THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Using Library Resources
to Answer Clinical Questions
Nancy Clark, M.Ed.
Director of Medical Informatics Education
FSU College of Medicine
Summer 2014
1
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Objectives
• Students will begin to utilize the FSU COM virtual
library resources to locate clinical information online
– Identify the type of question you have: background or
clinical
– Distinguish which type of resource would best answer
a clinical question: drug, disease or differential
diagnosis resource
– Identify the type and depth of information contained in
various resources.
– Find answers to clinical questions in the library
resources.
Summer 2014
2
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
What Kind of Question Do I Have?
• Basic science or background question?
– What is an olecranon? [for personal learning]
– What is Kawasaki Disease?
• Clinical question? [for patient care]
– What are the risk factors for Heart Disease?
– Which is better for diagnosing pneumonia: x-ray, CT or
MRI? [Diagnosis]
– Which antibiotic(s) should I prescribe for MRSA?
[Treatment]
– How much does amoxicillin cost? [Drug]
Summer 2014
3
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Answering a Background Question
•
•
•
•
Searching most efficient
Google/Wikipedia (assess the validity)
Use Medical Dictionary
Use basic science textbooks
– Listed under Course Pages on Library
Summer 2014
4
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Medical Dictionaries
• Stedman’s is in PEPID and StatRef
• Others: Academic/Research
Includes pronunciation
Summer 2014
5
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Answering Clinical Questions
• Quickest method: Browse a specific resource
• Requires: knowing the content of
sites/resources
• Starting point: Library web page or your
handheld (iPod/iPad or smartphone)
• Learn to use subscription resources
Summer 2014
6
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
What Kind of Clinical Question?
• The type of question and how much
information you need will determine the
resource you use.
– Drug
– Disease
– Lab
– Calculator
– Differential Diagnosis Tool
Summer 2014
7
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Library Webpage
Summer 2014
8
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Clinical Tools
Summer 2014
9
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Resource Content
Resource
Rx
DxPlain Online
DDx
X
PEPID
X
Dynamed
X
X
X
X
X
5 Minute Clinical Consult
Summer 2014
LAB Calcs
X
Epocrates Online
Diagnosaurus
Dx
X
X
X
X
X
X
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THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Drug References
Summer 2014
11
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Typical Drug Information
•
•
•
•
•
•
•
Indications (what is it prescribed for)
Dosing
Contraindications/cautions
Complications/adverse reactions
Interactions
Safety
Pharmacology
Summer 2014
12
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Typical Drug Resource Tools
•
•
•
•
•
Drug Interaction Checker
Pill Identifier
Dosage Calculator
Antibiotics Guide
Formularies
Summer 2014
13
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Disease References
5 Minute Clinical Consult
DynaMed
Epocrates
PEPID
Summer 2014
14
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Types of Questions Best Answered by Dx References
•
•
•
•
•
•
•
Description/background/risk factors
Epidemiology
How much
Diagnosis (H&P)
information
Treatment
do you want?
Ongoing management
Prognosis/outcomes
Prevention
Summer 2014
15
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Differential Diagnosis Tools
(Making the Diagnosis)
DxPlain
PEPID
Diagnosaurus
Summer 2014
16
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Differential Diagnosis Tools
• Enter symptom(s), findings, and/or labs
– Get a differential in order of likelihood
– Distinguish common and rare conditions
– Get more info on disease
– Get advice on more symptoms to look for
– Get advice on labs to order
Summer 2014
17
17
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Demonstrations of Resources
• Posted separately 5-10 minute demos
– Epocrates Online
– 5 Minute Clinical Consult
– Dynamed
– PEPID
– DxPlain
– Diagnosaurus
Summer 2014
18
THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Educating and developing exemplary physicians who practice patient-centered health care
Assignment
• Goal of assignment: become familiar with the
structure, content, depth of content of the
major resources on the Medical Library web
site.
• Do the Medical Resources Exercise.
Summer 2014
19