2011 mastering medical information researching your learning issue finding the evidence_20110718
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1 Jacque Doyle Kathleen Carlson AHSL Phoenix ASU Downtown Phoenix Managing Medical Information: Introduction to COM-Phoenix Library Services and Resources
Transcript of 2011 mastering medical information researching your learning issue finding the evidence_20110718
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Jacque Doyle Kathleen Carlson AHSL Phoenix ASU Downtown Phoenix
Managing Medical Information:Introduction to COM-Phoenix Library Services and Resources
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Learning Objectives
Identify, review and demonstrate the use of key resources of the Arizona Health Sciences Library (AHSL)
Employ a healthy skepticism about the quality and validity of all information
Identify best resources for clinical research, i. e., patient care or point-of-care tools
Describe other useful web-based productivity tools
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General Library Information
• Staffed Library Hours– Monday – Friday: 7:30 am –
10 pm – open for use with PBC
card till midnight– Saturday – Sunday: 8 am –
8 pm
• PrintingYou will receive a code
for the Xerox printer/copier in the library.
• Contact Info – Front Desk:
(602) 827-2062
• Location – The 550 Bldg., aka
Bldg 1, Room 1254 (2nd floor) AND www.ahsl.arizona.edu
• Security 602-478-8169
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General Staff Information•Jacqu
e Doyle – Librarian•Stude
nt Librarians: Chelsea, Namrata, & Brandon
•All MS-IIs)… and ??
Staff at COM-Phoenix
•Kathleen Carlson
•Health Sciences Librarian
At ASU Downtown Phoenix Campus
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Useful websites
Make these bookmarks/favorites:
•AHSL: www.ahsl.arizona.edu•EBM Search Engine:
http://www.ahsl.arizona.edu/ebmsearch/index.cfm
• ArizonaMed: http://arizonamed.medicine.arizona.edu/
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www.ahsl.arizona.edu
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Coming soon!!!
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For remote access anywhere:•Go to
www.ahsl.arizona.edu
•Select a database, e.g., PubMed
•Run your search
•Find article(s)•Enter your
NetID and password
Arizona Health Sciences Library
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Performing searches in medical databases,
individual journals, and Google Scholar.
Skills to begin developing or improving today
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MEDLINE (Access via PubMed or OVID)
The critical biomedical database
Indexes the world’s biomedical literature
Full text is not always available, but Interlibrary Loan (ILL) is!
Different levels of evidence indexed
Print, email or save citations
Excellent results require your time to set up an effective search strategy
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Why you should …
Set up your MyNCBI account http://www.ncbi.nlm.nih.gov/sites/myncbi/register
Set up your personal OVID account• http://ahsl.arizona.edu• Select Medline/OVID• Select Personal Accounts (upper right corner)• Select “create a new personal account”
Set Up Your Personal Google Account
http://uits.arizona.edu/services/catmail
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Your searches and results are streamlined and tailored to your
needs!
Why???????
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Create and use your personal accounts
Enter key concepts separately
Use Boolean Operators (AND/OR) to expand/narrow search
Use Medical Subject Headings (MeSH) for more relevant results
Combine sets for complex search
Use limits & EBM filters to narrow search
General Search Tips
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Beyond Medline
Up-to-Date, MD/First Consult & Stat!Ref are good places to find clinical overviews
Medical textbooks are good for general overviews
•Online
catalog
will
search
both
print &
electron
ic
resourc
es
•UA
Catalog
can be
limited
to
location
=
Internet
or
location
= AHSL-
Phoenix
Search the UA Catalog for books
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Beyond Medline, cont…
Databases are the best sources for scholarly resources (PubMed, Medline OVID, PsycInfo, Web of Science, etc…)
MedlinePlus is a good consumer health resource from the patient’s perspective
Google Scholar can be a useful tool as it searches many of these databases and can be customized for your needs
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“Point-of-Care” Databases
• DynaMed and Micromedex (on ArizonaMed)
• UpToDate, MDConsult, and Stat!Ref (are all available from the Quick Links at the AHSL site)
• All resources updated often
• Evidence-based and unbiased information
• Some have patient information handouts
• Each of these has additional unique tools
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Evidence Based Medicine
Great Tool: AHSL-Developed EBM Search Engine
e.g. Cochrane Systematic Reviews
e.g. PubMed Clinical Studies
e.g. Textbooks
e.g. UpTo Date
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What is an authoritative website?
