- At the end of this session you will: o Know where the library resources stand on the evidence pyramid o Find what you are looking for on the library site o Choose a resource based on the type of question Slide 3-5: Evidence Pyramid - The higher up on the pyramid, the closer you are to objective truth - As you go further up, each level builds on the levels underneath it o There is less resources as you go up because it takes a longer time to get things done - Cochrane Review: o Highest level of evidence o June 2014, there were over 6,000 reviews o Harde r to find answers within these reviews because they are more specific - Dr. Keaton talked more in-depth about POEMS
Slide 6: Library Site Tour - Demonstration
- We basically got a tour of the library website but I outlined few of the searches Ms. Pierce did: o Google search: SOM LIBRARY (first link that comes up) o Click on Medical E-Resources o Scroll down to Cochrane library Cochrane database of systematic reviews You will find various subsets like: DARE, method studies, technology assessments, economic evaluations, Cochrane groups (central just trials) o Click advance search to limit by database Example she did in class: Search simvastatin On left side you can modify your search Clinical Medicine: Prevention Module 8-9 am (8/25/2014) AK
o Back on the Medical E-Resources screen, click Trip Database
Type simvastatin into search bar On the right, you can modify your search even further In guidelines, you can limit search to country o Back on main library home page, click Clinical Care Tools Dynamed Has certain topics (ex. Diabetes Mellitus Type 1) After you search something, on the left side is an outline so you can jump immediately to what you are interested in If you click treatment you can see the grades of evidence based on the American Diabetes Association Essential Evidence Plus Broken down by system At treatment, you can see the grade You can also sign up for POEM o Gives the question, the bottom line, the reference and synopsis o The bottom line is also summarized in the title o Consists of one article o Back on Medical E-Resources site Click on Stat!Ref Click on first article You can see medical disciplines and relevance to practice and if the information is new Can modify the alerts based on what you want (frequency, topics, etc) o Easiest way to get evidence based journals is to search it in E-journals o Research databases: Under medical E-resources Alphabetically listed Trip is found here which gives you access to PubMed BMJ case reports - To sign up for a personal account on access medicine: o Go to the library home-page o Click on E-Resources o Click on Access medicine o At top right click Rowan University o Click Login or create free personal account o Click Dont have an account o Fill out required information Slide 9-11: Searching any database (or Google Scholar) - Combine terms with OR o Smoking OR tobacco either term can be present Clinical Medicine: Prevention Module 8-9 am (8/25/2014) AK
- Commbine terms with AND
o Smoking AND cessation both terms must be present
Slide 12: Searching Pubmed - Demonstration
- Go to librarys home page - Click on Pubmed - Search your topic o Dont have to add in and Pubmed will take that into account - On the left, you can filter your search - You can add filters via show additional filters Slide 13-14: Searching Tips - Try title searches for quick & dirty searches - In Pubmed sese the Related citations - Use Clinical Queries if it makes sense - For more in depth searching consider subject searching - Pubmed uses MeSH o Subject headings added to articles o Search the MeSH database to find ones that match your search Slide 15: MeSH terms for Prevention - In Pubmed, you can search MeSH in the dropdown - Preventive Medicine - Public Health - Primary prevention - Secondary Prevention - Tertiary Prevention - Health promotion o Prevention and control [Subheading] Slide 16: Getting Full Text - Going from the library site increases your chance of getting full text: o Go to Pubmed o Go to advance and search what you want o Click on an article o On the right it says Full text Slide 17: Assignment - Access the library website on your mobile device - On drop down (grey square with lines), click on resources - Click mobile apps and sites - Click RowanSOM only subscriptions - Download Access medicine application by clicking download link (unboundmedicine) Slide 18: Question Is it safe to take Simvastatin with Coumadin? - Answer question through: o Dynamed Mobile subscription Clinical Medicine: Prevention Module 8-9 am (8/25/2014) AK
You can get Dynamed from front page of RowanSOM library
o Epocrates Free subscription You can download on your mobile device! Slide 19: Question What is the significance of high aldosterone level? - Diagnosaurus 2.0 can be accessed from AccessMedicine app Slide 20: Question What are the steps involved in performing knee injection? - Clinical Key has a video on this Slide 21: Question What are recommended screening test for 35 year old smoker? - ePSS - Mobile app available Slide 22: Question Can you give Adacel(TDaP) vaccine when the patient has just received a Td booster last week? - Cant find on App - You need to go to "print guidelines" Subject Guides Prevention subject guide: set up for this module o Library website o Resources o Rowansom subject guides o Go to "p" for prevention Specific practice for prevention of disease o Also public health guide Books, journals, tools, statistics Second year SOM resource guide o On home page under curriculum support