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Using Library Resources to Answer Clinical Questions. Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine. Objectives . Students will begin to utilize the FSU COM virtual library resources to locate clinical information online - PowerPoint PPT Presentation
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THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health careTHE FLORIDA STATE UNIVERSITY COLLEGE OF
MEDICINE Educating and developing exemplary physicians who practice patient-centered health
care
Using Library Resourcesto Answer Clinical Questions
Nancy Clark, M.Ed.Director of Medical Informatics Education
FSU College of Medicine
Summer 2014 1
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Objectives • Students will begin to utilize the FSU COM virtual
library resources to locate clinical information online– Identify the type of question you have: background or
clinical– Distinguish which type of resource would best answer
a clinical question: drug, disease or differential diagnosis resource
– Identify the type and depth of information contained in various resources.
– Find answers to clinical questions in the library resources.
Summer 2014 2
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
What Kind of Question Do I Have?• Basic science or background question?
– What is an olecranon? [for personal learning]– What is Kawasaki Disease?
• Clinical question? [for patient care]– What are the risk factors for Heart Disease? – Which is better for diagnosing pneumonia: x-ray, CT or
MRI? [Diagnosis]– Which antibiotic(s) should I prescribe for MRSA?
[Treatment]– How much does amoxicillin cost? [Drug]
Summer 2014 3
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Answering a Background Question
• Searching most efficient• Google/Wikipedia (assess the validity)• Use Medical Dictionary• Use basic science textbooks
– Listed under Course Pages on Library
Summer 2014 4
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Medical Dictionaries
• Stedman’s is in PEPID and StatRef• Others: Academic/Research
Summer 2014 5
Includes pronunciation
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Answering Clinical Questions• Quickest method: Browse a specific resource• Requires: knowing the content of
sites/resources• Starting point: Library web page or your
handheld (iPod/iPad or smartphone)• Learn to use subscription resources
Summer 2014 6
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
What Kind of Clinical Question?• The type of question and how much
information you need will determine the resource you use.– Drug– Disease– Lab– Calculator– Differential Diagnosis Tool
Summer 2014 7
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Library Webpage
Summer 2014 8
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Clinical Tools
Summer 2014 9
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Resource Content Resource Rx DDx Dx LAB Calcs
DxPlain Online X
Epocrates Online X X X
PEPID X X X X X
Dynamed X X X
5 Minute Clinical Consult X
Diagnosaurus X
Summer 2014 10
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health careTHE FLORIDA STATE UNIVERSITY COLLEGE OF
MEDICINE Educating and developing exemplary physicians who practice patient-centered health
care
Drug References
Summer 2014 11
RxOTC
Alt
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Typical Drug Information• Indications (what is it prescribed for)• Dosing• Contraindications/cautions• Complications/adverse reactions• Interactions• Safety• Pharmacology
Summer 2014 12
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Typical Drug Resource Tools
• Drug Interaction Checker• Pill Identifier• Dosage Calculator• Antibiotics Guide• Formularies
Summer 2014 13
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health careTHE FLORIDA STATE UNIVERSITY COLLEGE OF
MEDICINE Educating and developing exemplary physicians who practice patient-centered health
care
Disease References
5 Minute Clinical ConsultDynaMed
Epocrates PEPID
Summer 2014 14
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Types of Questions Best Answered by Dx References
• Description/background/risk factors• Epidemiology• Diagnosis (H&P)• Treatment• Ongoing management• Prognosis/outcomes• Prevention
Summer 2014 15
How much information
do you want?
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health careTHE FLORIDA STATE UNIVERSITY COLLEGE OF
MEDICINE Educating and developing exemplary physicians who practice patient-centered health
care
Differential Diagnosis Tools
(Making the Diagnosis)
DxPlainPEPID
Diagnosaurus
Summer 2014 16
DDx
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Differential Diagnosis Tools• Enter symptom(s), findings, and/or labs
– Get a differential in order of likelihood– Distinguish common and rare conditions– Get more info on disease– Get advice on more symptoms to look for– Get advice on labs to order
17 17Summer 2014
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Demonstrations of Resources• Posted separately 5-10 minute demos
– Epocrates Online– 5 Minute Clinical Consult– Dynamed– PEPID– DxPlain– Diagnosaurus
Summer 2014 18
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Assignment
• Goal of assignment: become familiar with the structure, content, depth of content of the major resources on the Medical Library web site.
• Do the Medical Resources Exercise.
Summer 2014 19
