Finding Orthopaedic Knowledge Online more of what you want, less of what you don’t Christian Veillette M.D., M.Sc., FRCSC ...
Objectives <ul><li>Develop a strategy for searching the Internet for high quality resources to use when learning on the fl...
Where you need the information
Next Best                                          
Is the Internet an appropriate place to look for high quality orthopaedic information? <ul><li>Information overload </li><...
Yes <ul><li>Lack of a strategy for searching the Internet limits success </li></ul><ul><ul><li>EBM = PICO </li></ul></ul><...
Rapid Internet Preview <ul><li>Search Engines </li></ul><ul><ul><li>General: Google, Yahoo, Ask, Live </li></ul></ul><ul><...
Power Searching on the Web <ul><li>Jargon terms </li></ul><ul><li>Multiple keywords </li></ul><ul><li>Quotation marks </li...
Power Searching on the Web <ul><li>Jargon terms = Technical terms </li></ul><ul><li>Multiple keywords = Avoid simple searc...
Tip 1: Use Jargon Terms <ul><li>Specialized or technical terminology </li></ul><ul><li>If the sites we wish to avoid are p...
Tip 2: Multiple Keyword Search <ul><li>Avoid simple keyword search </li></ul><ul><ul><li>Use at least 3 terms </li></ul></...
 
Tip 3: Quotation Marks for Exact Phrase Searching <ul><li>Most useful when  </li></ul><ul><ul><li>the words to be searched...
Tip 3: Phrase Searching  <ul><li>Results have fewer false positives. </li></ul>
Tip 4: Boolean OR <ul><li>Use this when you want  ANY  of the terms, not  ALL  of the terms </li></ul><ul><ul><li>with  at...
Tip 4: Boolean OR   Results have fewer false negatives.
Tip 5: Concept Group Searching with Parentheses <ul><li>Group terms that should be processed together, at the same time an...
Tip 5: Concept Group Searching with Parentheses <ul><li>(“steroid injection&quot; OR cortisone OR depomedrol OR triamcinol...
Tip 6: Limit by site <ul><li>When you want to control the quality of the search results </li></ul><ul><ul><li>Want governm...
Tip 6: Limit by site <ul><li>(“total hip replacement&quot; OR &quot;total hip arthroplasty&quot;) site:clinicaltrials.gov ...
Tip 7: Limit by filetype <ul><li>When you have reason to suspect that the answer you need will be in a certain format </li...
Tip 7: Limit by filetype <ul><ul><li>((osteonecrosis OR AVN) (hip OR femur OR “femoral head”)) filetype:ppt </li></ul></ul>
Tip 8: + (plus sign) <ul><li>Google ignores common words and characters such as  where, the, how , and other digits and le...
Tip 8: + (plus sign) <ul><li>ACJ separation type +III </li></ul>
Tip 9: - (minus sign) <ul><li>Use the  minus sign  to exclude terms from results when there is a clustering of irrelevant ...
Tip 9: - (minus sign)  <ul><li>nonunion femoral (shaft OR diaphysis) &quot;bone-grafting“ -supracondylar –hip -neck </li><...
Tip 10: Use Advanced Search nonunion femoral shaft OR diaphysis &quot;bone grafting&quot; -supracondylar -neck -hip If cre...
Medstory
FRIAR <ul><li>F rame  </li></ul><ul><li>R elevant Search Concepts </li></ul><ul><li>I rrelevant Search Concepts </li></ul>...
Rapid Internet Preview <ul><li>Search Engines </li></ul><ul><ul><li>General: Google, Yahoo, Ask, Live </li></ul></ul><ul><...
Wheeless’ Textbook of Orthopaedics <ul><li>www.wheelessonline.com </li></ul><ul><li>Duke University and Data Trace </li></...
 
EMedicine <ul><li>http://www.emedicine.com/orthoped/index.shtml </li></ul>
Medscape Orthopaedics <ul><li>http://www.medscape.com/orthopaedics </li></ul>
ORTHOPEDICS hyperguide <ul><li>http:// www.ortho.hyperguides.com </li></ul>
OKO <ul><li>http://www5.aaos.org/oko/login.cfm </li></ul>
What are they missing? <ul><li>Social Technologies </li></ul><ul><li>Collaboration & Community </li></ul><ul><ul><li>Who a...