• Who or what organization is the sponsor? • How current is its content? • Opinion? or facts? • Who is the target audience? • Is it an official site? Blog?
http://www.mlanet.org/resources/userguide.html
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An “extra” – Some Free and
inexpensive iPhone Medical Apps
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Some Free and inexpensive iPhone Medical Apps• Davis’s Drug Guide • Diagnosaurus• Epocrates • Eponyms (for students)• EyeChart • iMurmur• Living Medical Textbooks • MedCalc • Medical Radio • Medical Radio• Medical Spanish• Medscape • Micromedex • Neuromind • New England Journal of Medicine • PubMed on Top Lite • Radiology 2.0: One night in the ED • Skyscape Medical Resources • Skyscape: RxDrugs and Outlines in Clinical Medicine (OCM)• Speed Bones MD • Speed Muscles MD• Stat ICD-9 Lite • Taber’s Medical Dictionary
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Hands on the keyboard please!
Contest rules: • 5 questions, one at a time!!
• Winner(s) must get all correct!
• All students must complete each
question before winner is determined.
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Searching for an article in Medline via PubMed
Finding articles using PubMedAHSL PubMed
Search #1:
• Articles are sometimes referenced by their PMID (an assigned unique identifier)
• In the search bar of PubMed, type
21219598
What is this article about?
What MeSH terms are used to identify it?
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Searching for an author in Medline via PubMed
Finding authors via PubMedAHSL PubMed
Search #2:
• Use the Single Citation Matcher in the center column to search for this auth
• Search PubMed for Author name “Vadaparampil ST,”
What is the title of the study?
What other medical resources might add to
your knowledge?
Hint: See bottom of screen “+”
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Searching for a specific journal article
Search #3:Finding a journal:
AHSL eJournals Search for the name of the Journal
A friend tells you that there is a funny article about pigeons published in Animal Cognition within the last couple of years.
What’s the title of this article??
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PubMed “Clinical Queries”
Search #4• AHSL PubMed Clinical Queries• Enter – “breast cancer genetics
counseling”• In what 3 categories (columns) are
the items retrieved?
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PubMed “Clinical Queries”
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Google Scholar
Search #5
AHSL Databases Google Scholar• Type - breast cancer genetics counseling
psychology• What is the article title, and in what journal is
it? Does UA own it?
Only works on campus, via VPN, and with UA Set up in Preferences
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1. PMID (Pubmed ID)
2. Author
3. Journal Article
4. Clinical Query
5. Google Scholar
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Recap
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And the winner(s) are/is…
Handy Hints
#1
#2
#3
#4
#5
Grand Prize:
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Where to find what…Online Databases/indexes:
– MEDLINE– PsycInfo– Web of Science– UA/AHSL Catalogs– AHSL EBM Search Engine– Google Scholar
• To find articles, books, or book chapters ABOUT a topic or a combination of topics
Point of care products:– Dynamed– Up to Date– MD Consult/First Consult– AHSL EBM Search Engine– Google Scholar
• To find answers to clinical questions, practice guidelines, consensus statements, expert opinion, and patient education handouts about a topic, condition or procedure
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•Point of care tools:•MD
Consult/First Consult
•Up-to-Date•Books and
book chapters•Stat!Ref
•Multi Search tool: EBM Search
AHSL Home Page
•DynaMed
•MicroMedex
AZ Med
Resources for your CBI learning issues
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Sites for Patients, Families & Consumers
•http://medlineplus.gov
MEDLINEPlus:
•http://www.cancer.gov
National Cancer Institute:
•http://www.cancer.org
American Cancer Society:
•http://www.healthfinder.gov
HealthFinder:
•http://www.nsgc.org
National Society of Genetic Counselors:
•http://www.uptodate.com/patients/about/toc.do?tocKey=table_of_contents/12
UptoDate Patient Info
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Contact Us:
602-827-2031Mobile: [email protected]
JacqueDoyle
KathleenCarlson
520-626-6125AHSLTucsonFront Desk
AHSL Phoenix Front Desk
602-827-2062
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That’s all for us for now…
Use this time to begin to research your learning issues
We’ll be here to help
Thank you for your attention!
Jacque and Kathleen
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Your tasks for the rest of this session
1. Define your CBI personal learning objective(s)
2. Brainstorm potential search terms
3. List database(s) and/or other resources (i.e., Up-to-Date, Dynamed, etc.) are most appropriate to search
4. Perform your search(es)
5. Refine your search in terms of number and relevance of search returns
6. Access abstracts and full text for articles / text from Up-to-Date, Dynamed, etc.
7. Gauge relevance and quality of articles / text from Up-to-Date, Dynamed, etc.
