1 / 14

Advanced Information Mastery

Advanced Information Mastery. Deborah R. Erlich, MD MMedEd Assistant Professor, Tufts University School of Medicine Assistant Clerkship Director, Family Medicine. Aims. Review Information Mastery Concepts Practice: apply concepts to real clinical questions Try some new resources.

rama-davidson
Download Presentation

Advanced Information Mastery

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Advanced Information Mastery Deborah R. Erlich, MD MMedEd Assistant Professor, Tufts University School of Medicine Assistant Clerkship Director, Family Medicine

  2. Aims • Review Information Mastery Concepts • Practice: apply concepts to real clinical questions • Try some new resources

  3. Objectives • Name 5 different EBM sources and identify when each is most useful • Perform an effective search… fast! • Categorize quality of an answer using the Usefulness Equation

  4. What makes a “good” question? • For a specific population • Compares Intervention to Comparator • Outcome of interest is patient-oriented • (can ask about intervention, prognosis or diagnosis)

  5. What makes a “good” answer? • Patient-oriented • Valid • Systematic review • Meta-analysis • Single study (RCT) • Guidelines • Expert opinion • Relevant • Reliable • Supported by Level of Evidence

  6. What makes a “good” resource? • Work • Long? Painful? • Expensive? • Inaccessible? • Relevance • Answers your question • Validity • Transparency • Grade/level of evidence Relevance x Validity Usefulness = _____________ Work

  7. Question #1 • Need L. Fobia is a 62 year old male with osteoarthritis of the knee. • Another doctor recommended a steroid injection but Mr. Fobia is terrified of needles and is only willing to undergo the procedure if it will really help him. • What is your advice?

  8. Question #2 • WeddMibed is a 7 year old boy with nocturnal enuresis. • His mother heard from her neighbor that an antidepressant called imipramine might cure the problem. She also saw an ad online for a bed alarm and a dry bed training program and wants to know which treatment is best for Wedd’s problem. • What does the evidence say?

  9. Question #3 • Mary Mee is a 28 year old female with a bump on her hand. She is hoping for an engagement ring soon so she desperately wants this gone! • What’s the most effective way to get rid of it?

  10. A few more… • Mr. O. Beece is a 48 year old male with blood pressure 149/88, HR 80, and weight 205 pounds. He wants to know if he should be checked for diabetes.

  11. Tina Bopper is a 17 year old female who had all of her early childhood vaccines on time. She also had the Menactra vaccine 4 years ago and the Tdap vaccine 6 years ago. • She asks if she needs any shots today.

  12. Mr. N. Gola is a 38 year old planning to travel to Africa. He wants to know if he needs any vaccines before his trip.

  13. Background • Treatments for common conditions • Systematic review • Systematic review • Free / no TUSK access • Immunizations • Travel • Screening / preventive care • Medications • Esoterica / rare conditions / specific paper • UpToDate • BMJ Clinical Evidence • Cochrane (gold standard) • Dynamed (more recently updated, easier?) • TRIP database • Shots app (STFM) / CDC.gov • CDC.gov • USPSTF • Epocrates (no LOE or NNT) • Micromedex • Medline

  14. Thanks • Allen Shaughnessy PharmD MMedEd • Kristen Goodell MD • Molly Cohen-Osher MD

More Related