Personal Knowledge Management <ul><li>“ Knowledge is created by people” </li></ul><ul><li>…  through … </li></ul><ul><li>C...
Orthopaedia.com
Orthopaedia.com
Rapid Internet Preview <ul><li>Search Engines </li></ul><ul><ul><li>General: Google, Yahoo, Ask, Live </li></ul></ul><ul><...
Orthopaedic Web Links (OWL) <ul><li>www.orthopaedicweblinks.com </li></ul>
OWL Web
OWL Metasearch <ul><li>Searches several major search engines </li></ul><ul><li>Compares top returns from each </li></ul><u...
Rapid Internet Preview <ul><li>Search Engines </li></ul><ul><ul><li>General: Google, Yahoo, Ask, Live </li></ul></ul><ul><...
PubMed <ul><li>www.pubmed.gov   </li></ul><ul><li>Internet Interface with Medline Database </li></ul><ul><ul><li>National ...
Fast PubMed Search <ul><li>Enter search string with jargon terms </li></ul><ul><ul><li>Use as many as possible </li></ul><...
Full Internet Bibliography <ul><li>Orthopaedic Portals </li></ul><ul><li>Textbooks </li></ul><ul><li>Directories </li></ul...
Which type of site is useful? Depends on your topic and purpose
Thank you The Orthopaedic Internet: A Collaborative Resource
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Finding Orthopaedic Knowledge Online

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  • Finding Orthopaedic Knowledge Online

    1. 1. Finding Orthopaedic Knowledge Online more of what you want, less of what you don’t Christian Veillette M.D., M.Sc., FRCSC Assistant Professor, University of Toronto Shoulder & Elbow Reconstructive Surgery University Health Network Deputy Editor, Information and Communication Technology Clinical Orthopaedics and Related Research Email: orthonet@gmail.com
    2. 2. Objectives <ul><li>Develop a strategy for searching the Internet for high quality resources to use when learning on the fly </li></ul><ul><li>Compare different Internet search tools and determine which tool is better for a certain search </li></ul><ul><li>Understand common search syntax </li></ul><ul><li>Use the advanced search functionality of the major search engines </li></ul>
    3. 3. Where you need the information
    4. 4. Next Best                                          
    5. 5. Is the Internet an appropriate place to look for high quality orthopaedic information? <ul><li>Information overload </li></ul><ul><li>Commercial bias </li></ul><ul><li>No quality assurance </li></ul>All common and legitimate comments - Biermann et al. JBJS (Am) 2006; 88:1134-1140
    6. 6. Yes <ul><li>Lack of a strategy for searching the Internet limits success </li></ul><ul><ul><li>EBM = PICO </li></ul></ul><ul><ul><li>Search = FRIAR </li></ul></ul><ul><li>Effective search engine use requires learning and practice </li></ul><ul><li>Different types of information, different search engines </li></ul><ul><ul><li>Different coverage, different search features, different algorithms for sorting results </li></ul></ul>Must KNOW your Internet resources
    7. 7. Rapid Internet Preview <ul><li>Search Engines </li></ul><ul><ul><li>General: Google, Yahoo, Ask, Live </li></ul></ul><ul><ul><li>Health: Medstory </li></ul></ul><ul><li>Textbook </li></ul><ul><ul><li>Wheeless </li></ul></ul><ul><ul><li>Hyperguide </li></ul></ul><ul><ul><li>OKO </li></ul></ul><ul><ul><li>Emedicine </li></ul></ul><ul><ul><li>Medscape </li></ul></ul><ul><ul><li>Orthopaedia </li></ul></ul><ul><li>OWL </li></ul><ul><ul><li>Directory </li></ul></ul><ul><ul><li>Web – Google Custom Search </li></ul></ul><ul><li>PubMed Fast Literature Search </li></ul>
