1. Finding articles quickly:Teaching tips Teaching Evidence Based Medicine5th September 2011 Nia Wyn Roberts & Owen Coxall Bodleian Health Care Libraries

2. This is NOT a searching workshop

3. Finding information about Oxford

5. Why do this? Starts off with a question everyone can answer? Non-threatening, encourages people to participate Learning point Illustrates there are lots of different sources of information Other examples Going on holiday, buying a car, getting a new pet…

6. Finding clinical information

8. Why do this? Gives you an idea of their current knowledge? Gives an indication of the variety of resources available Gives an opportunity to point out the pros / cons of different resources If no one mentions Google – you need to work harder

9. Clinical scenario Real clinical cases From clinical rounds / consultations Journal clubs Online video clips News stories Newspapers, news web-sites Blogs Journal web-sites – In the news

11. PICO

12. Why do this? Get people to think of searching as related to patient care Make searching relevant to day to day work Less threatening than starting off asking people to think of their own questions

13. Search off

14. UpToDatehttp://www.uptodate.com TRIP http://www.tripdatabase.com PubMed Clinical Queries http://www.pubmed.gov Cochrane Library http://www.thecochranelibrary.com Google http://www.google.co.uk Oxford Medicine Online http://oxfordmedicine.com/

16. Why run a search off? Get people out of the habit of using only 1 or 2 resources Opportunity to discuss pros / cons of different resources Introduce participants to point of care search tools e.g. research synopses & evidence syntheses

17. Search strategy exercise

18. Search strategy exercise Look at the example search strategy What is the PICO? Why have they chosen these terms? How are they combined? Would you do anything differently?

21. Do you think your right?Hands up – 1 or 2? 2 1

22. Search strategy exercise - a clue A 70-year-old gentleman presents to the Emergency Department (ED) after sustaining a fall from a standing position. He had no loss of consciousness and was brought to the ED with his c-spine immobilised. He was log rolled and had tenderness over the C5, C6 and C7 cervical vertebrae. As per the ED protocol the patient had plain radiographs of his cervical spine to rule out any bony injury. The plain films showed no evidence of any fractures, but as the patient was clinically tender over the cervical spine he was kept in our ED observation ward overnight with his cervical spine immobilised for a CT scan in the morning. The following morning he had a CT scan which showed fractures of C5 and C6 vertebrae.

23. The answer Population: Geriatric population (> 65 years of age) who have suffered blunt trauma to the neck Intervention: Computed Tomography Comparison: Plain radiographs Outcome: Improve detection of cervical fractures in geriatric population

24. Why this exercise? Identifying PICO is part of Critical Appraisal Assess participants search skills: Recognise boolean terms Recognise MeSH/index terms Recognise need for variety of search terms Introduce idea of using familiar resources in a different way (e.g. PubMed advanced search)

25. Teach yourself PubMed Finding the Evidence videoshttp://www.cebm.net/index.aspx?o=1038 PubMed tutorials Full tutorial Quick tours for individual tasks http://www.nlm.nih.gov/bsd/disted/pubmed.html

26. Why do this? Allows you to teach a mixed group using a blended learning approach Ideal for distance learning Self-paced learning allows participants to focus on what they want to know Introduce participants to resources they can use after the session to help them with searching

27. Useful sources: Clinical scenarios News stories: Medical News Today http://www.medicalnewstoday.com/ Behind the headlines http://www.nhs.uk/News/Pages/NewsIndex.aspx Blitterhttp://blitter.tripdatabase.com/ Video clips: Embarrassing bodies http://www.channel4embarrassingillnesses.com/ healthtalkonlinehttp://www.healthtalkonline.org/ Ehow health http://www.ehow.com/ehow-health/ Youtubehttp://www.youtube.com/

28. Useful sources: searching Cochrane Library www.cochrane.org Global health library www.globalhealthlibrary.net PubMed www.pubmed.gov TRIP www.tripdatabase.com HLWIKI Point of care decision making toolshttp://hlwiki.slais.ubc.ca/index.php/Point_of_care_decision-making_tools_-_Overview