library resources for optometrists


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  • library resources for optometrists

    1. 1. Library Resources & Services for Optometry Sandra A. Martin, M.L.I.S. Health Sciences Resource Coordinator John Vaughan Library Room 306B [email_address] – 918.444.3263
    2. 2. Information at Point of Need “ We believe the best use of information technology provides health care information at the point of need and in the manner in which it can best be utilized. ”
    3. 3. Sandra Provides…. <ul><li>Instruction </li></ul><ul><li>Research Assistance </li></ul><ul><li>Customized Information Services </li></ul><ul><li>Database Searches </li></ul><ul><li>Collection Development (Selection of books, journals, databases, etc.) </li></ul><ul><li>Help with RUSH delivery of ILL requests </li></ul><ul><li>Assistance with any Optometry-related information need </li></ul>
    4. 4. Optometry Web Page <ul><li>Databases, e-journals, e-books, and other tools available 24/7 </li></ul><ul><li>Support research, teaching, and patient care needs of NSUCO faculty, students, and residents </li></ul><ul><li>Starting point to find resources for all vision science and medical topics </li></ul><ul><li> </li></ul>
    5. 6. Objectives <ul><li>To provide a mechanism for faculty and students to access the most current vision science and medically related information </li></ul><ul><li>To familiarize faculty and students with specific information resources and library services to support research, teaching, and patient care needs </li></ul><ul><li>To familiarize faculty and students with evidence-based eye care and life-long learning skills </li></ul>
    6. 7. Remote Access <ul><li>Enter NT-NSU user id and password to access the library’s electronic resources </li></ul><ul><li>Contact Tom Tinnell if you have problems with your user id or password </li></ul><ul><li>Click on “Technical Help” button from library’s Optometry web page for help with other technical problems </li></ul><ul><li>Click on “Optometry Librarian” button for help with searching resources </li></ul>
    7. 8. Subject Databases <ul><li>Most frequently used resources to find journal articles on Vision Science related subjects and topics, such as, glaucoma or allergic conjunctivitis </li></ul><ul><li>Full text and citations (author, title, journal, abstract) provided </li></ul><ul><li>Available to NSUCO students, residents, and faculty 24/7 </li></ul>
    8. 9. MD Consult <ul><li>Consolidates e-books, e-journals, drug information, patient education materials, images, and news updates in a single source </li></ul><ul><li>Especially useful for drug monographs (for professionals and for patients) and peer reviewed patient education handouts </li></ul><ul><li>In addition to journal articles from MEDLINE includes in-depth, full text reviews and overviews (recommended results) of commonly searched topics </li></ul>
    9. 10. Ovid MEDLINE <ul><li>U. S. National Library of Medicine’s premier database that contains over 16 million citations to journal articles in medicine, nursing, allied health, and basic sciences as they relate to health care </li></ul><ul><li>OvidSP software provides useful tools to filter search results and target information for precise clinical research needs </li></ul><ul><li>Full text of major Vision Science journals. Pay-per-view access to hundreds of medical and pharmacology journals provided by the library to residents and faculty </li></ul>
    10. 11. VisionCite (ICO) and Visionet (SCO) <ul><li>Citations to articles in Optometry journals not found in MEDLINE </li></ul><ul><li>Links to some full text in VisionCite. </li></ul><ul><li>Especially useful to locate articles on vision therapy, visual training, etc. </li></ul><ul><li>Visionet best for pre-1992 journal articles not found in VisionCite </li></ul>
    11. 12. Native American Health <ul><li>Native Health Databases contains citations and abstracts of health-related reports, articles, surveys and other documents </li></ul><ul><li>National Library of Medicine web site includes American Indian Health database as well as hundreds of free resources on wide range of biomedical topics </li></ul>
    12. 13. Tutorials <ul><li>Ovid MEDLINE Basic and Ovid MEDLINE Advanced present strategies by increasing levels of complexity </li></ul><ul><li>Ovid Basic – quick searches of one topic or broad question for a few, current articles </li></ul><ul><li>Ovid Advanced – complex searches of two or more concepts when precise retrieval is important </li></ul><ul><li>Download latest version of Flash player and complete tutorials before you search MEDLINE </li></ul>
