Just realized that I have not yet mentioned here that I don’t work in a medical library any longer.
A few months ago, I took a job as the geek (technologist-generalist?) for the Department of Emergency Medicine at SUNY Upstate. I love the job. Love it. The people are great and the work is both challenging and interesting.
While I have really enjoyed shifting more to the mechanics of health information than the content, I’ve found certain librarianish habits and interests haven’t faded.
“There is a way of understanding how much modern medicine has to offer individual patients. It is a simple statistical concept called the “Number-Needed-to-Treat”, or for short the ‘NNT’. The NNT offers a measurement of the impact of a medicine or therapy by estimating the number of patients that need to be treated in order to have an impact on one person. The concept is statistical, but intuitive, for we know that not everyone is helped by a medicine or intervention — some benefit, some are harmed, and some are unaffected. The NNT tells us how many of each.”
We are inviting all medical librarians to take this survey. The purpose of the survey is to explore the roles of health sciences librarians in enhancing and supporting evidence-based medicine (EBM) practice. Results will be reported only for research purposes. The survey will take no more than 10 minutes.
If you have questions about the survey, please contact Lin Wu directly:
Reference Services Librarian
Health Sciences Library
University of Tennessee Health Science Center
877 Madison Avenue; Memphis, TN 38163
Email: lwu5 [AT] utmem [DOT] edu
Toll-free: 877-747-0004; Local: 448-5404
Journal of the Medical Library Association and health sciences library director and Andrew Booth, a leader in EBLIP from the U.K., discuss whether the model of evidence based practice as it has evolved in other fields such as health sciences can be applied to the field of library and information science. Plutchak questions whether the “big questions” in the LIS field can ever be address by the currently available models and Booth counters with arguments in the affirmative. The speakers use the characteristic humor of the classical debating format to make their points.
The Information Resources Section of the School of Health and Related Research (ScHARR) at the University of Sheffield has put together a Google Custom Search Engine of interest to medical libraryfolk. According to Andrew Booth, Director of Information Resources & Reader in Evidence Based Information Practice, the Netting the Evidence Google Search Engine “…searches over one hundred web sites (107) associated with the METHODOLOGY of evidence based practice.”
Really, if you read his work or hear him speak, you get the sense that he isn’t actually hostile towards religious people, he’s hostile towards attacks on reason. So it isn’t really surprising that in his Channel 4 special, The Enemies of Reason, he expresses strong views about superstition and the way it can impact medicine in the form of some “alternative” health therapies in the episode entitled The Irrational Health Service.
You can watch it in the embedded video below:
I particularly enjoy how Dawkins takes apart homeopathy.
Readers were given three choices to vote on. When the 6,085 votes from 113 countries were counted, two of the three choices were almost a tie, with only eight votes separating them. But the winner, with 37.5 percent of the votes, was not the choice consistent with what the two studies concluded…
Provided by the Dartmouth Biomedical Libraries, Dartmouth College and the Cushing/Whitney Medical Library, Yale School of Medicine, the EBM Page Generator looks like a wonderful tool to help a medical library create an EBM page on its intranet, even without extensive Web development skills.
Welcome to the EBM Page Generator!
Let us help you create your own EBM web page with your resources for your website. Once you’ve gone through the process, you’ll end up with the code to export to your own web site.
In five simple steps, your library can select the resources it has available and wishes to include, plug in the appropriate URLs, then copy and paste the code it generates into the appropriate intranet page.
Jon Brassey allowed me access so I could take some of the TRIP database’s upcoming enhancements for a test drive. They’re awesome. Here are just a few highlights:
RSS feeds (woohoo!) from searches:
Just click the little icon in the list of search results for an article and get a quick look at the conclusion!
The Snippets feature is hard to illustrate with screen captures that will display properly here, so I’ll describe/simulate it in text instead.
Here’s a search result without the Snippets feature turned on:
Transdermal Nicotine for Ulcerative Colitis
Here’s the same search result with the Snippets feature turned on, giving a taste of the item’s content:
Transdermal Nicotine for Ulcerative Colitis
Nicotine for Ulcerative Colitis Case-control study Transdermal nicotine treatment Comment Ulcerative colitis has an…-control study One hundred patients with ulcerative colitis were matched for age and sex with community control subjects, and…
There’s other neat stuff on the way, too- so if you’d like to keep up with TRIP’s evolution, you may want to subscribe to its blog.
Thanks for letting me play with your new toys, Jon- they’re way cool.
“The cases in the BMJ article deal with diagnoses so rare that most physicians will never make them in their lifetime,” Armstrong says. “Google is useful for them, but not for common conditions where presenting complaints are vague, like ‘nausea, fatigue, generalized muscle pain.’ Google would yield a morass of disorganized information with no built-in quality filter. I can’t think of a single person in the EBM field who would use Google on a regular basis.”
Armstrong says the BMJ study would have been more convincing had it compared Google with EBM search engines such as the TRIP Database (for more information, see “The best treatment? It’s at your fingertips,” in the March 4, 2005 issue). Interestingly enough, Jon Brassey, a co-founder and co-director of TRIP (www.tripdatabase.com), holds Google in higher regard. “Google isn’t anywhere near as good as TRIP,” Brassey wrote in a blog. “But it’s pretty fine.”
Nobody pretends medicine is easy, but if there’s one thing we ought to be able to rely on, it’s that the doctors looking out for us are doing more than playing hunches. We take certain medicines because they work, right? We go into the operating room for certain procedures because they’ll make us well, don’t we?
I’ve mentioned previously that I really enjoyed my trial of DynaMed and wished I could get it into our library’s budget. It looks like the UK’s NHS likes it, too.
From today’s press release:
IPSWICH, Mass.–(BUSINESS WIRE)–As the result of a procurement undertaken by the National Health Service (NHS) of England, DynaMed™ is now offered as a key component of the new Clinical Knowledge Summaries (CKS) Service for the NHS community. As such, this evidence-based reference product created by physicians and made available by EBSCO Publishing (EBSCO), is now accessible at the primary point of care, for use by every physician and other health care professional across England.
NHS is the renowned government agency that manages and coordinates all aspects of the health care system in the UK. It is the largest single health care organization in Europe and often a model for all of the national health systems throughout the continent. Providing NHS physicians with unlimited usage of DynaMed, including via PDA, greatly expands their access to evidence-based materials.
Eugene Barsky points out a podcast from the British Columbia Rehabilitation Sciences Research Network (BC RSRnet) by Alison Hoens and Maggie McIlwaine entitled “Appraising the Evidence: So how do I know that this article is any good?”
This session would be of particular interest to the folks interested in Quantitative part of the health research, Alison is a gifted presenter, it is worth spending those three hours listening – there is lots to learn!
Details including links to the podcast and a companion PDF can be found at the UBC Physio Info-blog.
Looks like good stuff that I hope to download to my mp3 player soon.
One nit-pick: If I can’t set a podcatcher (iTunes or something else) to subscribe to a feed and automatically download new audio files, is this really a “podcast?” …or did I just fail to find the feed?
The Arizona Health Sciences Library has collaborated with clinical faculty to develop a federated search engine that is useful for meeting real-time clinical information needs. This article proposes a technology mediation role for the reference librarian that was inspired by the project, and describes the collaborative model used for developing technology-mediated services for targeted users.
The first obstacle to overcome is establishing a connection between the three parties with critical knowledge bases – systems, resources, and users. Identifying and enlisting these parties presents a challenge, especially for smaller organizations with limited resources. In the world of academic health sciences libraries, reference librarians are best suited to initiating and maintaining this relationship, as well as advocating for navigational tools that create added value and convenience for users.