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INMD 7508/09: Primary Care Clerkship: EBM

 
 
Evidence-Based Health Care
  • Information Resources/Databases
    • MEDLINE (OVID) Authentication Required
      MEDLINE includes citations from the fields of medicine, public health, nursing, dentistry, veterinary medicine, and the basic biomedical sciences.

      The Libraries’ subscription to this resource allows for 40 users at any one time. If you get a busy signal, please wait a few minutes and try accessing the site again.

      MEDLINE is the National Library of Medicine’s bibliographic database/article index that contains over 17 million references to journal articles. Coverage is from 1949 to the present. Over 5200 journals worldwide in over 37 languages are indexed. Covered are basic biomedical research and the clinical sciences, including nursing, dentistry, veterinary medicine, pharmacy, allied health and pre-clinical sciences as well as life sciences that are important to practitioners and researchers â€" biology, environmental science, biophysics, chemistry and plant & animal science. Ovid, a software company specializing in text retrieval applications and search interfaces, provides an easy to use interface for searching MEDLINE.
    • PubMed - U of M Students, Staff & Faculty Authentication Required
      Primary source of journal article access for the health sciences - the campus version provides full text access to all Medline e-journals subscribed to by the University of Minnesota TC Libraries. Includes Medline and Pre-Medline (articles more recent than found in Medline).
    • ACP's PIER: The Physician's Information & Education Resource Authentication Required
      PIER is a product of ACP, The American College of Physicians and is a web-based authoritative, evidence-based guidance tool. PIER’s disease modules include sections on diagnosis, prevention, screening, drug therapy, patient education and case scenarios. On the PDA application, topics are supported with tables, and references to Web sites for supporting articles in Annals of Internal Medicine and PubMed. PIER adds and revises information as new disease findings become available.
    • images.MD Authentication Required
      images.MD compiles over 48,000 high-quality images spanning all of internal medicine, all derived from Current Medicine’s series of illustrated atlases. Each image is accompanied by detailed and informative text.
    • Essential Evidence Plus (InfoPOEMS) Authentication Required
      Essential Evidence Plus formerly InfoPOEMs, consists of two products -- InfoRetriever and the Daily InfoPOEMs. InfoRetriever provides filtered, graded, summarized evidence and clinical tools for use in the office or at the bedside. Daily InfoPOEMs provides a complete clinical awareness system for knowledge management.
    • MD Consult Authentication Required
      Full text access to selected medical texts, medical journals, practice guidelines, drug information, patient handouts, and CME materials.
      Remote access available for University of Minnesota -- Twin Cities students, staff and faculty.
      • FIRSTConsult Authentication Required
        FIRSTConsult contains electronic text books, e-journals, drug info and more. First Consult provides evidence based answers to clinical questions and is designed for point of care professionals.
    • MICROMEDEX Authentication Required
      Provides access to drug information resources, including DRUGDEX; POISINDEX; Martindale, the Extra Pharmacopoeia; Index Nominum; and Physician’s Desk Reference.
      • Using MICROMEDEX
        Handout on how to search the various databases that make up MICROMEDEX.
      • mobileMicromedex
        PDA and Handheld Download (See Below)
    • STAT!Ref Authentication Required
      Provides keyword searchable access to the full text of more than thirty medical and drug textbooks.

      The Libraries’ subscription to this resource allows for 5 users at any one time. If you get a busy signal, please wait a few minutes and try accessing the site again.

    • TRIP Database
      The trip database contained Evidence Based Healthcare reources. Each abstract denotes the source and description of information along with complete citations.

Cochrane Collaboration

Based on the ideas of Archie Cochrane, MD (see Effectiveness and Efficiency: Random Reflections on Health Services, 1972), Cochrane Collaboration members locate, evaluate, and synthesize randomized controlled trials (RTCs) to make current evidence in treatment and diagnosis available to health care professionals. Members are organized into 50 subject groups, and produce "protocols" of their proposed methodology for finding and analyzing RTCs. Subsequently, they write detailed systematic reviews, and keep them updated with evidence from newly completed RCTs.
  • Information Resources/Databases
    • Cochrane Library Authentication Required
      The Cochrane Library consists of a collection of regularly updated evidence-based health care databases. The Cochrane collection is designed to provide information and evidence to support health care decision-making. The available databases are: The Cochrane Database of Systematic Reviews (regularly updated reviews of the effects of health care interventions); Database of Abstracts of Reviews of Effectiveness: DARE (critical assessments and structured abstracts of good systematic reviews published elsewhere); The Cochrane Controlled Trials Register: CENTRAL (bibliographic information on controlled trials); The Cochrance Database of Methodology Reviews: CDMR (systematic reviews of methodological studies); Health Technology Assessment Database: HTA (information about health technology assessments); NHS Economic Evaluation Database: NHS EED (National Health Service (UK), structured abstracts of articles describing evaluations of health care interventions); browse by Cochrane Collaborative Review Group; and the Cochrane Reviewer’s Handbook.
    • NHS Centre for Reviews and Dissemination (CRD)
      -- Similar to Cochrane, the CRD databases provide provide the NHS (National Health Service -Great Britain) with important information on the effectiveness of treatments and the delivery and organisation of health care

Practice Guidelines
  • Information Resources/Databases
    • Clinical Practice Guidelines Online (AHRQ)
      Between 1992 and 1996, the Agency for Health Care Policy and Research (now the Agency for Healthcare Research and Quality) sponsored development of a series of 19 clinical practice guidelines
    • Institute for Clinical Systems Improvement (ICSI)
      An independent, non-profit organization, ICSI provides health care quality improvement services to 43 medical organizations. The Knowledge Resources component includes: healthcare guidelines, guideline impact studies, technology assessment reports and other resources
  • Internet Resources
      • Levels of Evidence
        Rubric for evaluating levels of evidence relative to clinical question and study design.