    13. 14. Optometry Journal List <ul><li>Updated in January and July </li></ul><ul><li>Includes Optometry and Vision Science journal titles in current Library subscription, print or online </li></ul><ul><li>Call numbers provided for print journals </li></ul><ul><li>Database provided for online journals </li></ul><ul><li>Read Notes. List includes “selected” not all journal titles available in print or online </li></ul>
    14. 15. Optometry E-Journals by Title <ul><li>Links to databases that contain online journal titles in library subscription </li></ul><ul><li>Search this section when you know the title, year, volume, of the journal </li></ul><ul><li>When good citation is not available in subject database search (e.g., Ovid full text), scan Optometry Journal List to locate the journal in another database (e.g., Science Direct) </li></ul>
    15. 16. Ovid Pay-per-View <ul><li>Provides access to specialized medical and pharmacology journals not in library’s subscription </li></ul><ul><li>Use link to MEDLINE from “Residents & Faculty” button on Optometry web page </li></ul><ul><li>Follow pay-per-view instructions or contact Sandra for more information </li></ul><ul><li>Costs are covered by the library for this service </li></ul>
    16. 18. Steps to Obtain Full Text Journal Articles from Ovid MEDLINE Search <ul><li>OVID Databases </li></ul><ul><ul><li>Search MEDLINE from link on Residents & Faculty Page </li></ul></ul><ul><ul><li>Print or Save full text in Ovid </li></ul></ul><ul><ul><li>Print or Save pay-per-view full text if applicable </li></ul></ul><ul><ul><li>Print list of citations of relevant articles not in Ovid full text </li></ul></ul><ul><li>Consult Optometry Journal List to find articles in journals not in Ovid full text </li></ul><ul><ul><li>Locate print journals by call number </li></ul></ul><ul><ul><li>Locate e-Journals by database, e.g., Science Direct </li></ul></ul><ul><ul><li>Print, Save, or Photocopy articles in JVL collections </li></ul></ul><ul><li>Use Interlibrary loan to obtain articles from journals not in our collections </li></ul>
    17. 19. Print Journal Collection at JVL <ul><li>Most titles located on the 2d Floor </li></ul><ul><li>Some series titles located on the 3d Floor with the books </li></ul><ul><li>Check Optometry Journal List for call numbers </li></ul><ul><li>Check library catalog for titles not found on journal list </li></ul><ul><li>Scanner & Printer located on 1 st and 2d Floors </li></ul>
    18. 20. Point of Care Databases <ul><li>Full text of evidence-based, clinical decision support tools, expert summaries of original studies, and systematic reviews </li></ul><ul><li>Full text resources of “critically appraised” content </li></ul><ul><li>Useful to answer clinical questions as they arise in practice </li></ul>
    19. 21. E-Books <ul><li>Complete text and images available in major reference works </li></ul><ul><li>MD Consult – 50 titles including Yanoff’s Ophthalmology . </li></ul><ul><li>Books@Ovid – Lippincott titles including Duane’s Ophthalmology </li></ul><ul><li>Access Medicine – Top medical and basic sciences titles including Harrison’s Online , Goodman & Gilman’s Pharmacology , and Lange handbooks </li></ul><ul><li>Stat!Ref – Titles from several publishers in medicine, pharmacology, nursing, and allied health </li></ul>
    20. 22. Print Books <ul><li>Library collects almost all titles published by Elsevier in Optometry and Ophthalmology </li></ul><ul><li>Search Elsevier web page for forthcoming titles – </li></ul><ul><li>Search Library Catalog or New Books list for titles added to our collection </li></ul><ul><li>Book collection located on 3d Floor </li></ul>
    21. 23. Consumer Health <ul><li>Full text patient education handouts </li></ul><ul><li>MedlinePlus and MD Consult provide current, authoritative, peer-reviewed information </li></ul><ul><li>Include images and links to trusted web sites </li></ul><ul><li>Comprehensive information written at 6 th grade level </li></ul><ul><li>Some handouts in Spanish </li></ul>
    22. 25. John Vaughan Library <ul><li>Short walk from the Optometry building </li></ul><ul><li>Comprehensive print and online collections </li></ul><ul><li>Friendly, welcoming staff </li></ul><ul><li>Open until 2:00 a.m. Monday-Thursday and Sundays during regular academic periods </li></ul><ul><li>Hours posted at </li></ul><ul><li>Wireless Access - use your laptop or check one out at Reserve Desk </li></ul><ul><li>Large study areas and comfortable furniture on all floors </li></ul><ul><li>Café open during all building hours </li></ul>
