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Resources for lifelong learning
  + Public health information
                  Elena Springall
Contact Info
   Elena Springall
   416-978-0853
   elena.springall@utoronto.ca
   ask.gerstein@utoronto.ca
Learning Objectives –
Public Health Information
 Be aware of specialized sources for
  public health information
 Pick the right resource for the situation
Public Health Information

                   more synthesized




                   less synthesized
Public Health Information

                   Guidelines, best
                     practices
                   Systematic
                     reviews
                   Synopses
                   Articles
Guidelines
Guide to Clinical Preventive Services
 US Preventive Services Task Force
Guide to Community Preventive Services
 US Task Force on Community Preventive
 Services
MMWR Recommendations and Reports
 Centers for Disease Control and Prevention
National Guideline Clearinghouse
 Agency for Healthcare Research and Quality
NICE Public Health Guidance
  National Institute for Health and Clinical
Best practices
Model Practice Database
  National Association of County and City Health Officials
Interactive Domain Model Best Practices for Health Promotio

  Interactive Domain Model Best Practices Approach to
  Better Health
Promising Practices Network
  RAND Corporation
Canadian Best Practices Portal
  Public Health Agency of Canada
Systematic reviews
 PubMed Clinical Queries
 The Cochrane Library
 Campbell Collaboration
 Joanna Briggs Institute
 NICE
 AHRQ Evidence-based Practice
 Effective Public Health Practice Project
News & Emerging Outbreaks
 News from PHAC
 CDC Public Health Matters blog
 FluWatch
 HealthMap
 WHO News via RSS
 CDC COCA (Clinician Outreach & Commun
LLL - Learning Objectives
 Learn to create and maintain a
  personal program to keep up to date
  and enhance professional competence
 Describe basic methods to critically
  evaluate new information sources
 Describe characteristics of high
  quality patient information and
  develop awareness of trusted sources
Practical methods for LLL
   Good current awareness programs are:
     Efficient, preferably AUTOMATED

       • (SET it and FORGET it)
     Focused on your highest priorities

     Manageable (you can make time to
      read what arrives)
Current awareness programs
   First, develop goals:
     e.g. Read everything by supervisor

     e.g. Everything in the big 5 on my
      specialty
Your current awareness program
      Second, develop activities to achieve
       those goals
         Automated searches

         TOC email updates from key journals

         RSS feeds

           • News updates
           • Key blogs
Your current awareness program
      Third, evaluate effectiveness
        Too much? Too little? Bad/no results?

        Adjust, then try again

        (Ask a librarian for help or suggestions)
Thinking about Goals
   What news do I need to hear in order to
    do my current job properly?

   What news do I need to hear in order to
    keep up to date with my professional
    development?

   What am I passionately interested in
    knowing more about? (May have little or
    nothing to do with work, that’ s ok)
Ok, YOUR TURN

What are your current
awareness GOAL(s) ?
Turn the Goal to ACTIVITY
                         My NC
                                 BI
Example:
 GOAL: Read
  everything new about
  hpv vaccines
 ACTIVITY: Pubmed
  automated search for
  any new articles on
  Gardasil/Cervarix/
  HPV vaccine
Step 1. Run the search
   My NCBI
Step 2
 Save
search
Call it something meaningful
Change the frequency, day
of the week, format of
delivery to suit your
preferences
http://plus.mcmaster.ca/EvidenceUpdates/

Evidence Updates (McMaster PLUS)
TOC alerts
   Get e-mail, RSS feeds, podcasts from the big 5
    medical journals
TOC alerts
   Use the journal’s site or TicTOCs:

                         http://www.tictocs.ac.uk/
RSS Feeds
 Can get from journal’s website, TicTocs
 Can also search for feed within Google
  Reader, Bloglines…
http://www.bt.cdc.gov/coca/registry.asp


CDC Emergency Updates
COCA conference calls
Twitter
   @CochraneCollab
   @CDCemergency
   @CDCgov
   @gersteinlibrary
Critical Evaluation of Sources
 More advertising, more wary!
 Statements of responsibility, credentials
 Quality of content, interface
 How current?
 Pop ups?
 Personal information collected?
Case Study: Sermo
Case Study: Sermo
What about your patients?
Be Picky when Picking Sources
   Pick professional sources for….
        • Reliability (both content AND schedule)
        • Can it deliver in a set-and-forget mode?
        • Relevance to your learning GOALS
   Pick patient information sources for…
     Quality – reflect latest/best knowledge
     Readability (consider levels, language)

     Usability/learning styles (Interactive? Print?)
Your questions?
Contact Info
   Elena Springall
   416-946-5759
   elena.springall@utoronto.ca
   Gerstein Science Information Centre

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Resources for lifelong learning + Public health information

