Anesthesiology Orientation Aug 2009

Need to Know: Western Libraries Anesthesiology Residents Robin Featherstone, MLIS Clinical Medicine Librarian, University of Western Ontario [email_address]

Agenda ,[object Object],[object Object],[object Object]

Library Services ,[object Object],[object Object]

1. Western Libraries: What we’ve got Journals and databases Books Clinical Tools Learning modules Calculators Drug Identification Tools Images & Videos

2. Anesthesiology Info: How to access - Go to: http://www.lib.uwo.ca/ - Log in to Off-Campus Access with your UWO username and password (same as email) - Select Browse by Program - Select Medicine and Dentistry - Select Anesthesiology and Perioperative Medicine

http://www.lib.uwo.ca/programs/anesthesiaandperioperativemedicine/ Use this page to find selected resources for anesthesiology Electronic Books Point of Care Tools Databases Image and video collections And more...

2. How to search our collections Select “Catalogue” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

http://alpha.lib.uwo.ca You can even search for electronic full-text journals. Select “Journal Title” Then enter the name of the journal And select “Go” Tip: Use the Advanced Search

Parts of a Catalogue Record Full title of the journal Links to electronic articles Coverage dates Call # & location of print volumes

Other ways to access electronic full text ,[object Object],[object Object],[object Object],[object Object]

Exercise 1 ,[object Object],[object Object]

To Register for RACER (InterLibrary Loan ordering system) ,[object Object]

Access Key Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Using the Evidence to Answer Clinical Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 Guyatt, Gordon, Drummond Rennie, Evidence-Based Medicine Working Group, and American Medical Association. Users‘ Guides to the Medical Literature :A Manual for Evidence-Based Clinical Practice. Chicago, IL: AMA Press, 2002. We’ll be focusing on two steps

Case study ,[object Object],A patient expresses concern before cataract surgery about the amount of pain they will experience. You consider administering intracameral anaesthetic (lidocaine) as a supplement to topical anaesthetic, but you’re not sure if the additional anaesthesia will reduce intraoperative pain perception compared with topical anaesthetic alone.

Create an answerable question ,[object Object],Population Cataract surgery patients Intervention Topical anaesthesia alone Comparison Topical anaesthesia with intracameral lidocaine Outcomes Reduction of pain perception

Clarify the question type ,[object Object],[object Object]

6 Question Types ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],3 Heneghan, Carl, and Douglas Badenoch. Evidence-Based Medicine Toolkit. 2nd ed. Malden, Mass.: BMJ Books/Blackwell Pub., 2006.

Find the Best Evidence ,[object Object],4 Heneghan, Carl, and Douglas Badenoch. Evidence-Based Medicine Toolkit. 2nd ed. Malden, Mass.: BMJ Books/Blackwell Pub., 2006. Type of Question Type of Evidence Aetiology Case-control or cohort study Diagnosis Diagnostic validation study Prognosis Inception cohort study Therapy Randomized controlled trial Cost-effectiveness Economic evaluation Quality of life Qualitative study 4

Evidence Pyramid Less time More time http://www.mh.org.au/royal_melbourne_hospital/www/353/files/pyramidopt.jpg

Formulating your search ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exercise ,[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusions ,[object Object],Source Hits Cochrane Library 1 TRIP Database 8 PubMed 418 (13 using clinical queries) Embase 600 (188 if using clinical queries) Google 3,420 (444 if using Google Scholar)

Evidence Pyramid Cochrane Library TRIP Database PubMed EMBASE Google

Summary & Key Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

And, finally... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anesthesiology Orientation Aug 2009

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Anesthesiology Orientation Aug 2009