    23. 26. Services and Collections <ul><li>1 st Floor – Reference, Reserves, Audiovisuals, Circulation, Computer Labs </li></ul><ul><li>2d Floor – Journals, Periodicals, Interlibrary Loan, Special Collections </li></ul><ul><li>3d Floor – Books, Government Documents, Optometry Librarian </li></ul><ul><li>Books & Journals shelved by Library of Congress call numbers. Most Vision Science titles found in R, RE, and Q areas </li></ul>
    24. 27. Interlibrary Loan/Document Delivery <ul><li>Services </li></ul><ul><ul><li>Delivery of journal articles, books, and other items not owned by the library </li></ul></ul><ul><ul><li>Delivery of journal articles in the library’s print collection </li></ul></ul><ul><ul><li>Delivery of journal articles in electronic format if possible </li></ul></ul><ul><li>ILL Requests </li></ul><ul><ul><li>Click on Interlibrary Loan button from Optometry Web Page </li></ul></ul><ul><ul><li>Create the online Iliad Profile </li></ul></ul><ul><ul><li>Place online request </li></ul></ul><ul><li>Special Needs </li></ul><ul><ul><li>Contact Sandra ASAP with questions, problems, or special needs </li></ul></ul>
    25. 28. ILL/Document Delivery Staff <ul><li>Donna Graham – x3243 – L213 </li></ul><ul><li>Renee Ridge – x3279 – L213B </li></ul><ul><li>Emily Brown – x3298 – L211 </li></ul><ul><ul><li>Access Services Librarian </li></ul></ul>
    26. 29. OU Health Sciences Libraries <ul><li>National Library of Medicine resource libraries </li></ul><ul><li>Oklahoma City and Tulsa locations </li></ul><ul><li>Check the web site for location, hours, etc. </li></ul><ul><ul><li> </li></ul></ul><ul><li>Check the online catalog for item availability before you make the trip </li></ul><ul><li>Print journals are shelved alphabetically by title. Scanning & printing available for a fee </li></ul><ul><li>You can access databases and eJournals but not print. Download articles on a flash drive or email </li></ul><ul><li>Guests are welcome - professional conduct rules apply </li></ul>
    27. 31. Information Pyramid <ul><li>UpToDate, Dynamed, FIRSTConsult, ACP PIER </li></ul><ul><li>ACP Journal Club </li></ul><ul><li>Evidence Based Ophthalmology </li></ul><ul><li>Cochrane and other Systematic Reviews (OVID EBMR) </li></ul><ul><li>MEDLINE Searches with Clinical Queries </li></ul><ul><li>SOURCE: Haynes, R. B. (2001). Of studies, syntheses, synopses, and systems: the “4S” evolution of services for finding current best evidence. Evidence-Based Medicine , 6 (2), 36-38. Retrieved 2-07-07 from </li></ul>
    28. 32. Critically Appraised Content
    29. 33. Appraisal Required by User
    30. 34. UpToDate <ul><li>Expert opinion and evidence-based, clinical decision support tool </li></ul><ul><li>60,000 pages of original text </li></ul><ul><li>7,000 topics in primary care and internal medicine </li></ul><ul><li>3,000 expert contributors </li></ul><ul><li>Available at large medical institutions, IHS hospitals, VA hospitals </li></ul>
    31. 35. DynaMed <ul><li>Evidence-based, clinical decision support tool </li></ul><ul><li>2,000 up-to-date clinical topic summaries </li></ul><ul><li>Information on etiology, directed history & physical findings, differential diagnosis, prognosis, treatment, and prevention </li></ul><ul><li>Links to most common ICD-9 Codes </li></ul><ul><li>Available at NSUCO </li></ul>
    32. 36. ACP PIER <ul><li>Evidence-based, clinical decision support tool </li></ul><ul><li>330 disease modules, 11 videos, and 14,000 pages of medical condition and diagnostic text with graphs and tables </li></ul><ul><li>Integrated with STAT!Ref </li></ul><ul><li>Available at NSUCO; Search Stat!Ref </li></ul>
    33. 37. FIRSTConsult <ul><li>Evidence-based, clinical decision support tool </li></ul><ul><li>1,500 diagnoses, 600 medical conditions, 300 signs & symptoms </li></ul><ul><li>Differential diagnosis tool based on chief complaint </li></ul><ul><li>Video clips of surgical procedures </li></ul><ul><li>Integrates with MD Consult </li></ul><ul><li>Trial passwords available from publisher </li></ul>
