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Information Rx: Western Libraries’ Prescription for Accessing Clinical Evidence SWOMEN/Family Medicine Teaching Retreat Robin Featherstone, BA, MLIS Clinical Medicine Librarian  University of Western Ontario [email_address]
Disclosure ,[object Object]
Agenda ,[object Object],[object Object],[object Object],[object Object]
Library Services ,[object Object],[object Object],[object Object],[object Object]
Western Libraries: What we’ve got Journals and databases   Books   Clinical Tools  Learning modules Calculators   Drug Identification Tools Images
Medicine Information: How to access -  Go to:  http://www.lib.uwo.ca/ ,[object Object],[object Object],[object Object],-  Select Browse by Program -  Select Medicine and Dentistry -  Select Clinical Outreach
http://www.lib.uwo.ca/programs/clinicaloutreach/ Use this page to find selected medical resources Electronic Books Point of Care & EBM Tools Databases Image and video collections And more...
How to search our collections Select  “Catalogue” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Catalogue Searching You can even search for electronic full-text journals.  Select “Journal Title”  Then enter the name of the journal  And select “Go” Tip: For best results, use the  Advanced Search
Parts of a Catalogue Record Full title of the journal Links to electronic articles Coverage dates Call # & location of print volumes
Other ways to access electronic full text ,[object Object],[object Object],[object Object],[object Object]
Using the  button  Select the “Go” button to link to full text
Access Exercise 1 ,[object Object],[object Object]
Access Exercise 2 ,[object Object],[object Object]
Access Key Points ,[object Object],[object Object],[object Object],[object Object],[object Object]
Answering questions using Western’s collections
Background Questions ,[object Object],[object Object],[object Object],[object Object]
Resources for Background Questions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical/Foreground Questions
Using the Evidence to Answer Clinical Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1   Guyatt, Gordon, Drummond Rennie, Evidence-Based Medicine Working Group, and American Medical Association.  Users‘ Guides to the Medical Literature :A Manual for Evidence-Based Clinical Practice.  Chicago, IL: AMA Press, 2002.  We’ll be focusing on two steps
Case study ,[object Object],A patient with chronic asthma and a BMI of 36 asks if the low-calorie diet that you’ve recommended may also help with her asthma.
Create an answerable question ,[object Object],Population Patients with asthma Intervention Low-calorie diet  Comparison Outcomes Decreased symptoms
6 Question Types ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],3   Heneghan, Carl, and Douglas Badenoch.  Evidence-Based Medicine Toolkit.  2nd ed. Malden, Mass.: BMJ Books/Blackwell Pub., 2006.
Find the Best Evidence ,[object Object],4   Heneghan, Carl, and Douglas Badenoch.  Evidence-Based Medicine Toolkit.  2nd ed. Malden, Mass.: BMJ Books/Blackwell Pub., 2006. Type of Question  Type of Evidence Aetiology Case-control or cohort study Diagnosis Diagnostic validation study Prognosis Inception cohort study Therapy Randomized controlled trial Cost-effectiveness Economic evaluation Quality of life Qualitative study 4
Evidence Pyramid Less time Less work Less evidence More time More work More evidence http://www.mh.org.au/royal_melbourne_hospital/www/353/files/pyramidopt.jpg
Exercise ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],Source  Hits Cochrane Library 7 Essential Evidence Plus 23 PubMed 949 (75 if using Clinical Queries) SCOPUS 2010
Evidence Pyramid Cochrane Library EMBASE PubMed SCOPUS
Summary & Key Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
QUESTIONS?

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  • 1. Information Rx: Western Libraries’ Prescription for Accessing Clinical Evidence SWOMEN/Family Medicine Teaching Retreat Robin Featherstone, BA, MLIS Clinical Medicine Librarian University of Western Ontario [email_address]
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  • 5. Western Libraries: What we’ve got Journals and databases Books Clinical Tools Learning modules Calculators Drug Identification Tools Images
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  • 7. http://www.lib.uwo.ca/programs/clinicaloutreach/ Use this page to find selected medical resources Electronic Books Point of Care & EBM Tools Databases Image and video collections And more...
  • 8.
  • 9. Catalogue Searching You can even search for electronic full-text journals. Select “Journal Title” Then enter the name of the journal And select “Go” Tip: For best results, use the Advanced Search
  • 10. Parts of a Catalogue Record Full title of the journal Links to electronic articles Coverage dates Call # & location of print volumes
  • 11.
  • 12. Using the button Select the “Go” button to link to full text
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  • 16. Answering questions using Western’s collections
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  • 25. Evidence Pyramid Less time Less work Less evidence More time More work More evidence http://www.mh.org.au/royal_melbourne_hospital/www/353/files/pyramidopt.jpg
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  • 28. Evidence Pyramid Cochrane Library EMBASE PubMed SCOPUS
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