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Effective Search Techniques for Asking and Answering Clinical Questions

Effective Search Techniques for Asking and Answering Clinical Questions Gale G. Hannigan Internal Medicine Clerkship Informatics Rotation 2006-07 General information New to topic Orientation Refresher Often answered by texts Specific to patient For decision making Action

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Effective Search Techniques for Asking and Answering Clinical Questions

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  1. Effective Search Techniques for Asking and AnsweringClinical Questions Gale G. Hannigan Internal Medicine Clerkship Informatics Rotation 2006-07

  2. General information New to topic Orientation Refresher Often answered by texts Specific to patient For decision making Action “Best evidence” New tools for clinicians Background vs Foreground Questions Throughout your practice you will have both kinds of questions, but the proportion will change

  3. Clinical Question (PICO Format) Patient Problem: Intervention: or Comparison: Outcome:

  4. Clinical Question in PICO Format Patient Problem: Type II Diabetes Intervention: Glyburide or Comparison: Metformin Outcome: Lower Hb A1c

  5. Clinical Question (PICO Format) Patient Problem: Intervention: or Comparison: Outcome:

  6. Dr. Suma Pokala suma.pokala@med.va.gov Send question by Tuesday evening. Do not work on answer until you hear from her – Thursday morning when we meet is soon enough.

  7. Systematic Reviews Summarized Evidence- Referenced Resources Research Articles Other Sources

  8. Systematic Reviews Cochrane Library (SRs and DARE) PubMed Clinical Queries(Systematic Reviews) PubMed Limits(Meta-analysis)

  9. Systematic Reviews Summarized Evidence- Referenced Resources InfoPOEMS/InfoRetriever ACP Journal Club Up-To-Date

  10. Systematic Reviews Summarized Evidence- Referenced Resources Research Articles MEDLINE

  11. PubMed MEDLINE • Newest interface • Premier database – content and organization • Features • Subheadings • Limits • Find Related Articles • Clinical Queries • Patient/Consumer Information • Automatic article request service

  12. PubMed Hints • Use the MeSH Database • Use specific terminology • Start with disease term • Use subheadings • Restrict to Major Topic if common disease • “AND” other terms with/without subheadings, major topic restriction • Use Limits for language, human, age groups, years of publication • Use system capabilities until your retrieval set is approximately <30

  13. Systematic Reviews Summarized Evidence- Referenced Resources Research Articles Other Sources Where to look - Textbooks, reviews, experts

  14. Aggregators Ex. InfoRetriever

  15. Questions?

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