Selecting HealthCare Resources

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Selecting HealthCare Resources

• Kathy Davies
• Education Coordinator

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Table of Contents
Accessing Resources Slide 3 Medical
Textbooks .Slide 6 Drug Information
.Slide 12 Medical Databases .Slide
18 Clinical Evidence Slide 25 Study Aids
Slide 31
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Access To All Resources
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Remote Access

• Off-campus access via proxy server
• ID is constant mcgproxy
• Get password from
• Library Information Desk_at_ 721-3441
• Online via GIL_at_MCG
• Click get GALILEO Password
• Must have library barcode to get password

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Clinical Information Resources

• Online Books
• Drug Information
• Medical Databases
• Clinical Evidence Resources
• Student Study Aids

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Online Medical Texts

• Q Where can I find background information on
  meningitis?
• A Medical Texts
• STATRef Collection (60)
• PubMed Book Shelf (40)
• 100 books in total

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STAT!Ref

• Search single/multiple texts for topics
• Multidisciplinary coverage
• Key texts include
• ACP PIER
• Harrisons Internal Medicine
• Delmars Guide to Laboratory Tests
• Current Medical Diagnosis Treatment
• Basic and Clinical Pharmacology

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STAT!Ref

• Sort Results by categories
• Point of Care
• Discipline
• Suggests similar/related terms to search
• Links to medical calculators, decision trees
• Steadmans Medical Dictionary

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STAT!Ref
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NCBI Bookshelf

• Links from PubMed citations or menu bar
• Includes following titles
• Biochemistry
• Cancer Medicine
• Genes Disease
• Medical Microbiology
• Search for specific term(s) in single/all texts

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NCBI Bookshelf
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Drug Information

• Q If a patient is taking Lipitor , are there any
  known problems with prescribing erythromycin?
• A The patient has an increased risk of myopathy
  or rhabdomyolysis.
• Micromedex Health Care System
• Drug Information Page

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Micromedex

• Drug ID Search
• Trade/Generic Names
• Drug Topic Search
• Therapeutic Use, Dosage
• Contraindications Interactions
• Drug Databases Include
• Martindales Drug Guide, USP DI
• Alternative Medicines, DRUG DEX
• Drug IV Compatibility

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Micromedex Drug Interaction
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Micromedex Drug IV Compatibility
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Drug Information Page
Link on Library Home Page
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MCG Formulary(Campus Access Only)
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Medical Databases

• Q 1 Where can I find evidence on h pylori
  infection diagnosis with a breath test?
• A OVID MEDLINE
• Q2 Is there a consensus to treat croup with
  corticosteroids?
• A Cochrane Evidence Based Databases
• ACP Journal Cub
• Controlled Trials Register
• DARE
• Systematic Reviews

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MEDLINE

• Critical Bio-Medical Database
• Different levels of evidence present
• Can print, email or save citations
• Good results require time to set up an effective
  search strategy
• Comprehensive coverage of medical field

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MEDLINE Search Tips

• Enter key concepts as separate sets
• Use Boolean Operators (AND/OR) to expand/narrow
  search range
• Use Subject Headings for relevant results
• Combine sets for complex search
• Use limits EBM filters to narrow search

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MEDLINE Search Results
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EBM Databases

• Good overviews of current clinical practice
• Synthesizes clinical data from MEDLINE and
• Search using keywords and synonyms
• Coverage limited focus is common issues
• May not address specific clinical scenario

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Cochrane Databases

• ACP Journal Club
• Review articles for value to clinical practice
• Controlled Trials Register
• Additional trials not included or easily found
  in MEDLINE
• DARE
• critical assessments of systematic reviews
• Systematic Reviews from Cochrane Group

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Cochrane Systematic Reviews
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Clinical Evidence Resources

• Q Can I search something besides MEDLINE to find
  the clinical bottom line or quick access to
  clinical procedures?
• A Try one of the following resources
• InfoPoems
• MICROMEDEX Disease Section

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What is InfoPoems?

• Pre-selected evidence based resources
• Focus on patient care of common conditions
• Not a comprehensive research source
• InfoRetriever set of EBM databases
• Keyword Multi-database searching
• Includes Cochrane, guidelines, calculators
• Daily Poems
• Reviews 100 journals monthly
• Selects 1-4 for POEM inclusion

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InfoPoems

• Organizes results into categories
• Diagnosis, Treatment, Prognosis, Harm
• Links to diagnostic tests calculators
• Brief summary with references/links to additional
  information
• Developed to address clinical scenarios
• Summary of literature Not Comprehensive

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InfoPoems
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Micromedex

• Disease Section
• Disease Databases include
• Emergency medicine, general medicine,
• Reproductive toxicology summary information
• Disease Topics include
• Disease summary treatment
• Differential Diagnosis

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Micromedex
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Medical School Study Aids

• Q1 Does the library have study guides for
  immunology, physiology or medical ethics?
• A You can use Educational Applications to
  review these topics.
• Q2 Does the library have any online tools to
  help with learning clinical exam skills?
• A Bates Visual Guide To History Physical
  Examination is now online

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Educational Applications

• Doctors Dilemma
• Issues include life support termination, birth
  control for a minor, abortion, malpractice
• Role-play a situation as a physician
• Essentials of Human Physiology
• Illustrated and interactive text chapters
• Self-assessment questions with explanations for
  incorrect answers
• Essentials of Immunology
• Practice Quiz for each chapter
• Case History

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Bates

• Requires IE Media Player to work
• Includes the following sections
• Approach to Patient
• Head To Toe Assessment
• Examination of Major Body Systems
• Nervous System
• Cardiovascular System
• Head, Eyes, Ears