The document discusses how to filter medical information received electronically. It notes there are over 875,000 medical concepts in the NLM metathesaurus including 11,000 diseases, 20,000 signs and symptoms, and 3,200 medications. It discusses the large number of articles published annually and issues with quality. It then covers different methods of filtering information including pull vs push methods using sources like email, RSS feeds, and social media. It emphasizes the importance of choosing vetted sources and skills like critical reading to manage information overload in clinical practice.

1. ¿Cómo depurar la información médica?
(que nos llega por medios electrónicos)
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14. BOOM
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21. NLM metathesaurus, diagnosis pro
Thursday, January 28, 2010

22. 875,255 conceptos médicos
NLM metathesaurus, diagnosis pro
Thursday, January 28, 2010

23. 875,255 conceptos médicos
11,000 enfermedades
NLM metathesaurus, diagnosis pro
Thursday, January 28, 2010

24. 875,255 conceptos médicos
11,000 enfermedades
20,000 signos y síntomas
NLM metathesaurus, diagnosis pro
Thursday, January 28, 2010

25. 875,255 conceptos médicos
11,000 enfermedades
20,000 signos y síntomas
3,200 medicamentos
NLM metathesaurus, diagnosis pro
Thursday, January 28, 2010

26. 875,255 conceptos médicos
11,000 enfermedades
20,000 signos y síntomas
3,200 medicamentos
NLM metathesaurus, diagnosis pro
Thursday, January 28, 2010

27. Artículos al año
5000/día
1700/día
45/día
Biomédicos Medline ECA’s
Thursday, January 28, 2010

28. Artículos al año
5000/día 2000000
1500000
1000000
1700/día 500000
45/día 0
Biomédicos Medline ECA’s
Thursday, January 28, 2010

29. ¿Y la calidad?
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30. Thursday, January 28, 2010

31. PULL
PUSH
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32. PULL
“justo a tiempo”
cuando la necesito, la
busco y la encuentro
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33. PUSH
“por si acaso”
Información válida y
relevante
Llega “sin pedirla”
La evidencia encuentra
al usuario
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35. INDEX MEDICUS
Localizar referencia
Buscar revista
eStudio individual
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36. eStudio individual
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37. eStudio individual
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38. Thursday, January 28, 2010

39. eStudio individual
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40. eStudio individual
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41. Crítica o Sinopsis del
estudio
eStudio individual
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42. Crítica o Sinopsis del
estudio
eStudio individual
Thursday, January 28, 2010

43. mayor evidencia
Revisiones sistemáticas
Ensayos clínicos aleatorios
mayor sesgo
Cohortes
Casos y Controles
Opinión
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44. Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

45. Síntesis de varios estudios
que hablen de lo mismo
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

46. Síntesis de varios estudios
que hablen de lo mismo
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

47. Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

48. Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

49. Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

50. Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

51. Sumarios
Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
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52. Sumarios
Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
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53. Sumarios
Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

54. Sumarios
Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

55. Sumarios
Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

56. Sumarios
Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
Thursday, January 28, 2010

57. Jerarquía 6S de recursos “pre-digeridos”
Sistemas
Sumarios
Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
ACP Journal Club 2009;151(3)
Thursday, January 28, 2010

58. Jerarquía 6S de recursos “pre-digeridos”
Sistemas
Sumarios
Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
ACP Journal Club 2009;151(3)
Thursday, January 28, 2010

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62. PUSH
Email
RSS
Redes sociales
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63. ¿Suscripciones por
email?
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67. 50,000 artículos/año Filtros de
de 120 revistas lectura crítica
Ej. Evidence Based Child Health
Thursday, January 28, 2010

68. 50,000 artículos/año Filtros de
de 120 revistas lectura crítica
∼2,500 artículos/año
cumplen con criterios
(95% “noise reduction”)
Ej. Evidence Based Child Health
Thursday, January 28, 2010

69. ∼2,500 artículos/año Filtro
cumplen con criterios MORE
(95% “noise reduction”)
BMJ Evidence Updates
Thursday, January 28, 2010

70. ∼2,500 artículos/año Filtro
cumplen con criterios MORE
(95% “noise reduction”)
∼25 artículos/año
para clínicos
(99.9% “noise reduction”)
BMJ Evidence Updates
Thursday, January 28, 2010

71. PUSH
Email
RSS
Redes sociales
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75. Reader, lector, agregador de RSS
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76. PUSH
Email
RSS
Redes sociales
Thursday, January 28, 2010

77. Redes sociales
No nada más para:
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81. Impacto de redes sociales
Ejemplo: Twitter en la pandemia
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87. Jerarquía 6S de recursos “pre-digeridos”
Sistemas
Sumarios
Sinopsis de síntesis
Síntesis de varios estudios
Sinopsis de estudios
individuales
eStudios
ACP Journal Club 2009;151(3)
Thursday, January 28, 2010

88. ¿Cómo depurar lo que nos llega?
Escoger fuente depurada
Escoger el medio (email, RSS, redes sociales)
Aprender habilidades de lectura crítica
Thursday, January 28, 2010

89. “En la actualidad, para el clínico,
internet se ha vuelto tan importante
como el estetoscopio”
Paul Glasziou
Thursday, January 28, 2010

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91. Taller
¿Cómo manejar la sobrecarga de información y
estar al día en mi práctica clínica?
Sábado 20 de febrero, 2010
9:00 a 13:00 y 15:00 a 19:00
Hospital Ángeles Culiacán
Cupo limitado: 30 alumnos
14
www.sinestetoscopio.com giordanoperez@hps.org.mx
Thursday, January 28, 2010