tebm finding articles quickly: teaching tips
TRANSCRIPT
![Page 1: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/1.jpg)
Finding articles quickly:Teaching tips
Teaching Evidence Based Medicine5th September 2011
Nia Wyn Roberts & Owen CoxallBodleian Health Care Libraries
![Page 2: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/2.jpg)
This is NOT a searching workshop
![Page 3: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/3.jpg)
Finding information about Oxford
![Page 4: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/4.jpg)
![Page 5: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/5.jpg)
Finding clinical information
![Page 6: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/6.jpg)
![Page 7: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/7.jpg)
Clinical scenario
• Real clinical cases– From clinical rounds / consultations– Journal clubs– Online video clips
• News stories– Newspapers, news web-sites– Blogs– Journal web-sites – In the news
![Page 8: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/8.jpg)
![Page 9: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/9.jpg)
PICO
Patient / Population / Problem
Intervention / Exposure
Comparison Outcome
Migraine Acupuncture N/A Symptom reliefPrevention
![Page 10: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/10.jpg)
Search off
![Page 11: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/11.jpg)
1. UpToDate http://www.uptodate.com 2. TRIP http://www.tripdatabase.com 3. PubMed Clinical Queries
http://www.pubmed.gov 4. Cochrane Library
http://www.thecochranelibrary.com5. Google http://www.google.co.uk 6. Oxford Medicine Online
http://oxfordmedicine.com/
![Page 13: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/13.jpg)
Search strategy exercise
![Page 14: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/14.jpg)
Search strategy exercise
• Look at the example search strategy
• What is the PICO?• Why have they chosen these terms? How are
they combined?• Would you do anything differently?
![Page 16: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/16.jpg)
![Page 17: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/17.jpg)
Do you think your right?Hands up – 1 or 2?
1 2
![Page 18: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/18.jpg)
Search strategy exercise - a clue• A 70-year-old gentleman presents to the Emergency Department
(ED) after sustaining a fall from a standing position. He had no loss of consciousness and was brought to the ED with his c-spine immobilised.
• He was log rolled and had tenderness over the C5, C6 and C7 cervical vertebrae. As per the ED protocol the patient had plain radiographs of his cervical spine to rule out any bony injury.
• The plain films showed no evidence of any fractures, but as the patient was clinically tender over the cervical spine he was kept in our ED observation ward overnight with his cervical spine immobilised for a CT scan in the morning. The following morning he had a CT scan which showed fractures of C5 and C6 vertebrae.
![Page 19: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/19.jpg)
The answer
• Population: Geriatric population (> 65 years of age) who have suffered blunt trauma to the neck
• Intervention: Computed Tomography• Comparison: Plain radiographs• Outcome: Improve detection of cervical
fractures in geriatric population
![Page 20: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/20.jpg)
Teach yourself PubMed
• Finding the Evidence videoshttp://www.cebm.net/index.aspx?o=1038
• PubMed tutorials– Full tutorial– Quick tours for individual taskshttp://www.nlm.nih.gov/bsd/disted/pubmed.html
![Page 21: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/21.jpg)
Useful sources: Clinical scenarios
• News stories:– Medical News Today http://www.medicalnewstoday.com/ – Behind the headlines http://
www.nhs.uk/News/Pages/NewsIndex.aspx – Blitter http://blitter.tripdatabase.com/
• Video clips:– Embarrassing bodies
http://www.channel4embarrassingillnesses.com/ – healthtalkonline http://www.healthtalkonline.org/ – Ehow health http://www.ehow.com/ehow-health/ – Youtube http://www.youtube.com/
![Page 22: TEBM Finding articles quickly: teaching tips](https://reader036.vdocuments.us/reader036/viewer/2022062702/5549b329b4c90564768b48e1/html5/thumbnails/22.jpg)
Useful sources: searching
• Cochrane Library www.cochrane.org• Global health library
www.globalhealthlibrary.net • PubMed www.pubmed.gov• TRIP www.tripdatabase.com
• HLWIKI Point of care decision making toolshttp://hlwiki.slais.ubc.ca/index.php/Point_of_care_decision-making_tools_-_Overview