Health Sciences Library

navigation bar Welcome Introduction Starting Your Search Using Key Resources UpToDate Cochrane ACP Journal Club PubMed Clinical Queries Quiz Resource Links References Evaluation

 

Searching the Medical Literature for the Best Evidence
Welcome

Objectives | Contents | How to Use this Tutorial | Credits and Feedback

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:

Understand how to make informed choices about using the many evidence-based information resources that are available

Select a relevant and useful EBM resource based on your clinical question

Develop, execute and refine an efficient search strategy for four key EBM resources

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:

UpToDate

Cochrane Database of Systematic Reviews

ACP Journal Club

PubMed Clinical Queries

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.

Top of Page

Searching the Medical Literature for the Best Evidence

© 2003 Health Sciences Library, UNC Chapel Hill