This document provides an overview of health informatics resources for a PATH 9100/4100F course. It discusses objectives to familiarize students with medical resources, databases, and search strategies. It also addresses clinical information needs within an evidence-based medicine framework. Key resources presented include PubMed, Scopus, UpToDate, DynaMed, and Cochrane Database. Search techniques like subject headings, citation tracking, and the pearl methodology framework are covered. Levels of evidence and filtered versus unfiltered information sources are also outlined. Contact information is provided for library assistance.

1. Health Library Resources for HEALTH INFORMATICS: PATH 9100/4100F Nazi TorabiResearch & Instructional Librarian Allyn & Betty Taylor LibraryOctober 13, 2011http://www.slideshare.net/ntorabi/1

2. Objectives To familiarize you with a variety of medical/health related resources Overview of different search strategiesAddressing your clinical information needs within an Evidence Based Medicine (EBM) framework2

3. Objectives To familiarize you with a variety of medical/health related resources DatabasesGrey literature resources and search enginesConsumer Health resources Point-of-care tools3

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5. Picking the right Database Consider the following: Subject coverageTime span for coverageTypes of publicationsOverlap in content with other resourcesFrequency of updateHow does the database work (index terms and other features) 5

6. For more visit http://www.lib.uwo.ca/programs/generalmedicine/6

7. What is PubMed?Database of biomedical journal citations and abstracts

8. US National Library of Medicine (NLM)

9. Freely accessible online

10. Over 20 Million Citations

11. Date coverage back to 19507

12. PubMed8

13. Scopus9

14. A scenario What are the most popular types of drinking water treatments in Canadian households? (e.g. Treated water prior to consumption; Used a filter or purifier; Used a filter or purifier on the main supply pipe; ...)10

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16. 12Professional Societies and Associations are great sources of information

17. 13

18. 14

19. Covers over 1,800 clinical topic summariesPoint of care tool Updated dailyRecommendations will be labeled as one of the following:Grade A recommendation (consistent high-quality evidence) Grade B recommendation (inconsistent or limited evidence) Grade C recommendation (lacking direct evidence) More info : http://support.ebscohost.com/help/index.php?help_id=27115

20. covers over 8500 topics in 17 medical specialties Summaries are a combination of synthesized literature reviews and expert knowledge.Point of care tool Grade 1 recommendation is a strong recommendation to do (or not do) something Grade 2 recommendation is a weaker recommendation, where the risks and benefits are more closely balanced or are more uncertain.For more info : http://www.uptodate.com/home/about/policies/editorial_policy.html#recommendations16

21. The TRIP Database is free unified search tool of evidence-based sites such as ACP Journal Club, Bandolier, Cochrane, DARE, Health Technology Assessment, and the National Guideline Clearing House. TRIP is produced by the Centre for Research Support in the UK.17

22. Objectives Overview of different search strategiesPearl methodology framework (Sandieson, 2006)Subject headings Citation trackingBackward tracking Forward tracking Hand searching 18

23. Sample Search Question: an example What is the efficiency of St. John's wort for smoking cessation? St. John's wort

24. Smoking cessation19

25. PubMed20

26. Pearl methodology frameworkStep 1: Choosing a Representative Sample of ArticlesStep 2: Extracting the Relevant Search KeywordsStep 3: Refining the List of Search KeywordsStep 4: Validating the Search Keywords21(Sandienson, 2011)

27. Searching Using Subject Headings http://youtu.be/wlrZPaIDDwg22

28. St John WortSJW Saint John's WorthypericumSmoking Smoking cessation Tobacco use cessation Nicotine withdrawal23

29. PubMed24

30. Citation Tracking Scopus Web of ScienceGoogle Scholar 25

31. Objectives Addressing your clinical information needs within an Evidence Based Medicine (EBM) framework26

32. Evidence Based Medicine (EBM)“EBM is integration of best research evidence with clinical expertise and patient values”Sackett et al. 2000. Evidence based medicine. How to practice and teach EBM. Second edition. Churchill Livingstone. London 27

33. Asking a clinical question Research Question (PICO)Patient or Population

34. Intervention; Prognostic Factor; Exposure