH makes your search more precise and specific, meaning you are more likely to get what you really want </li></ul></ul><ul><ul><li>Using MeSH provides consistency and control </li></ul></ul>
  8. 8. PubMed: MeSH: Why MeSH? <ul><li>Assumptions: Example: </li></ul><ul><li>Root canal perforation (200 results) </li></ul>
  9. 9. PubMed: MeSH: Why MeSH? <ul><li>Assumptions: Example: </li></ul><ul><li>Root canal perforations (196 results) </li></ul>
  10. 10. PubMed: MeSH: Why MeSH? <ul><li>Assumptions: Example: Root canal perforations </li></ul><ul><ul><li>“ Root canal” became “dental pulp cavity” </li></ul></ul><ul><ul><ul><li>Did you mean the anatomical area, or the procedure? </li></ul></ul></ul><ul><ul><li>Perforations or perforation retrieved different results -- PubMed did not automatically pluralize. </li></ul></ul><ul><ul><ul><li>Just when you assume it assumes what you assume, it doesn’t … </li></ul></ul></ul>
  11. 11. PubMed: MeSH Database
  12. 12. PubMed: MeSH Database <ul><li>Example: Caries </li></ul><ul><li>Suggestions </li></ul><ul><li>Other terms </li></ul><ul><li>Definitions </li></ul><ul><li>Year Introduced </li></ul>
  13. 13. PubMed: MeSH Database <ul><li>Example: Caries: Result #3 </li></ul><ul><li>Example: Caries: Result #6 </li></ul>
  14. 14. PubMed: MeSH Database <ul><li>Full entry for Dental Caries </li></ul>
  15. 15. PubMed: MeSH Database: Entry Terms <ul><li>MeSH term is equivalent to words and phrases listed as “Entry Terms” </li></ul><ul><li>These terms, when appearing in an abstract, will result in this MeSH term being assigned. </li></ul>
  16. 16. PubMed: MeSH Database: Cross References <ul><li>MeSH entry will also provide “See Also” terms. </li></ul><ul><li>These suggest alternate MeSH terms that you may wish to use instead of or in addition to the term currently selected. </li></ul>
  17. 17. PubMed: MeSH Database: Tree Display <ul><li>Here is your first real clue that “Tooth Demineralization” should usually be used for searching “Caries”. </li></ul>
  18. 18. PubMed: MeSH Database: Send to Search <ul><li>From MeSH Browser, you can send selections directly to the Search box. </li></ul><ul><li>Use the “Send-to” drop-down menu on the far right. </li></ul>
  19. 19. PubMed: MeSH Database: Send to Search 2
  20. 20. PubMed: MeSH Database: Send to Search 3 <ul><li>See result in expert search form in the Search Box. </li></ul><ul><li>Click “Search PubMed” </li></ul>
  21. 21. PubMed: Clinical Queries <ul><li>What Clinical Queries do for you: </li></ul><ul><ul><li>Fast </li></ul></ul><ul><ul><li>Focused (not too many articles) </li></ul></ul><ul><ul><li>High-Quality (original research) </li></ul></ul><ul><li>This means you make a clinical decision or recommendation without having to dig through many citations looking for the “good stuff” </li></ul>
  22. 22. PubMed: Clinical Queries <ul><li>Screenshot of opening clinical queries screen </li></ul>
  23. 23. PubMed: Clinical Queries: Categories
  24. 24. PubMed: Clinical Queries: Caries Example 1
  25. 25. PubMed: Clinical Queries: Caries Example 2
  26. 26. PubMed: Clinical Queries: Caries Example 3
  27. 27. PubMed: Clinical Queries: Caries Example 4
  28. 28. PubMed: Clinical Queries: Root Canal Example 1
  29. 29. PubMed: Clinical Queries: Root Canal Example 2
  30. 30. PubMed: Clinical Queries: Root Canal Example 3
  31. 31. PubMed: Clinical Queries <ul><li>What PubMed is really doing: </li></ul><ul><ul><li>((&quot;dental pulp cavity&quot;[MeSH Terms] OR root canal[Text Word]) AND perforation[All Fields]) AND (randomized controlled trial[Publication Type] OR (randomized[Title/Abstract] AND controlled[Title/Abstract] AND trial[Title/Abstract])) </li></ul></ul>
  32. 32. PubMed: Systematic Reviews <ul><li>Located on same page as Clinical Queries, directly below. </li></ul>
  33. 33. PubMed: Systematic Reviews: Example <ul><li>Tooth demineralization: </li></ul><ul><li>Note: Root canal performation = 0 systematic Reviews </li></ul>
  34. 34. Chain of Trust / Levels of Evidence Tool <ul><li>CHAIN = </li></ul><ul><li>Candor </li></ul><ul><li>Honesty </li></ul><ul><li>Accountability </li></ul><ul><li>Information Quality </li></ul><ul><li>Neighborly </li></ul><ul><li>TRUST = </li></ul><ul><li>Timeliness </li></ul><ul><li>Relevant </li></ul><ul><li>Unbiased </li></ul><ul><li>Scope </li></ul><ul><li>Trustworthy </li></ul>
  35. 35. Chain of Trust / Levels of Evidence Tool <ul><li>CHAIN = </li></ul>
  36. 36. Chain of Trust / Levels of Evidence Tool <ul><li>TRUST = </li></ul>
  37. 37. Chain of Trust / Levels of Evidence Tool <ul><li>Scoring = 0 to 5 </li></ul><ul><li>1 = bad, 5 = good, 0 = not applicable </li></ul>
  38. 38. Chain of Trust / Levels of Evidence Tool <ul><li>“ Informal” or dated sources (not original research or not peer reviewed publication) </li></ul>
  39. 39. Chain of Trust / Levels of Evidence Tool <ul><li>Original research and/or peer reviewed publication </li></ul><ul><li>SOURCE: Medical Research Library of Brooklyn </li></ul>
  40. 40. Chain of Trust / Levels of Evidence Tool <ul><li>File available from: </li></ul><ul><li>http://www-personal.umich.edu/~pfa/pro/courses/ </li></ul><ul><li>http://www-personal.umich.edu/~pfa/pro/courses/ChainOfTrustLoEVert2.pdf </li></ul>
  41. 41. Assignment: <ul><li>See provided case study </li></ul><ul><ul><li>Select 2-4 MeSH Terms </li></ul></ul><ul><ul><li>Create a “Clinical Queries” search (screenprint) </li></ul></ul><ul><ul><li>Create a systematic review search for same topic (screenprint) </li></ul></ul><ul><li>Select bottom article citation listed on either the CQ or SR search </li></ul><ul><ul><li>Evaluate article citation & abstract with Chain of Trust tool </li></ul></ul><ul><ul><li>State whether you would read the article or not. </li></ul></ul>

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