    34. 38. ACP Journal Club <ul><li>Expert summaries of original studies and systematic reviews from 150 journals </li></ul><ul><li>Value-added abstracts commented on by clinical experts </li></ul><ul><li>Commentaries on context, methods, and clinical applications of findings </li></ul><ul><li>Available at NSUCO; Search All Evidence Based Medicine Reviews </li></ul>
    35. 39. Evidence Based Ophthalmology <ul><li>Quarterly journal includes reviews of 24 critically relevant articles from ocular literature </li></ul><ul><li>Editorial board comprised of practicing physicians with expertise in epidemiology and clinical trials </li></ul><ul><li>Available at NSU; Search NSU Journals@Ovid </li></ul>
    36. 40. Cochrane DSR <ul><li>Systematic reviews conducted by world-wide research group </li></ul><ul><li>Limited to studies of prevention and therapeutic interventions </li></ul><ul><li>Eyes & Vision Research Group </li></ul><ul><li>Available at NSUCO; Search All Evidence Based Medicine Reviews </li></ul>
    37. 41. MEDLINE Searches <ul><li>Limit search results to study type </li></ul><ul><ul><li>Double blind randomized controlled trials </li></ul></ul><ul><ul><li>Randomized controlled trials </li></ul></ul><ul><ul><li>Clinical trials </li></ul></ul><ul><li>In OVID, limit by Clinical Queries </li></ul><ul><li>Appraise study for validity and relevance </li></ul>
    38. 42. Hierarchy of Information Resources <ul><li>Primary Literature </li></ul><ul><ul><li>Original Studies </li></ul></ul><ul><ul><ul><li>MEDLINE in Ovid and MD Consult </li></ul></ul></ul><ul><li>Secondary Literature </li></ul><ul><ul><li>Narrative Reviews </li></ul></ul><ul><ul><ul><li>MD Consult and MEDLINE </li></ul></ul></ul><ul><ul><li>Systematic Reviews </li></ul></ul><ul><ul><ul><li>Cochrane Database of Systematic Reviews; All Evidence Based Medicine Reviews </li></ul></ul></ul><ul><ul><li>Evidence-Based Summaries </li></ul></ul><ul><ul><ul><li>ACP Journal Club </li></ul></ul></ul><ul><ul><ul><li>Evidence-Based Ophthalmology (Journal) </li></ul></ul></ul><ul><ul><li>Clinical Decision Support Tools </li></ul></ul><ul><ul><ul><li>Dynamed </li></ul></ul></ul><ul><ul><ul><li>ACP Pier </li></ul></ul></ul>
    39. 43. Primary (Original) Studies <ul><li>Articles that report results of original research investigations </li></ul><ul><li>Conclusions supported by data and reproducible methodology </li></ul><ul><li>Good Source: MEDLINE (OVID) </li></ul>
    40. 44. Review Articles <ul><li>Background articles that provide an overview of current research </li></ul><ul><li>Integrate recent advances with accepted practice </li></ul><ul><li>Summarize – not original works </li></ul><ul><li>May mix opinions/bias of the authors with evidence </li></ul><ul><li>Good Source: MD Consult </li></ul>
    41. 45. Systematic Review <ul><li>Analyzes data from several primary studies to answer a specific clinical question </li></ul><ul><li>Provides search strategies and resources used to locate studies </li></ul><ul><li>Includes specific inclusion and exclusion criteria (results in less bias) </li></ul><ul><li>Meta-Analysis (subclass) statistically summarizes results of several individual studies </li></ul><ul><li>Good Source: Cochrane DSR; All Evidence Based Medicine Reviews </li></ul>
    42. 46. Characteristics of Information Retrieval for Patient Care <ul><li>Using research findings versus conducting research </li></ul><ul><li>Retrieving and evaluating information that has direct application to specific patient care problems </li></ul><ul><li>Selecting resources that are current, valid, and available at point of care </li></ul><ul><li>Developing search strategies that are feasible within time constraints of clinical practice </li></ul>
    43. 47. <ul><li>Source: Martin, S. A., Shreeve, S. & Prislin, M. (1999). Development of a longitudinal patient-care oriented informatics curriculum featuring web-based instructional and assessment tools .  Association of American Medical Colleges Annual Meeting. </li></ul><ul><li>© Sandra A. Martin </li></ul>
    44. 48. Evidence Based Medicine <ul><li>The incorporation of the highest quality of information, derived from scientific study, into the context of clinical care </li></ul><ul><li>Steps </li></ul><ul><ul><li>Defining an evidence-based question </li></ul></ul><ul><ul><li>Identifying and critically appraising the best available scientific evidence to answer the question </li></ul></ul><ul><ul><li>Deciding on the most appropriate course of action for a given patient </li></ul></ul>
