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Need to Know: Western Libraries Internal Medicine Residents
Agenda ,[object Object],[object Object]
1. Western Libraries: What we’ve got Journals and databases   Books   Clinical Tools  Learning modules Calculators   Drug Identification Tools Images
2. Medicine Info: How to access -  Go to:  http://www.lib.uwo.ca/ - Log in to Off-Campus Access with your UWO username and password (same as email) -  Select Browse by Program -  Select Medicine and Dentistry -  Select a specialty
http://www.lib.uwo.ca/programs/generalmedicine/ Use this page to find selected resources for general medicine Electronic Books Point of Care Tools Databases Image and video collections
2. How to search our collections Select  “Catalogue” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
http://alpha.lib.uwo.ca You can even search for electronic full-text journals.  Select “Journal Title”  Then enter the name of the journal  And select “Go”
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]
Exercise ,[object Object],[object Object]
Searching
Exercise 1 ,[object Object],[object Object],[object Object]
Clinical 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 atrial fibrillation wishes to discontinue taking warfarin. You consider aspirin as an alternative therapy for reducing the patient’s risk of stroke when a colleague suggests you prescribe both aspirin and clopidogrel
Create an answerable question ,[object Object],Population Patients with atrial fibrillation Intervention Aspirin alone Comparison Aspirin combined with clopidogrel Outcomes Prevention of stroke
Clarify the question type ,[object Object],[object Object]
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 More time http://www.mh.org.au/royal_melbourne_hospital/www/353/files/pyramidopt.jpg
Formulating your search ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exercise ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],Source  Hits PubMed 100 (11 if searching narrow/therapy study category) Cochrane Library 6 Embase 256 Micromedex 2 e-CPS 1 drug monograph
Evidence Pyramid Cochrane Library Micromedex e-CPS PubMed EMBASE
Summary & Key Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
And, finally... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions?

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Internal Med Orientation July 2009

  • 1. Need to Know: Western Libraries Internal Medicine Residents
  • 2.
  • 3. 1. Western Libraries: What we’ve got Journals and databases Books Clinical Tools Learning modules Calculators Drug Identification Tools Images
  • 4. 2. Medicine Info: How to access - Go to: http://www.lib.uwo.ca/ - Log in to Off-Campus Access with your UWO username and password (same as email) - Select Browse by Program - Select Medicine and Dentistry - Select a specialty
  • 5. http://www.lib.uwo.ca/programs/generalmedicine/ Use this page to find selected resources for general medicine Electronic Books Point of Care Tools Databases Image and video collections
  • 6.
  • 7. http://alpha.lib.uwo.ca You can even search for electronic full-text journals. Select “Journal Title” Then enter the name of the journal And select “Go”
  • 8. Parts of a Catalogue Record Full title of the journal Links to electronic articles Coverage dates Call # & location of print volumes
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  • 20. Evidence Pyramid Less time More time http://www.mh.org.au/royal_melbourne_hospital/www/353/files/pyramidopt.jpg
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  • 24. Evidence Pyramid Cochrane Library Micromedex e-CPS PubMed EMBASE
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