| Welcome! This
tutorial is designed to teach you how to select and search key
resources to locate evidence-based information for clinical decision-making.
Many high-quality sites on the Internet provide pointers to long
and detailed lists of EBM literature sources, but few provide
guidance on how to choose the most useful tools from among all
of these options. Specific techniques for effective searching
are also not easy to find, with the exception of the many instructional
pages on MEDLINE searching. However, a search of the enormous
MEDLINE database is not always optimal when looking for the best
clinical evidence. More and more resource tools are available
in the form of peer-reviewed, pre-appraised compendia that filter
out unreliable or irrelevant information. Many of these evidence-based
repositories provide value-added summaries, expert commentary
and specific recommendations.
The emphasis in this tutorial is on understanding how and when
to use core EBM resources and techniques for productive searching.
The tutorial assumes you are already familiar with basic database
searching techniques. If you need assistance with concepts such
as Boolean operators and wildcards, see the “Information
Retrieval Skills for Medicine” tutorial from University of
Leicester Clinical Sciences Library. Of particular interest is
the section on “Successful
Database Searching.” This tutorial will cover more advanced
searching concepts, such as understanding the use of controlled
vocabulary and thesaurus terms.

Objectives
By the time you complete this tutorial you should be able to:
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Understand how to make informed choices about
using the many evidence-based information resources that
are available |
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Select a relevant and useful EBM resource based on your
clinical question |
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Develop, execute and refine an efficient search strategy
for four key EBM resources |
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Understand how and when to use controlled vocabulary
or thesaurus searching in the MEDLINE database |
This tutorial is not designed to teach you the principles of
evidence-based medicine itself, although we will review the basics.
The EBM process is well documented, both in the medical literature
and on the Internet. To learn more, see Introduction
to Evidence-Based Medicine, a tutorial from the University
of North Carolina at Chapel Hill Health Sciences Library and the
Duke University Medical Center Library or the Centre
for Evidence Based Medicine site from the University of Toronto.

Contents
This tutorial includes the following individual sections:
Welcome (the page you are on now) summarizes
the purpose of this tutorial
Introduction briefly
reviews EBM and highlights key literature resources
Starting Your Search
presents a strategy for choosing EBM tools. It also introduces
a clinical scenario and a searchable clinical question
Using Key EBM Resources
describes content and searching techniques for four key resources:
Note: With the exception of PubMed
Clinical queries, access to these EBM resources is restricted
to affiliates of UNC-Chapel Hill or other institutions or individuals
that have purchased subscriptions to these proprietary databases.
Please see this detailed EBM
resource table for further information about access options.
Quiz offers a chance
to review what you have learned
Resource Links provides
pointers to other web-based collections of EBM resources
References lists the
books and articles used in constructing this tutorial
Evaluation is a
place for you to provide valuable feedback that will help us improve
this tutorial.

How to Use This Tutorial
Navigation
It is best to follow the sequence of sections if you are new
to the topic of evidence-based literature searching. To move from
one section to another, click on the navigation bar you will find
on the left side of each page of this tutorial.
Links to Websites
This tutorial includes links to other Websites. Wherever this
tutorial links to an external Web site, that site will open in
a new browser window. To return to this tutorial, close the window
of the external Web site. The window containing this tutorial
should still be on your screen.
Good luck!

Credits and Feedback
Members of the Education Services staff at the UNC
Chapel Hill Health Sciences Library created this tutorial.
Please send feedback by completing the form on the Evaluation
page of this tutorial. We look forward to hearing from you.


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