    8. 8. Power Searching on the Web <ul><li>Jargon terms </li></ul><ul><li>Multiple keywords </li></ul><ul><li>Quotation marks </li></ul><ul><li>OR </li></ul><ul><li>Parentheses </li></ul><ul><li>Limit by site </li></ul><ul><li>Limit by filetype </li></ul><ul><li>+ (plus sign) </li></ul><ul><li>- (minus sign) </li></ul><ul><li>~ (tilde sign) </li></ul>
    9. 9. Power Searching on the Web <ul><li>Jargon terms = Technical terms </li></ul><ul><li>Multiple keywords = Avoid simple search </li></ul><ul><li>Quotation marks = Exact phrase searching </li></ul><ul><li>OR = Concept groupings </li></ul><ul><li>Parentheses = Multiple concept groups </li></ul><ul><li>Limit by site/title </li></ul><ul><li>Limit by filetype </li></ul><ul><li>+ (plus sign) = Stopword searching </li></ul><ul><li>- (minus sign) = Exclude </li></ul><ul><li>~ (tilde sign) = Thesaurus or synonym searching </li></ul>
    10. 10. Tip 1: Use Jargon Terms <ul><li>Specialized or technical terminology </li></ul><ul><li>If the sites we wish to avoid are patient oriented </li></ul>Use language patients wouldn’t understand
    11. 11. Tip 2: Multiple Keyword Search <ul><li>Avoid simple keyword search </li></ul><ul><ul><li>Use at least 3 terms </li></ul></ul>- http://www.keyworddiscovery.com/kd-manual13.html
    12. 13. Tip 3: Quotation Marks for Exact Phrase Searching <ul><li>Most useful when </li></ul><ul><ul><li>the words to be searched are not very specific </li></ul></ul><ul><ul><li>the words have different meanings in various subject areas </li></ul></ul><ul><ul><li>having the words adjacent to each other changes the meaning </li></ul></ul><ul><ul><li>it is important that the same word is repeated </li></ul></ul>
    13. 14. Tip 3: Phrase Searching <ul><li>Results have fewer false positives. </li></ul>
    14. 15. Tip 4: Boolean OR <ul><li>Use this when you want ANY of the terms, not ALL of the terms </li></ul><ul><ul><li>with at least one of the words </li></ul></ul><ul><li>Be sure to capitalize the word “OR” so Google does not ignore it </li></ul><ul><li>Concept grouping </li></ul><ul><ul><li>“ hip osteonecrosis” OR “hip avascular necrosis” OR “hip AVN” OR “osteonecrosis femoral head” </li></ul></ul>
    15. 16. Tip 4: Boolean OR Results have fewer false negatives.
    16. 17. Tip 5: Concept Group Searching with Parentheses <ul><li>Group terms that should be processed together, at the same time and in the same way in the search </li></ul><ul><li>Want to combine with another concept or term </li></ul><ul><li>Question: Do steroid injections improve shoulder pain? </li></ul><ul><ul><li>Concept 1 = “steroid injections” </li></ul></ul><ul><ul><li>Concept 2 = “shoulder pain” </li></ul></ul><ul><ul><li>Concept 3 = “improve” </li></ul></ul>
    17. 18. Tip 5: Concept Group Searching with Parentheses <ul><li>(“steroid injection&quot; OR cortisone OR depomedrol OR triamcinolone) (improve OR help OR placebo) (“shoulder pain” OR “subacromial impingement” OR “rotator cuff tear”) </li></ul>
    18. 19. Tip 6: Limit by site <ul><li>When you want to control the quality of the search results </li></ul><ul><ul><li>Want government reports on total hip replacement? </li></ul></ul><ul><ul><ul><li>“ total hip replacement&quot; site:fda.gov </li></ul></ul></ul><ul><li>When you know a site that is likely to have what you need </li></ul><ul><ul><li>Want CME on topic from the AAOS, but without using their site search engine? </li></ul></ul><ul><ul><ul><li>CME (&quot;shoulder replacement&quot; OR “shoulder arthroplasty&quot;”) site:aaos.org </li></ul></ul></ul><ul><li>When you want to locate a known document </li></ul><ul><ul><li>Remember a patient guide but not what organization released it? </li></ul></ul><ul><ul><ul><li>(acute back pain OR “acute back pain”) site:.org </li></ul></ul></ul>