  • 1. Resources for lifelong learning + Public health information Elena Springall
  • 2. Contact Info  Elena Springall  416-978-0853  elena.springall@utoronto.ca  ask.gerstein@utoronto.ca
  • 3. Learning Objectives – Public Health Information  Be aware of specialized sources for public health information  Pick the right resource for the situation
  • 4. Public Health Information more synthesized less synthesized
  • 5. Public Health Information Guidelines, best practices Systematic reviews Synopses Articles
  • 6. Guidelines Guide to Clinical Preventive Services US Preventive Services Task Force Guide to Community Preventive Services US Task Force on Community Preventive Services MMWR Recommendations and Reports Centers for Disease Control and Prevention National Guideline Clearinghouse Agency for Healthcare Research and Quality NICE Public Health Guidance National Institute for Health and Clinical
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Best practices Model Practice Database National Association of County and City Health Officials Interactive Domain Model Best Practices for Health Promotio Interactive Domain Model Best Practices Approach to Better Health Promising Practices Network RAND Corporation Canadian Best Practices Portal Public Health Agency of Canada
  • 12.
  • 13.
  • 14.
  • 15. Systematic reviews  PubMed Clinical Queries  The Cochrane Library  Campbell Collaboration  Joanna Briggs Institute  NICE  AHRQ Evidence-based Practice  Effective Public Health Practice Project
  • 16. News & Emerging Outbreaks  News from PHAC  CDC Public Health Matters blog  FluWatch  HealthMap  WHO News via RSS  CDC COCA (Clinician Outreach & Commun
  • 17. LLL - Learning Objectives  Learn to create and maintain a personal program to keep up to date and enhance professional competence  Describe basic methods to critically evaluate new information sources  Describe characteristics of high quality patient information and develop awareness of trusted sources
  • 18. Practical methods for LLL  Good current awareness programs are:  Efficient, preferably AUTOMATED • (SET it and FORGET it)  Focused on your highest priorities  Manageable (you can make time to read what arrives)
  • 19. Current awareness programs  First, develop goals:  e.g. Read everything by supervisor  e.g. Everything in the big 5 on my specialty
  • 20. Your current awareness program  Second, develop activities to achieve those goals  Automated searches  TOC email updates from key journals  RSS feeds • News updates • Key blogs
  • 21. Your current awareness program  Third, evaluate effectiveness  Too much? Too little? Bad/no results?  Adjust, then try again  (Ask a librarian for help or suggestions)
  • 22. Thinking about Goals  What news do I need to hear in order to do my current job properly?  What news do I need to hear in order to keep up to date with my professional development?  What am I passionately interested in knowing more about? (May have little or nothing to do with work, that’ s ok)
  • 23. Ok, YOUR TURN What are your current awareness GOAL(s) ?
  • 24. Turn the Goal to ACTIVITY My NC BI Example:  GOAL: Read everything new about hpv vaccines  ACTIVITY: Pubmed automated search for any new articles on Gardasil/Cervarix/ HPV vaccine
  • 25. Step 1. Run the search  My NCBI
  • 26.
  • 28. Call it something meaningful
  • 29. Change the frequency, day of the week, format of delivery to suit your preferences
  • 31.
  • 32.
  • 33.
  • 34.
  • 35. TOC alerts  Get e-mail, RSS feeds, podcasts from the big 5 medical journals
  • 36. TOC alerts  Use the journal’s site or TicTOCs: http://www.tictocs.ac.uk/
  • 37.
  • 38. RSS Feeds  Can get from journal’s website, TicTocs  Can also search for feed within Google Reader, Bloglines…
  • 39.
  • 42. Twitter  @CochraneCollab  @CDCemergency  @CDCgov  @gersteinlibrary
  • 43.
  • 44.
  • 45.
  • 46. Critical Evaluation of Sources  More advertising, more wary!  Statements of responsibility, credentials  Quality of content, interface  How current?  Pop ups?  Personal information collected?
  • 49. What about your patients?
  • 50.
  • 51. Be Picky when Picking Sources  Pick professional sources for…. • Reliability (both content AND schedule) • Can it deliver in a set-and-forget mode? • Relevance to your learning GOALS  Pick patient information sources for…  Quality – reflect latest/best knowledge  Readability (consider levels, language)  Usability/learning styles (Interactive? Print?)
  • 53. Contact Info  Elena Springall  416-946-5759  elena.springall@utoronto.ca  Gerstein Science Information Centre

Editor's Notes

  1. From Finland. Nice summaries of methods, no outcomes?
  2. Now, take a minute to answer these questions for yourself, working with the person sitting next to you.
  3. Another automated option is BMJ Updates - a product of the Health Information Research Unit at McMaster. Here you can search for articles on a topic, or register for e-mail pushes on your specialty. Physicians who are in general practice or primary care, internal medicine or its subspecialties are invited to register their interests so that they can receive email alerts and searching access for literature that is matched to their personal clinical interests.
  4. You can choose as many options as you want and they’re quite general.
  5. You can change the frequency so you get them daily, every few days, or weekly. The contents are systematically screened for both relevance and newsworthiness and you can specify what level of each you’re interested in.
  6. You can change the frequency so you get them daily, every few days, or weekly.
  7. NEJM, Lancet, Annals of Internal Medicine, JAMA, BMJ
  8. NEJM, Lancet, Annals of Internal Medicine, JAMA, BMJ
  9. Coca = clinician outreach and communication activity
  10. Point 3: quality of evidence, amount of content. Can usually get a trial, so test a couple out for some of your real-life situations. Point 4: Note – online isn’t always more current than paper. Eg. merck manual online is just as old as paper.
  11. Sermo is like facebook for physicians and it’s not the only one. BUT Sermo's derives revenue from pharma companies that pay for streamlined access to the physicians in Sermo's community for market research studies. Our opinion of this kind of exploitation is relaxing somewhat – I personally am willing to give up some privacy for functionality eg. in facebook itself. But there is another option
  12. Sermo is like facebook for physicians and it’s not the only one. BUT Sermo's derives revenue from pharma companies that pay for streamlined access to the physicians in Sermo's community for market research studies. Our opinion of this kind of exploitation is relaxing somewhat – I personally am willing to give up some privacy for functionality eg. in facebook itself. But there is another option
  13. Patients also face problems around critical evaluation of sources (boy, do they ever!) My favorite site: medline plus. From the states BUT there isn’t a great canadian alternative, unfortunately