    45. 49. Evidence Based Questions <ul><li>Four basic types of clinical questions: </li></ul><ul><ul><li>Diagnosis </li></ul></ul><ul><ul><li>Treatment/prevention </li></ul></ul><ul><ul><li>Etiology </li></ul></ul><ul><ul><li>Prognosis </li></ul></ul><ul><li>Certain types of clinical studies constitute highest level of evidence for each type of question </li></ul>
    46. 50. <ul><li>Randomized controlled trials are considered the best studies for assessing therapeutic interventions. </li></ul><ul><li>Source:  Sackett, D.L., Richardson, W.S., Rosenberg, W.M.C., & Haynes, R.B. (1996). Evidence-Based Medicine: How to practice and teach EBM. London: Churchill-Livingstone. </li></ul>
    47. 51. Levels of Evidence <ul><li>Grade the quality of evidence based on the design of the clinical study </li></ul><ul><li>Variety of hierarchies in use </li></ul><ul><li>Other variables to consider </li></ul><ul><ul><li>Factors other than design strengthen validity </li></ul></ul><ul><ul><ul><li>Researcher’s reputation </li></ul></ul></ul><ul><ul><li>Randomized controlled trials do not always exist to answer some questions </li></ul></ul><ul><ul><ul><li>Base decisions on next highest level of evidence </li></ul></ul></ul><ul><ul><ul><li>Identify research gaps </li></ul></ul></ul>
    48. 52. <ul><li>American Academy of Family Physicians Rating System </li></ul><ul><ul><li>Level A </li></ul></ul><ul><ul><ul><li>Systematic reviews of randomized controlled trials including meta-analyses </li></ul></ul></ul><ul><ul><ul><li>Good-quality randomized controlled trials </li></ul></ul></ul><ul><ul><li>Level B </li></ul></ul><ul><ul><ul><li>Good-quality nonrandomized clinical trials </li></ul></ul></ul><ul><ul><ul><li>Systematic reviews not in Level A </li></ul></ul></ul><ul><ul><ul><li>Lower-quality randomized controlled trials not in Level A </li></ul></ul></ul><ul><ul><ul><li>Other types of study: case control studies, clinical cohort studies, cross sectional studies, retrospective studies, and uncontrolled studies </li></ul></ul></ul><ul><ul><li>Level C </li></ul></ul><ul><ul><ul><li>Evidence-based consensus statements and expert guidelines </li></ul></ul></ul>
    49. 53. Match Resource to Information Need <ul><li>What is the question? </li></ul><ul><li>How will information be used? </li></ul>
    50. 54. Background vs. Foreground Questions <ul><li>Asking questions about your proposed topic helps to clarify your knowledge gap </li></ul><ul><li>Type of question helps to determine which sources are most likely to have the answers you need </li></ul>
    51. 55. Background Questions <ul><li>Generally ask who, what, why, where or how about a single concept </li></ul><ul><li>Examples: </li></ul><ul><ul><li>What are the contraindications for the use of timolol to treat glaucoma? </li></ul></ul><ul><ul><li>What are the risk factors for glaucoma? </li></ul></ul>
    52. 56. Answers to Background Questions <ul><li>Require general knowledge of disease and therapeutic processes </li></ul><ul><li>Resources: </li></ul><ul><ul><li>Ovid MEDLINE Basic Search </li></ul></ul><ul><ul><li>MD Consult Overviews, Review Articles </li></ul></ul><ul><ul><li>Reference books, monographs – online and print collections </li></ul></ul>
    53. 57. Foreground Questions <ul><li>Usually compare two or more concepts – drugs, treatments, tests, prognosis of two groups, harms or benefits of two approaches, etc. </li></ul><ul><li>Example: </li></ul><ul><ul><li>Is latanoprost as effective as travoprost or bimatoprost in achieving 24-hour control of IOP in patients with POAG? </li></ul></ul>
    54. 58. Answers to Foreground Questions <ul><li>Require precise information about complex issues </li></ul><ul><li>Sources should provide current, original clinical research data </li></ul><ul><ul><li>OVID MEDLINE – Clinical Queries </li></ul></ul><ul><ul><li>MD Consult MEDLINE – Limit to Diagnosis, Treatment, Etiology, Prognosis </li></ul></ul><ul><ul><li>Point of Care Databases </li></ul></ul>
    55. 59. Life-Long Learning <ul><li>Selecting and searching online databases is challenging </li></ul><ul><li>Information is ever changing </li></ul><ul><li>Contact Sandra for help in person, by phone, or email </li></ul>
    56. 60. Contact Sandra for Help <ul><li>Click on the Optometry Librarian button from the Optometry web page </li></ul><ul><li>Email: [email_address] </li></ul><ul><li>Phone: ext. 3263 or 918.444.3263 </li></ul><ul><li>Location: Library Room 306B </li></ul><ul><li>Call or send email to arrange appointment for research assistance – enter OPT or other identifying term in email subject line </li></ul>