This document provides an overview of navigating clinical information resources. It discusses: 1) The large volume of new MEDLINE articles published daily, including over 1500 new articles and 60 randomized trials. 2) How to access resources like PubMed and select the appropriate resource for different needs such as systematic reviews, guidelines, or time-limited searches. 3) Techniques for searching clinical questions quickly or through advanced searching, and setting up email alerts to stay current.

1. Navigating Clinical Information Resources Pat Redman, MSLS Liaison Librarian for Neurosurgery Taubman Medical Library Health Sciences Libraries May 24, 2007

2. “ Although we do not know the absolute global figures, we do know that each year there are now at least 560,000 new MEDLINE articles including over 20,000 new randomized controlled trials. In daily terms, this means about 1500 new MEDLINE articles, including 60 randomized trials, being published every day ......Hence there is no shortage of research to read, but there is a shortage of time to read it.” Source: Glaziou, Paul. Managing the Evidence Flood. Surgical Clinics of North America 2006 86(1): 193-194.

3. Today…. Accessing resources Selecting the right resource Searching: quick and advanced Using email alerts to keep up Citation searching; journal impact factors Our work with other departments Reality check

4. 1. Accessing resources

7. Your links to full-text:

8. Use PubMed Citation Matcher for quick access to an article

9. 2. Selecting the right resource Use when… Source … you need all original research or when other resources fail you. PubMed/Ovid MEDLINE … you want reviews of individual clinically applicable original studies. ACP Journal Club … you have a therapy question and want comprehensive synthesis of all relevant RCTs. Cochrane Systematic Reviews … you need direction on current policy regarding diagnosis, therapy, or related clinical circumstances. National Guideline Clearinghouse … time is limited and no comprehensive review is sought. UpToDate

10. Handout Finding Evidence-Based Answers to Clinical Questions – Quickly and Effectively

11. 3. Searching: quick & advanced Question: Is deep brain stimulation effective in treating advanced Parkinson disease?

12. Quick searching

16. Advanced searching

20. 4. Using Email Alerts to Keep Up With the Literature PubMed: saving to My NCBI UM-Medsearch: saving as AutoAlert ISI Web of Knowledge: Alerts

31. 5. Citation Searching

39. 6. Our work in other departments Handout: Information Skills Programs in Graduate Medical Education

40. I can help: Quick response to email and phone Consultations by appointment Help with expert searches for research projects, writing, grand rounds, clinical challenges Setting up literature alerts Using RefWorks to manage literature

41. Pat Redman [email_address] 936-1396