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

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

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

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