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Using Library Resources to Answer Clinical Questions

Using Library Resources to Answer Clinical Questions. Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine. Objectives . Students will begin to utilize the FSU COM virtual library resources to locate clinical information online

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Using Library Resources to Answer Clinical Questions

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  1. Using Library Resourcesto Answer Clinical Questions Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine

  2. Objectives • Students will begin to utilize the FSU COM virtual library resources to locate clinical information online • Identify the type of question you have: background or clinical • Distinguish which type of resource would best answer a clinical question: drug, disease or differential diagnosis resource • Identify the type and depth of information contained in various resources. • Find answers to clinical questions in the library resources.

  3. What Kind of Question Do I Have? • Basic science or background question? • What is an olecranon? [for personal learning] • What is Kawasaki Disease? • Clinical question? [for patient care] • What are the risk factors for Heart Disease? • Which is better for diagnosing pneumonia: x-ray, CT or MRI? [Diagnosis] • Which antibiotic(s) should I prescribe for MRSA? [Treatment] • How much does amoxicillin cost? [Drug]

  4. Answering a Background Question • Searching most efficient • Google/Wikipedia (assess the validity) • Use Medical Dictionary • Use basic science textbooks • Listed under Course Pages on Library

  5. Medical Dictionaries • Stedman’s is in PEPID and StatRef • Others: Academic/Research Includes pronunciation

  6. Answering Clinical Questions • Quickest method: Browse a specific resource • Requires: knowing the content of sites/resources • Starting point: Library web page or your handheld (iPod/iPad or smartphone) • Learn to use subscription resources

  7. What Kind of Clinical Question? • The type of question and how much information you need will determine the resource you use. • Drug • Disease • Lab • Calculator • Differential Diagnosis Tool

  8. Library Webpage

  9. Clinical Tools

  10. Resource Content

  11. Drug References Rx OTC Alt

  12. Typical Drug Information • Indications (what is it prescribed for) • Dosing • Contraindications/cautions • Complications/adverse reactions • Interactions • Safety • Pharmacology

  13. Typical Drug Resource Tools • Drug Interaction Checker • Pill Identifier • Dosage Calculator • Antibiotics Guide • Formularies

  14. Disease References 5 Minute Clinical Consult DynaMed Epocrates PEPID

  15. Types of Questions Best Answered by Dx References • Description/background/risk factors • Epidemiology • Diagnosis (H&P) • Treatment • Ongoing management • Prognosis/outcomes • Prevention How much information do you want?

  16. Differential Diagnosis Tools (Making the Diagnosis) DxPlain PEPID Diagnosaurus DDx

  17. Differential Diagnosis Tools • Enter symptom(s), findings, and/or labs • Get a differential in order of likelihood • Distinguish common and rare conditions • Get more info on disease • Get advice on more symptoms to look for • Get advice on labs to order 17

  18. Demonstrations of Resources • Posted separately 5-10 minute demos • Epocrates Online • 5 Minute Clinical Consult • Dynamed • PEPID • DxPlain • Diagnosaurus

  19. Assignment • Goal of assignment: become familiar with the structure, content, depth of content of the major resources on the Medical Library web site. • Do the Medical Resources Exercise.

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