Students will
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Students will Students will Demonstrate the ability to acquire new data and information and to critically appraise its validity and applicability. Students will Students will Demonstrate ability to locate quality clinical information on the web utilizing a variety of strategies Assess the reliability and validity of clinical information found using search engines on the web Begin to utilize the FSU COM virtual library resources to locate medical information for clinical decision support [Old and new] http://www.med.fsu.edu/informatics/ http://www.med.fsu.edu/informatics/ Medical References PowerPoint Assessing the Validity of Online Medical Information Decision Support Using Drug Resources What is the most efficient, unbiased way to keep up to date? What is the most efficient, unbiased way to keep up to date? Go to conferences Read 20-30 journal articles a week Look up answers to clinical questions when they occur in a reliable, current resource AMA Guidelines for Medical and Health Information Sites on the Internet AMA Guidelines for Medical and Health Information Sites on the Internet Health on the Net Code of Conduct HON Site ownership/domain
Site ownership/domain Site ownership/domain Contributors listed, credentials, contact info MEDLINE Abstracts/Journal Articles Proceedings from scientific meetings Timeliness: date posted, revised Viewer access, payment and privacy Funding and sponsorship List 5 ways Wikipedia does not fit the criteria as a reliable site. List 5 ways Wikipedia does not fit the criteria as a reliable site. Search Google for treatment of back pain Search Google for treatment of back pain Rate the first 20 hits Sponsor? Advertisements? Audience? Authors? Links? Date Revised? Do advanced search limit to .gov domain and compare results Search for prostate cancer screening Information for/by students Information for/by students Information for/by patients Information for/by clinicians Information for/by researchers Sales pitches, ads Quacks who want to sell something Library subscription resource = reliable Library subscription resource = reliable Basic science or background question?Basic science or background question?Clinical question?What are the risk factors for hypertension? Which is better for diagnosing pneumonia: x-ray, CT or MRI? How should I treat otitis media? How much does amoxicillin cost? Searching most efficient Searching most efficient Google/Wikipedia (assess the validity ) Use Medical Dictionary Basic Science Textbooks Stedman’s is at eMedicine, in PEPID Stedman’s is at eMedicine, in PEPID Dorland’s at Merck Using Stedman’s Medical Dictionary Using Stedman’s Medical Dictionary Look up: dyspnea nephrolithiasis teratogenic iatrogenic epistaxis cyanosis Background information on topic Background information on topic Basic science question instead of disease specific question Detailed information/explanations versus bottom line Lots of time versus short on time Zebras versus common problems Searches Library Resources Searches Library Resources Pick the type of resources to search Groups by resource Uses resource search engine Multi-Search = Webfeat Multi-Search = Webfeat Changing to SerialSolutions 360, August 2010 Only eBooks and Patient Education Best selection of all basic science books Best selection of all basic science books Search productive Quickest method: Browse to specific resource Quickest method: Browse to specific resource Requires: knowing the content of sites/resources Starting point: Library web page or your handheld (iPod or cell phone) Learn to use subscription resources IP address verification IP address verification Limited simultaneous users Special URL issues Bottom Line Use links on Library Homepage IP authentication IP authentication Proxy server – EZProxy FSU COM ID and password Use links on library page Enter symptoms or chief complaint Enter symptoms or chief complaint Get a differential Get more info on disease DxPlain ***** Using DxPlain or PEPID Using DxPlain or PEPID Patient 35 yr old female Chief complaint – fatigue, duration 2 months Other symptoms: throat pain, cold intolerance, weight gain, bradycardia, and constipation, Differential? Rx, OTC and Alternative medicines by brand name, generic, and by class Rx, OTC and Alternative medicines by brand name, generic, and by class Formularies Drug Interaction tool Disease reference, pill identifier, medical calculators, tables Constantly updated Add all the drugs on the patients medications list (Rx, OTC, Alt) plus drug considering Add all the drugs on the patients medications list (Rx, OTC, Alt) plus drug considering Look to see if any interactions What is the severity of interaction Rx, OTC and Alternative medicines by brand name, generic, and by class Rx, OTC and Alternative medicines by brand name, generic, and by class Drug Interaction tool DDx, Disease reference, Lab manual, medical calculators, clerkships, images Constantly updated Select all drugs on list Select all drugs on list Say Done Click Interactions Click specific interaction to read details Using Epocrates Online Using Epocrates Online How should you prescribe acyclovir for chicken pox in an immunocompromised patient? (dose) How much do 9 (50 mg) tablets of Imitrex cost? (common migraine drug) Are there any drug interactions between Lexapro, Lortab, Xanax and Zocor? Description/background Description/background Epidemiology Diagnosis Treatment Prognosis/outcomes Prevention Most comprehensive disease reference Most comprehensive disease reference Summarizes all the latest research on topic Very detailed Well organized Links out to full text articles if more details needed Includes both diseases and symptoms like chest pain Organization: Organization: Includes History and Physical sections (why am I asking these questions) Expand or collapse sections Use CTRL-F to search page Using Dynamed -- Question: What is the typical history of present illness for someone with SARS ? Using Dynamed -- Question: What is the typical history of present illness for someone with SARS ? Type in SARS or use alphabetical listing Explode History Moderate amount of detail and information Moderate amount of detail and information Several monographs on one topic by different specialties Google searches it Now owned by WebMD/Medscape. Suggest registering. One of Student’s favorite Subscription eliminates ads found on free Medscape site Subscription eliminates ads found on free Medscape site One long page of information Navigation clunky, inconsistent Using eMedicine - Question: What is the functional anatomy when you have a Rotator Cuff Injury ? Using eMedicine - Question: What is the functional anatomy when you have a Rotator Cuff Injury ? Search or browse to Rotator Cuff Injury. Use Sports Medicine article. Select Introduction Internal Medicine focus Internal Medicine focus Linked to Access Medicine content Has drug information from GoldStandard Nice navigation on left side Using DynaMed, eMedicine, Epocrates and/or Harrison’s Practice: Using DynaMed, eMedicine, Epocrates and/or Harrison’s Practice: Develop a scenario for CSSC practice Complete form provided (optional) Pick from diseases top 10 DDx in primary care or top 20 diagnoses seen by students Complete electronically (form on Blackboard) Change file name to your name (John_Doe.doc) Upload to Blackboard Assignments Tab on D101 BB by Friday the 7/23/09, by midnight Cough Cough Fatigue Low Back Pain Fever Dyspnea Clinical Evidence Clinical Evidence DynaMed Epocrates Essentials Essential Evidence+ Harrison’s Practice PEPID Geriatrics at Your Fingertips Name three things you should look for in a web site with medical information that would make you feel more confident about the content of that website. Name three things you should look for in a web site with medical information that would make you feel more confident about the content of that website. What resources are going to be the most accurate, reliable, and up to date? Name a library drug reference, a differential diagnosis resource, and a disease quick reference Dostları ilə paylaş:
