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Ping Li, PhD
GSLIS, Queens College, City University of New York
Lin Wu, MLIS, AHIP
Health Sciences Library and Biocommunic...
Evidence-Based Medicine

“The integration of the best research evidence with
clinical expertise and patient's unique value...
  Defining  an answerable question
  Collecting or finding evidence to
   answer the question
  Evaluating the evidence...
  Health   care professionals

  Medical   librarians
Reference job
content analysis                  Reality
                   Disconnects?
                                  ...
To explore whether and how
practicing medical librarians in the
United States are playing a role to
support and enhance EB...
  Online survey created with Survey
   Monkey
  Questionnaire distributed to MEDLIB-L,
   the MLA discussion list, sever...
  598 worldwide
  596 valid survey
  532 from the United States
  Years  of work experience
  Job title
  Work setting
  EBM related responsibilities
  Nature of EBM related respons...
    Data was exported to Microsoft Excel.
    United States respondents were filtered out
     by IP address.
    Excel...
Work Experience     Number   Percentage

 Hospital Library    268        51%

Academic Library     223        42%

 Specia...
Work            Number   Percentage
  Experience
  Over 5 Years       401        75%

  3 to 5 years        51        10%
...
EBM                  Academic Library   Hospital Library   Special Library
Responsibility
Expertise with EBM   197 (88%)  ...
EBM Responsibility        0-2 Years     3-5 Years    More than 5
                                                        Y...
Academic Library                     Hospital Library                     Special Library

EBM           Routine    Occasi...
0-2 Years                            3-5 Years                        More than 5 Years

EBM            Routine   Occasion...
    US medical librarians have been taking on
     various EBM-related responsibilities.
    The most frequently reporte...
  Hospital librarians are most active in
   providing EBM research.
  Academic librarians are most active
   in teaching...
Any relationship between medical
librarians’ work experience in the
profession and their provision of EBM
related services?
    US medical librarians are taking the EBM
     challenge and have been playing an active
     role in supporting and e...
  Content  analysis of participants'
   comments
  Medical librarians' perspectives on
   the provision of EBM-related
 ...
McKibbon, K. Ann, Angela Eady, and Susan Marks. 1999. PDQ: Evidence-based
      principles and practice. Hamilton, Ont: B....
Exploring the Real World: Medical Librarians' Involvement in Supporting EBM Practice
Exploring the Real World: Medical Librarians' Involvement in Supporting EBM Practice
Exploring the Real World: Medical Librarians' Involvement in Supporting EBM Practice
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Exploring the Real World: Medical Librarians' Involvement in Supporting EBM Practice

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Presentation at the 37th Annual Conference of the Canadian Association for Information Science (CAIS), Ottawa, ON, May 28-30, 2009. Conference proceedings are available at: http://www.cais-acsi.ca/search.asp

Published in: Education, Health & Medicine
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Exploring the Real World: Medical Librarians' Involvement in Supporting EBM Practice

  1. 1. Ping Li, PhD GSLIS, Queens College, City University of New York Lin Wu, MLIS, AHIP Health Sciences Library and Biocommunications Center University of Tennessee Health Science Center The 37th Annual Conference of the Canadian Association for Information Science, Ottawa, ON, May 28-30, 2009
  2. 2. Evidence-Based Medicine “The integration of the best research evidence with clinical expertise and patient's unique values and circumstancesquot; (Straus et al. 2005).
  3. 3.   Defining an answerable question   Collecting or finding evidence to answer the question   Evaluating the evidence   Integrating the evidence and patient factors to make and carry out clinical decisions   Evaluating the whole process (McKibbon, Eady, and Marks 1999)
  4. 4.   Health care professionals   Medical librarians
  5. 5. Reference job content analysis Reality Disconnects? ??? Literature review
  6. 6. To explore whether and how practicing medical librarians in the United States are playing a role to support and enhance EBM practice.
  7. 7.   Online survey created with Survey Monkey   Questionnaire distributed to MEDLIB-L, the MLA discussion list, several listservs from MLA Chapters and MLA Sections, and some blogs hosted by medical librarians   14 questions in total (11 multiple-choice questions & 3 open-ended questions)
  8. 8.   598 worldwide   596 valid survey   532 from the United States
  9. 9.   Years of work experience   Job title   Work setting   EBM related responsibilities   Nature of EBM related responsibilities   Participants' comments
  10. 10.   Data was exported to Microsoft Excel.   United States respondents were filtered out by IP address.   Excel's PivotTable function was used.   Focus was on the participants' answers to the 11 multiple-choice questions.   Cross tabs were created to find out the differences in medical librarians' specific EBM related responsibilities and the nature of their EBM responsibilities by library type and by their work experience.
  11. 11. Work Experience Number Percentage Hospital Library 268 51% Academic Library 223 42% Special Library 38 7%
  12. 12. Work Number Percentage Experience Over 5 Years 401 75% 3 to 5 years 51 10% Less than 2 Years 80 15%
  13. 13. EBM Academic Library Hospital Library Special Library Responsibility Expertise with EBM 197 (88%) 252 (94%) 33 (89%) resources Providing EBM 189 (85%) 256 (96%) 28 (74%) research Contributing to 135 (61%) 163 (61%) 17 (45%) EBM initiatives Attending morning 28 (13%) 27 (11%) 1 (3%) report Attending medical 23 (11%) 25 (10%) 1 (3%) round Attending journal 30 (14%) 34 (13%) 3 (8%) club Teaching EBM 179 (80%) 132 (50%) 13 (34%)
  14. 14. EBM Responsibility 0-2 Years 3-5 Years More than 5 Years Expertise with EBM 69 (87%) 46 (90%) 368 (92%) resources Providing EBM 69 (87%) 44 (86%) 362 (91%) research Contributing to EBM 33 (42%) 35 (70%) 248 (62%) initiatives Attending morning 11 (15%) 6 (12%) 39 (10%) report Attending medical 6 (8%) 10 (20%) 33 (9%) round Attending journal club 10 (14%) 8 (16%) 49 (13%) Teaching EBM 45 (57%) 33 (67%) 246 (62%)
  15. 15. Academic Library Hospital Library Special Library EBM Routine Occasional Both Routine Occasional Both Routine Occasional Both Responsi- & Project- Routine & & Project- Routine & & Project- Routine & bility related Occasional related Occasional related Occasional & Project- & Project- & Project- related related related Providing 20 74 94 41 54 161 6 8 15 EBM (10%) (35%) (45%) (16%) (21%) (62%) (18%) (24%) (45%) research Contributi 24 59 52 12 76 77 1 9 7 ng to EBM (13%) (33%) (29%) (6%) (37%) (37%) (4%) (32%) (25%) initiatives Attending morning report, 24 15 17 31 20 19 2 3 1 medical (12%) (7%) (8%) (13%) (9%) (8%) (7%) (10%) (3%) round, journal club
  16. 16. 0-2 Years 3-5 Years More than 5 Years EBM Routine Occasional Both Routine Occasional Both Routine Occasional Both Responsi- & Project- Routine & & Project- Routine & & Project- Routine & bility related Occasional related Occasional related Occasional & Project- & Project- & Project- related related related Providing 10 24 35 7 16 21 51 97 214 EBM (13%) (32%) (46%) (15%) (35%) (46%) (13%) (25%) (56%) research Contributing to EBM 6 15 12 5 20 11 27 110 113 initiatives (11%) (26%) (21%) (11%) (46%) (25%) (9%) (35%) (36%) Attending morning report, 12 2 5 4 5 4 41 32 28 medical (17%) (3%) (7%) (9%) (11%) (9%) (12%) (9%) (8%) round, journal club
  17. 17.   US medical librarians have been taking on various EBM-related responsibilities.   The most frequently reported role is to provide EBM research to users, followed by teaching EBM, and contributing to EBM initiatives in their institutions.   Attending journal clubs, morning reports, and medical rounds is not a popular responsibility among medical librarians.
  18. 18.   Hospital librarians are most active in providing EBM research.   Academic librarians are most active in teaching EBM.
  19. 19. Any relationship between medical librarians’ work experience in the profession and their provision of EBM related services?
  20. 20.   US medical librarians are taking the EBM challenge and have been playing an active role in supporting and enhancing EBM practice.   Significances   Providing guidance for both practicing and future medical librarians   Bringing insight into the development of library schools’ curricula
  21. 21.   Content analysis of participants' comments   Medical librarians' perspectives on the provision of EBM-related services
  22. 22. McKibbon, K. Ann, Angela Eady, and Susan Marks. 1999. PDQ: Evidence-based principles and practice. Hamilton, Ont: B.C. Decker, Inc. McKibbon, K. Ann, and Liz Bayley. 2004. Health professional education, evidence-based health care, and health sciences librarians. Reference Services Review 32, no. 1: 50-53. Straus, Sharon E., W. Scott Richardson, Paul Glasziou, and R. Brian Haynes. 2005. Evidence based medicine: How to practice and teach EBM. 3rd ed. Edinburgh: Churchill Livingstone.

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