    19. 20. Tip 6: Limit by site <ul><li>(“total hip replacement&quot; OR &quot;total hip arthroplasty&quot;) site:clinicaltrials.gov </li></ul>
    20. 21. Tip 7: Limit by filetype <ul><li>When you have reason to suspect that the answer you need will be in a certain format </li></ul><ul><ul><li>white papers, presentations, reprint </li></ul></ul><ul><li>Find a presentation </li></ul><ul><ul><li>((osteonecrosis OR AVN) (hip OR femur OR “femoral head”)) filetype:ppt </li></ul></ul><ul><li>Find a reprint </li></ul><ul><ul><li>((osteonecrosis OR AVN) (hip OR femur OR “femoral head”)) filetype:pdf </li></ul></ul>
    21. 22. Tip 7: Limit by filetype <ul><ul><li>((osteonecrosis OR AVN) (hip OR femur OR “femoral head”)) filetype:ppt </li></ul></ul>
    22. 23. Tip 8: + (plus sign) <ul><li>Google ignores common words and characters such as where, the, how , and other digits and letters </li></ul><ul><li>If a common word is essential to getting the results you want, include it by putting a &quot;+&quot; sign in front of it </li></ul><ul><li>Be sure to include a space before the &quot;+&quot; sign </li></ul><ul><ul><li>ACJ separation type +III </li></ul></ul>
    23. 24. Tip 8: + (plus sign) <ul><li>ACJ separation type +III </li></ul>
    24. 25. Tip 9: - (minus sign) <ul><li>Use the minus sign to exclude terms from results when there is a clustering of irrelevant results </li></ul><ul><li>Help refine a search </li></ul><ul><ul><li>bone-grafting in the treatment of ununited femoral shaft fractures </li></ul></ul><ul><ul><li>nonunion femoral (shaft OR diaphysis) &quot;bone-grafting“ -supracondylar –hip -neck </li></ul></ul>
    25. 26. Tip 9: - (minus sign) <ul><li>nonunion femoral (shaft OR diaphysis) &quot;bone-grafting“ -supracondylar –hip -neck </li></ul>
    26. 27. Tip 10: Use Advanced Search nonunion femoral shaft OR diaphysis &quot;bone grafting&quot; -supracondylar -neck -hip If creating this search string comes naturally, you don’t need Advanced Search
    27. 28. Medstory
    28. 29. FRIAR <ul><li>F rame </li></ul><ul><li>R elevant Search Concepts </li></ul><ul><li>I rrelevant Search Concepts </li></ul><ul><li>A lternate Terms for Relevant Concepts </li></ul><ul><li>R eview </li></ul>- P.F. Anderson, http://www-personal.umich.edu/~pfa/pro/8fold/
    29. 30. Rapid Internet Preview <ul><li>Search Engines </li></ul><ul><ul><li>General: Google, Yahoo, Ask, Live </li></ul></ul><ul><ul><li>Health: Medstory </li></ul></ul><ul><li>Textbook </li></ul><ul><ul><li>Wheeless </li></ul></ul><ul><ul><li>Emedicine </li></ul></ul><ul><ul><li>Medscape </li></ul></ul><ul><ul><li>Hyperguide </li></ul></ul><ul><ul><li>OKO </li></ul></ul><ul><ul><li>Orthopaedia </li></ul></ul><ul><li>OWL </li></ul><ul><ul><li>Directory </li></ul></ul><ul><ul><li>Web – Google Custom Search </li></ul></ul><ul><li>PubMed Fast Literature Search </li></ul>
    30. 31. Wheeless’ Textbook of Orthopaedics <ul><li>www.wheelessonline.com </li></ul><ul><li>Duke University and Data Trace </li></ul><ul><li>Search or Browse </li></ul><ul><li>Hypertext format, cross-referenced </li></ul><ul><li>Note form </li></ul><ul><li>References </li></ul>
    31. 33. EMedicine <ul><li>http://www.emedicine.com/orthoped/index.shtml </li></ul>
    32. 34. Medscape Orthopaedics <ul><li>http://www.medscape.com/orthopaedics </li></ul>
    33. 35. ORTHOPEDICS hyperguide <ul><li>http:// www.ortho.hyperguides.com </li></ul>
    34. 36. OKO <ul><li>http://www5.aaos.org/oko/login.cfm </li></ul>
