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Resources for Practicing EBM
What is the ideal resource?
| EBM Resources | EBM
What is the ideal resource?
The following is a list of some valuable resources
for practicing EBM. Descriptions of these resources
appear below the list.
Summaries of the primary evidence
ACP Journal Club
ACP Journal Club's general purpose is to select
published articles according to explicit criteria
and to abstract those studies and reviews that warrant
immediate attention by physicians attempting to keep
pace with important advances in the treatment, prevention,
diagnosis, cause, prognosis, or economics of the
disorders managed by internists. These articles are
summarized in "value-added" abstracts and
commented on by clinical experts. Abstracts and commentaries are reviewed at 5 year intervals and are either archived or updated. ACP Journal Club is available in print and electronic.
For more information, see
Clinical Evidence is a textbook and database of
clinical questions designed to help clinicians make
evidence–based medicine part of their everyday practice.
Hundreds of clinical questions, representing nearly
every clinical specialty, cover the effects of
treatments and interventions based on the best available
include commonly encountered or important conditions
seen in primary care or ambulatory settings. Clinical Evidence is available in print and electronic.
For more information, see Clinical Evidence at http://www.clinicalevidence.com/
eMedicine is an online, peer-reviewed medical reference
that provides access to information on diseases,
including background, differential diagnosis, work-up,
treatment, medications, and follow-up. Consumer health content began in 2003. Contributors include
physicians and faculty from medical schools and medical
societies. Additional resources include clinical
calculators, images, CME, decision rules, and drug
information. eMedicine is in electronic format and is available free.
For more information see eMedicine at http://www.emedicine.com
FPIN Clinical Inquiries
Clinical Inquiries are produced by the Family Practitioners Inquiries Network (FPIN).
Clinical Inquiries are a series of answers to practicing physicians' questions that help FPIN achieve its goal to provide rapid, evidence based answers to family physicians. FPIN has developed levels of answers to provide the best possible evidence based answer at the point of care.
For more information see FPIN at http://www.fpin.org
The term POEM, Patient-Oriented Evidence
that Matters, refers to the kind of article
that addresses a clinical problem or clinical question
that primary care physicians encounter in their
practice; that measures patient-oriented outcomes; and,
that has the potential to change clinical practice
if the results are valid and applicable.
POEMs are published in BMJ and American Family Physician and also available electronically via Info Retriever and Daily POEMs.
For more information see InfoPOEMS at
UpToDate is a clinical reference designed
to provide quick and easy access to clinical information. It is
comprised of thousands of original topic reviews
written by a recognized faculty of experts who each
address a specific clinical issue and provide detailed
recommendations. Each topic review is peer reviewed, referenced, and offers CME credit. Patient-level information is available for some topics. UpToDate is in electronic format.
For more information, see UpToDate at http://www.uptodate.com.
Produced by the U.S. National Library of Medicine,
the MEDLINE database contains over 11 million references
to journal articles in life sciences with a concentration
MEDLINE is available
free of charge, via PubMed, from the National Library of Medicine.
It is also available for a fee from several
providers including Ovid Technologies and Aries Knowledge Finder.
Access PubMed at: http://www.pubmed.gov
The Cochrane Library
The Cochrane Library consists of several elecronic databases:
Cochrane Database of Systematic Reviews (Cochrane Reviews)
provides access to regularly updated, systematic
reviews, maintained by the various Cochrane Review
Database of Abstracts of Reviews of Effects (DARE), provides access to abstracts of systematic reviews, and is maintained by the NHS Centre for Reviews and Dissemination at the University of York. DARE can be accessed from the NHS Centre for Reviews and Dissemination home page: http://www.york.ac.uk/inst/crd/crddatabases.htm
Cochrane Central Register of Controlled Trials (Central),
a database of controlled trials identified by
the Cochrane Review Groups. Most of these are
in MEDLINE, but often difficult to locate.
Cochrane Database of Methodology Reviews (CDMR)
provides a bibliography of articles and books
on the science of research synthesis.
For more information see Cochrane Library at http://www.cochrane.org/reviews/clibintro.htm
Electronic textbooks and libraries
PIER is evidence-based clinical guidance presented electronically in a unique layered and telegraphic format. It is designed for rapid access to clinical information at the point of care. PIER includes recommendations based on all levels of medical evidence including RCTs, cohort and observational studies, case reports, and expert opinion.
For more information see ACP PIER at http://pier.acponline.org/index.html
This medical database is an updated version of the
classic textbook, Harrison's Principles of Internal
Medicine. Harrison's Online includes full search
capabilities of the 15th edition of Harrison's Principles
of Internal Medicine, daily updates,
late-breaking clinical trial data, and more. Also available in print.
For more information see Harrisons Online at http://www.harrisons.accessmedicine.com/
MD Consult provides access to medical texts,
clinical practice guidelines,
patient education handouts (many in Spanish),
a drug information database, and full
text to several medical journals. In addition, MD Consult provides an update
service, summarizing articles in recent medical journals
and highlighting articles that patients may be reading
in the popular press.
For more information see MD Consult at
STAT!Ref is an easy to use, electronically searchable,
digital medical library for healthcare professionals.
Users can cross-reference and search the latest clinical
information from more than 30 medical texts including
Current Medical Diagnosis & Treatment, Mosby's GenRX,
and Griffith's 5 Minute Clinical Consult.
For more information see Stat!Ref at
SUMSearch is a unique method of searching for medical
evidence by using the Internet. SUMSearch combines
meta-searching and contingency searching in order
to automate searching for medical evidence. Meta-searching
means simultaneously searching multiple Internet
sites (including MEDLINE) and collating the results
into one page.
For more information see SUMSearch at http://sumsearch.uthscsa.edu/
The TRIP Plus database is a meta-search engine that searches
across multiple sites of high-quality medical information, including PubMed's Clinical Inquiries.
TRIP Plus is an electronic resource.
For more information see TRIP at
NC Evidence-Based Medicine Education Center of Excellence:
Duke University Medical Center (resource materials used in Evidence-Based
University of Illinois at Chicago, Evidence Based Medicine: Finding the
Best Clinical Literature: http://www.uic.edu/depts/lib/lhsp/resources/ebm.shtml
University of Rochester Medical Center, Nesbit EBM Guide:
SUNY Downstate Medical Center, Evidence Based Medicine Course: http://library.downstate.edu/EBM2/contents.htm
Michigan State University, An Introduction to Information
University of Virginia Health Sciences Library, Navigating the Maze:
Obtaining Evidence-Based Medical Information:
NHS Research and Development Centre for Evidence-Based Medicine http://www.cebm.net/
Netting the Evidence - A ScHARR Introduction to Evidence Based Practice
on the Internet: http://www.nettingtheevidence.org.uk/
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