Tools for Demonstrating Evidence-Based Medicine to Residents in the Context of

a Busy Service

Nicole Capdarest-Arest, MA(LIS)

Tools for Demonstrating Evidence-Based Medicine to Residents in the Context of a Busy

Service

Photo: Alvaro Millan, https://www.flickr.com/photos/soroll/3804570043/

PubMed: Efficient SearchingQuick:• Boolean (AND, OR, NOT)• Wildcard

(immun*=immune, immunology, immunize, etc.)

• Phrase (“immune system”)• Tags

[ti] =limit to title[tiab] =limit to

title/abstract

Powerful:• Medical Subject Headings

(MeSH)

Examples:1. “Arthritis, juvenile”[Mesh]2. "Health Literacy"[Mesh] AND

"Internship and Residency"[Mesh]

Use Boolean Operators to Combine Search Terms

clowns OR comics

OR widens the search

http://www.ncbi.nlm.nih.gov/pubmed/?term=clowns+OR+comics

Use Boolean Operators to Combine Search Terms

phone AND computer

AND narrows the search

http://www.ncbi.nlm.nih.gov/pubmed/?term=phone+AND+computer

Use Boolean Operators to Combine Search Terms

("Patient Care Team"[Mesh] AND "Patient Safety"[Mesh]) NOT case reports[ptyp]

Limit/Filter the Results

Use Controlled Vocabulary to Target Search

Try these MeSH terms about medical education topics:• “Education, Medical”[Mesh] – general articles on medical education• “Education, Medical, Undergraduate”[Mesh] – In the US, this is

medical school period• “Education, Medical, Graduate”[Mesh] – medical graduates in

specialty training or academic work in clinical or basic sciences• “Internship and Residency”[Mesh] - Programs of training in medicine

and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities

• “Education, Medical, Continuing”[Mesh] - educational programs to inform physicians about recent advances in their field

Note that searching this way increases precision, but eliminates the most recently-published articles from your results, because new articles may have not yet been tagged with MeSH terms.

PubMed: Efficient SearchingQuick:• Boolean (AND, OR, NOT)• Wildcard

(immun*=immune, immunology, immunize, etc.)

• Phrase (“immune system”)• Tags

[ti] =limit to title[tiab] =limit to

title/abstract

Powerful:• Medical Subject Headings

(MeSH)

Examples:1. “Arthritis, juvenile”[Mesh]2. "Health Literacy"[Mesh] AND

"Internship and Residency"[Mesh]

Bonus: Set Up a MyNCBI Account

My Bibliography:Create a link to share all of the articles you’ve authored in PubMed →

→Recent Activity: Had to stop mid-search? Start up where you left off (search history)

← Saved Searches: Save a search and send it to yourself daily, weekly, monthly to keep current

← Collections: Create a collection of articles to save and/or share with others (e.g., journal club, collaborators)

← Filters: Set custom filters, and more

Lane Library Peds Clinical Search

http://lane.stanford.edu/portals/peds.html

One-stop shop!

UpToDate Anywhere/Mobile

Get set up: http://lane.stanford.edu/help/uptodate-mobile.html

mobileMicromedex apps

Access Micromedex apps on mobile devices:• Lane Library home page >> Micromedex >>

select mobileMicromedex from top left of screen and follow download instructions– Micromedex Drug Reference– Micromedex Drug Interactions– Micromedex IV Compatibility

CDC Vaccine Schedules App

Visually mimics the CDC vaccine schedules for children, adolescents and adults• http://www.cdc.gov/vaccines/schedules/hcp/s

chedule-app.html

• Schedules, recommendations, catch-ups, precautions, resources

AHRQ ePSS

Agency for Healthcare Research & Quality Electronic Preventive Services Selector• http://epss.ahrq.gov/PDA/

index.jsp• search and browse U.S.

Preventive Services Task Force recommendations

How can a librarian help?

• Connect you or your learners with information you need for research or clinical questions

• Teach you how to navigate and search resources to find literature, instruments, curricula, etc.

• Help with EBM questions and instruction• Help with lit reviews, systematic reviews• Teach you how to manage resources (e.g., RefWorks,

EndNote, Zotero, Mendeley)• Show you ways to keep current with the literature• And more... just ask!