PPT for library orientation for EMC

1. Using the Norris Medical Library
Eisenhower Medical Center – 7/8/2014

2. • Where to start looking for information
• Start from NML homepage
http://www.usc.edu/hsc/nml/
OR
• Clinicians Portal
http://norris.usc.libguides.com/clinicians
Norris Medical Library
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3. • Sign in with USC username and password
Off-Campus Access: Authentication
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• Username = USC email
username (up to @
symbol)
• Password = USC email
password

4. • Don’t know/remember your USCNet
Username/Password? Call or email the
Technology Support Center:
(323) 442-1968 or hscaccts@usc.edu
Off-Campus Access: Authentication
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5. • aka Interlibrary Loans or ILL
• Used when Norris Medical Library does
not subscribe/own material
• Requests cost $11 per article
DocRetriever

6. • Evidence Based Practice
EBP
Clinical
Expertise
Patient’s
Needs
Best
Evidence

7. EBP – 5S Model
Based on the 5S model, Sladen Library, Henry Ford http://henryford.libguides.com/ebm

8. EBP – 5S Model
Based on the 5S model, Sladen Library, Henry Ford http://henryford.libguides.com/ebm

9. • PubMed/MEDLINE: database of article
citations (not a full-text database)
• 23 million citations
• MeSH: dictionary of terms used to
organize articles in PubMed
• Searches by subject not keyword
• Searches synonyms, narrower terms
PubMed / MeSH
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10. Clarifying confusing nomenclature
PubMed (search
engine) is the tool used
to search in PubMed
and MEDLINE
MEDLINE (database)
> 21 Million
Articles are
added to
PubMed by
publishers
MEDLINE and PubMed
PubMed
(database)
> 23 million
…then moved to
MEDLINE as they are
indexed (have MeSH
terms added) by
NLM
What is MeSH?
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11.  Most important single concept of today!!
 A “dictionary” in which you look up the best
words to use in MEDLINE searches
 Using MeSH in searches increases the number
of relevant articles
 Limitations:
 New concepts, procedures, drugs may not have a
MeSH term
▪ Use a Keyword (= any search term you choose that is not a
MeSH term)
 Takes time for new articles to be “indexed” for
MEDLINE
▪ Can miss the newest articles
Medical Subject Heading (MeSH)
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12. • Your patient is a healthy postmenopausal
woman who’s sister was diagnosed with breast
cancer in the past two years and is in remission.
She’s concerned with her own risk of breast
cancer, and has heard that exercise helps prevent
it in patients like her. Even though you routinely
recommend exercise to patients, you’d like to
know if there is evidence supporting this claim.
Asking A Focused Question

13. • PICO
• Patient/population/problem
• Intervention
• Comparison/counter-intervention
• Outcome
• (M) Methodology
• (T) Time
Asking A Focused Question

14. • P – postmenopausal woman with
hereditary risk factors for breast cancer
• I – Exercise
• C – None/no-exercise
• O – breast cancer prevention
Asking A Focused Question

15. • P – "Menopause"[Mesh]
• I – "Exercise"[Mesh] OR "Exercise
Therapy"[Mesh]
• C – None/no-exercise
• O – "Breast Neoplasms/prevention and
control"[Mesh]
Asking A Focused Question

16. • ("Menopause"[Mesh] OR post-menopausal
OR postmenopausal OR post-menopause)
AND ("Breast Neoplasms/prevention and
control"[Mesh] OR breast cancer OR breast
neoplasm) AND ( "Exercise"[Mesh] OR
"Exercise Therapy"[Mesh] OR exercise OR
physical activity OR aerobic exercise OR
strength training OR running OR sports)
Asking A Focused Question

17. • ACP Smart Medicine
• American College of Physicians
• Browse diseases alphabetically or by organ
system
• UpToDate
• Expert opinion
• Topic outline in right pane as you hover over
title
Clinical Information Tools
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18. • Many names, many functions
• Web of Science
• Science Citation Index
• Cited Reference Search, aka “times cited”
• Journal Citation Reports, aka “that thing where you find
impact factors”
• etc…
Web of Knowledge
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19. • ClinicalKey:
http://www.usc.edu/e_resources/hsl/gateways/24946.php
• Visual DX:
http://www.usc.edu/e_resources/hsl/gateways/12696.php
• Gideon:
http://www.usc.edu/e_ resources/hsl/gateways/6227.php
Other Resources
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20. • Refworks
• Online
• Free (through USC Libraries) Access
• EndNote Online
• Online
• Free (through USC Libraries) Access
• Limited functionality (depending on several factors)
• EndNote
• Desktop
• Fee-Based
• Can link to EndNote Web account
• All are extremely similar! There are other freely available tools
such as Mendeley and Zotero. Personal preference is the
deciding factor.
Bibliographic Management Software
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21. • Reference Desk - (323) 442-1116
• Monday – Friday 9am-5pm
• Email
• medlib@usc.edu
• Instant Messaging
• AIM and Yahoo! Messenger
NorrisMedicalLib
• MSN Messenger
NorrisMedicalLib@hotmail.com
• Google
norrislib@gmail.com
• Ask A Librarian Form
http://www.usc.edu/hsc/nml/assets/forms/ask-a-libn.html
Other ways to contact library staff…

22. Robert Johnson, MLIS
Norris Medical Library
robertej@usc.edu
323.442.1121
http://www.usc.edu/hsc/nml/
Questions?
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