    35. 37. What are they missing? <ul><li>Social Technologies </li></ul><ul><li>Collaboration & Community </li></ul><ul><ul><li>Who are your people? </li></ul></ul><ul><ul><li>Who do you want to tell what? </li></ul></ul><ul><ul><li>Who do you want information from? </li></ul></ul>Web 2.0 Wikis Sharing Openness User Generated Content Social Networks
    36. 38. Personal Knowledge Management <ul><li>“ Knowledge is created by people” </li></ul><ul><li>… through … </li></ul><ul><li>C omparisons </li></ul><ul><li>C onsequences </li></ul><ul><li>C onnections </li></ul><ul><li>C onversations </li></ul>
    37. 39. Orthopaedia.com
    38. 40. Orthopaedia.com
    39. 41. Rapid Internet Preview <ul><li>Search Engines </li></ul><ul><ul><li>General: Google, Yahoo, Ask, Live </li></ul></ul><ul><ul><li>Health: Medstory </li></ul></ul><ul><li>Textbook </li></ul><ul><ul><li>Wheeless </li></ul></ul><ul><ul><li>Emedicine </li></ul></ul><ul><ul><li>Medscape </li></ul></ul><ul><ul><li>Hyperguide </li></ul></ul><ul><ul><li>OKO </li></ul></ul><ul><ul><li>Orthopaedia </li></ul></ul><ul><li>OWL </li></ul><ul><ul><li>Directory </li></ul></ul><ul><ul><li>Web – Google Custom Search </li></ul></ul><ul><li>PubMed Fast Literature Search </li></ul>
    40. 42. Orthopaedic Web Links (OWL) <ul><li>www.orthopaedicweblinks.com </li></ul>
    41. 43. OWL Web
    42. 44. OWL Metasearch <ul><li>Searches several major search engines </li></ul><ul><li>Compares top returns from each </li></ul><ul><li>Smaller collection </li></ul><ul><ul><li>? More relevance </li></ul></ul><ul><li>Problems with complex strings </li></ul>
    43. 45. Rapid Internet Preview <ul><li>Search Engines </li></ul><ul><ul><li>General: Google, Yahoo, Ask, Live </li></ul></ul><ul><ul><li>Health: Medstory </li></ul></ul><ul><li>Textbook </li></ul><ul><ul><li>Wheeless </li></ul></ul><ul><ul><li>Emedicine </li></ul></ul><ul><ul><li>Medscape </li></ul></ul><ul><ul><li>Hyperguide </li></ul></ul><ul><ul><li>OKO </li></ul></ul><ul><ul><li>Orthopaedia </li></ul></ul><ul><li>OWL </li></ul><ul><ul><li>Directory </li></ul></ul><ul><ul><li>Web – Google Custom Search </li></ul></ul><ul><li>PubMed Fast Literature Search </li></ul>
    44. 46. PubMed <ul><li>www.pubmed.gov </li></ul><ul><li>Internet Interface with Medline Database </li></ul><ul><ul><li>National Library of Medicine (USA) </li></ul></ul><ul><ul><li>Over 100 Orthopaedic Journals </li></ul></ul><ul><ul><ul><li>not all journals </li></ul></ul></ul><ul><li>Citation includes </li></ul><ul><ul><li>Authors, Title, Reference, Abstract, Subject Classification </li></ul></ul>
    45. 47. Fast PubMed Search <ul><li>Enter search string with jargon terms </li></ul><ul><ul><li>Use as many as possible </li></ul></ul><ul><ul><li>Terms that ‘must’ be in the article </li></ul></ul><ul><li>Find an on-subject article </li></ul><ul><ul><li>Read abstract to make sure </li></ul></ul><ul><li>Click on Related Articles </li></ul><ul><ul><li>First 10 should be on-subject </li></ul></ul><ul><ul><li>If too many click Review tab </li></ul></ul>
    46. 48. Full Internet Bibliography <ul><li>Orthopaedic Portals </li></ul><ul><li>Textbooks </li></ul><ul><li>Directories </li></ul><ul><li>Organizations </li></ul><ul><li>“ Push” sites </li></ul><ul><li>EBM </li></ul><ul><li>Electronic Journals </li></ul><ul><li>Discussion Sites </li></ul><ul><li>Commercial Sites </li></ul><ul><li>Patient Information </li></ul><ul><li>Search Engines </li></ul><ul><li>PubMed </li></ul><ul><li>Social Networks </li></ul>
    47. 49. Which type of site is useful? Depends on your topic and purpose
    48. 50. Thank you The Orthopaedic Internet: A Collaborative Resource

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