PDA and Handheld Resources
  • Primary Resources

    The following PDA software has been identified as MAJOR resources for patient point of care.
    • Johns Hopkins POC-IT Antibiotic (ABX) Guide
      The Antibiotic Guide is a decision support tool intended to provide clinicians with concise, digested, timely information about the diagnosis and treatment of infectious diseases. The information is arranged so that it is clinically useful at the point of care, instantly. Search by diagnosis, pathogen, or antibiotic name. Palm version also downloadable at http://hopkins-abxguide.org/download_center/download_center.cfm#what_is_handheld
    • mobileMICROMEDEX
      mobileMicromedex is available for free to UofM students, faculty and staff. Click on the following handout for further information concerning registration and downloading.
    • MDCMobile
      MDConsult for the PDA/Handheld. Contains: daily news updates, weekly drug updates, initiate PubMed searches and access to journal abstracts.
    • MedCalc
      MedCalc is a medical calculator running on Palm-compatible handheld devices. It is designed for rapid calculation of common equations used in medicine (including anesthesiology, pediatrics, emergency, intensive care and internal medicine.
    • National Guideline Clearinghouse: PDA/Palm Downloads
      All National Guideline Clearinghouse Guideline Summaries are available in a text format downloadable to the Palm-based Pesonal Digital Assistant (PDA). This page contains instructions and links to Clinical Practice Guidelines for Handheld Computers from various professional and federal organizations.
  • Secondary Resources

    The following resources are not considered major, however memory permitting you will find them quite useful.
    • EBM Calculator
      EBM Calculator is designed to calculate relevant statistics for Diagnostic studies, Prospective Studies, Case Control Studies, and Randomized Control Trials (RCT). This is a palm version of the Stats Calculator.
    • ebm2go
      Evidence-Based Medicine to Go. FREE up to date Medical information delivered to your PALM or Pocket PC.
    • Mobile MERCKMEDICUS
      Mobile MERCKMEDICUS allows health professionals to Explore these leading clinical resources:
      • The Merck Manual, 17th Edition
      • Pocket Guide to Diagnostic Tests
      • Reuters Medical News
      • MEDLINE Journal Abstracts
      • MerckMedicus and MEDLINE Search.
      Registration is required (free)
    • mobile PDR
      PDR on a PDA - free registration for physicians, physician assistants, nurse practitioners, medical students and residents.
    • National Cholesterol Education Program: 10-year Risk Assessment Tool
      "This downloadable Excel spreadsheet, developed by Boston University, uses recent data from the Framingham Heart Study to estimate 10-year risk for "hard" coronary heart disease outcomes (myocardial infarction and coronary death) in adults who do not have heart disease or diabetes.
    • Personal Digital Assitant Resources from NLM: PubMed and Clinical Trials
      National Library of Medicine has made it more easy to search PubMed and the ClinicalTrials database using a PDA. This webpage explains how to set up an AvantGo channel, as well as instructions for a program called PubMed on Tap, where the user downloads a software program and PubMed can then be searched via an Internet connection. Also availabe is WISER (Wireless Information System for Emergency Responders, which is a PDA application designed to assist emergency personnel in handling hazardous material accidents.
    • PICOmaker
      PICOmaker is a free Palm OS-based application that lets users create and store queries in the PICO (Population, Intervention, Comparison, and Outcome) format for later reference. Created by a librarian at the University of Alberta.
    • A Students Guide to Medical Literature
      PDA version of the University of Colorado Health Science Students Guide to Medical Literature. Topics include reading medical literature, search strategies, journal critique, calculators. Requires AvantGo. Web Version

Library Resources and Services
  • Bio-Medical Library - Services
    -- Services available for students, faculty and staff. Including recalling books and journals, librarian-mediated searches, and reference consultations.
    • MNCAT Classic
      Search MNCAT, the libraries’ catalog, to find books, journals, etc. owned by the library. Search by keyword, subject, title, or author for materials on your topic. We recommend MNCAT Classic for searching South Asia materials. The authors and titles of South Asian materials often contain non-standard characters that prevent MNCAT Plus from finding them.
      • Electronic Journals
        This link will take you to the University Libraries Electronic Journals page. On that page you can either search for a specific journal, magazine or newspaper title or enter an e-journal vendor site. You will be presented with a list of results. Click on the appropriate title to begin accessing the online version of that periodical. Keyword searching of more than one journal at a time is sometimes possible, depending upon the search capabilities provided by the vendor who supplied the original journal that you referenced.
  • Ask a Librarian -- Bio-Medical Library
    -- Use this web-based form to get individualized library research support for your course, or to get help resolving computer and technology problems you encounter in using our library resources.


Page Coordinator: Jim Beattie jbeattie@umn.edu
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Last Updated: February 16, 2006, 2:44 pm