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Using the Biomedical Library & Its Resources: Becoming Efficient Information Managers Public Health & Epidemiology PHE 131 Winter 2010 Beverly Rossini • Information Services Librarian • Outreach Librarian • Contact Information: –Phone: (251) 460-6893 –Fax: (251) 460-7638 –Email: [email protected] University of South Alabama: Biomedical Library Sites • Baugh Biomedical Library – Campus Site – Primarily supports the academic health sciences (College of Medicine, College of Nursing & Allied Health) University of South Alabama: Biomedical Library Sites • University Medical Center site – Primarily supports the clinical medicine specialties-collection concentrates on patient care and treatment – Consumer Health Resource Center University of South Alabama: Biomedical Library Sites • Children’s and Women’s Hospital site – Primarily supports obstetrics, gynecology, and pediatrics – which is reflected by the library’s collection. Lifelong Learning • Evidence-Based Medicine • Combining clinical skills with evidence found in the best, most current research • Better informed general public • 8 in 10 Internet users go online to look up health related information1 • Among Internet users who say their last health related search had an impact, 54% say the information led them to ask their doctors new questions or get a second opinion from another doctor1 1 Online health search 2006. Pew Internet & American Life Project. Available online at http://www.pewinternet.org/pdfs/PIP_Online_Health_2006.pdf. Evidence Based Medicine (EBM) "Evidence-based medicine (EBM) is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidencebased medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research.“2 Short definition: “the integration of best research evidence with clinical expertise and patient values.”3 2Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence-based medicine: what it is and what it isn't. BMJ 1996; 312: 71-2. 3Sackett, DL. Evidence-based medicine: how to practice and teach EBM. New York: Churchill-Livingston, 2000. Evidence Based Medicine (EBM) Research Evidence Since EBM’s focus in on patient-oriented, outcomes-based research as opposed to expert led medicine, the medical literature is searched and evaluated to determine what data is available that addresses questions that arise in clinical practice. • Synthesized information sources (Dynamed, PIER, UptoDate, Clinical Evidence) • Meta-analyses (DARE, PubMed) • Systematic Reviews (Cochrane, PubMed) • Clinical Trials (PubMed) • Other types of research studies PICO ?= Patient Intervention Comparison Outcome Electronic Health Record Computer system Clinical Evidence , PIER, Dynamed, UpToDate ACP Journal Club, Cochrane Library PubMED Clinical Queries, guidelines Original Studies The professionally sponsored literature for medical practitioners acts as though each practitioner in each American community were supposed to be his own scholarly and scientific institute, screening, sifting, evaluating, assessing, and translating into practical terms the output of medical research that is reported in the periodical literature…The practitioner of course, is quite unable to live up to this myth. For that reason, he is likely to have recourse…to those sources that are willing to offer him the digested and preselected information that meets the needs. Herbert Menzel, 1966 Keeping Current: The Challenges • Keeping up-to-date with the newest advancements in medical research and treatments In a set of journals pertinent to primary care physicians in 2002: 7,287 articles are published monthly. A physician trained in epidemiology would take an estimated 627.5 hours per month to evaluate articles pertinent to his practice.1 1Alper BS, , Hand JA, and Elliott SG. "How much effort is needed to keep up with the literature relevant for primary care?." Journal Medical o the Library Association. 92.4 (2004): 429-437. Keeping Current: The Challenges • Information available through multiple sources in numerous formats. – In biomedical research, the amount of experimental data and published scientific information is “overwhelming and ever increasing, which may inhibit rather than stimulate scientific progress.”2 2 Weeber M, Kors JA, Mons B. Online tools to support literature-based discovery in the life sciences.” Briefings in Bioinformatics. 2005 September; 6 (3): 277. Resources to Know • • • • • • • SouthCAT Electronic Journals Dynamed, ACP PIER, Clinical Evidence Cochrane Library PubMed Clinical quidelines (guidelines.gov) Google Scholar Public Health & Epidemiology Library Research Class Page http://southmed.usouthal.edu/library/ref/classesdescrip.htm