Transcript Information Resources

Information Resources – NSUOCO
New Residents Orientation
Sandra A. Martin, M.L.I.S.
Health Sciences Resource Coordinator
Optometry Subject Librarian
John Vaughan Library Room 305B
[email protected] – 918.444.3263
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Learning Objectives
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To provide a mechanism for residents to access
the most current vision science and medically
related information
To familiarize residents with specific information
resources and library services to support
research for projects and clinical applications
To familiarize residents with evidence-based
practice and life-long learning techniques
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John Vaughan Library (JVL)
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Short walk from the Optometry building
Comprehensive print and online collections
Friendly, welcoming staff
Open until 12:00 a.m. Sunday-Thursday during Fall and
Spring semesters
Hours posted at
http://library.nsuok.edu/Admin/libhrs.html
Checkout Laptops, iPads, & cameras at Reserve Desk
Wi Fi hot spots throughout the building
Comfortable seating and study environments
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Services and Collections
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1st Floor – Reserves, Audiovisuals, Circulation,
Interlibrary Loan, Computers, Scanners & Printers
2d Floor – Journals, Newspapers, Special Collections,
Computers, Scanners & Printers
3d Floor – Books, Government Documents, Optometry
Librarian (305B)
Books & Journals shelved by Library of Congress call
numbers. Most Vision Science titles found in R, RE, and
Q areas
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Sandra Martin Provides….
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Instruction
Research Assistance
Small Group Consulting
Database Searches
Collection Development (Selection of print and online
books, audiovisuals, journals and databases)
Assistance with any health-related information need
Office Hours: Tuesday 10 am to 4 pm
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Helpful Tools
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Optometry Web Page
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Optometry Databases, e-journals, e-books, and other tools
available 24/7
Supports specific research, teaching, and patient care needs of
NSUOCO faculty, students, and residents
Start Here to find resources for all optometry and medical topics
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http://library.nsuok.edu/collegeop/index.html
Important Link: Instructions for Locating Full Text
Journal Articles shows you how to find full text of
articles available in “all” library databases
Instructions for Locating Full Text Journal
Articles
Link From the NSU Libraries Home Page
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Remote Access
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Enter NT-NSU user id and password to access the
library’s electronic resources
Contact Tom Tinnell if you have problems with your user
id or password
Contact Sandra to report other technical problems or for
search assistance
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Interlibrary Loan/Document Delivery
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Services
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ILL Requests
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Scan and email pdf of articles from journals in the library’s
print collection – you do not have to pull print journals from
the shelf and scan or photocopy
Deliver books, audiovisuals, and journal articles not owned
by the library
Journal articles delivered electronically if possible
Click on Interlibrary Loan link from Optometry Web Page
Create the online Iliad Profile
Complete online request form for articles and books
Contact [email protected] for help
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Getting Started: Match Resource to
Information Need
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What is the question?
How will information be used?
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Background vs. Foreground Questions
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Asking questions about your proposed topic
helps to clarify your knowledge gap
Clarifying type of question helps to determine
which sources are most likely to have the
answers you need
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Part I. Information Retrieval for Research
Projects
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Comprehensive in scope and time
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All levels of resources
Current and retrospective
Background and foreground Information
Use/Application of results
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Presentations
Publications
Sharing with colleagues
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Background Questions
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Generally ask who, what, why, where or how
about a single concept
Require general knowledge of disease and
therapeutic processes
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Proposed Research Projects
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Evaluate the accuracy of the Humphrey
Visual Field Analyzer compared to the MP-1
in patients with glaucoma
Assess efficacy of anti-fatigue lenses in
relieving eye strain and computer vision
syndrome
Assess effectiveness of vitamin supplements
and oral antioxidants to improve dry eye
symptoms
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Begin with Background Questions
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What are methods of visual field testing in
glaucoma? How is the Humphrey Visual
Field Analyzer used?
What are the ocular causes and potential
treatments of visual fatigue and computer
vision syndrome?
What oral antioxidant combinations and
topical vitamin eye drops have been used to
treat dry eyes in adult patients?
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Answers to Background Questions
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Information Resources:
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Clinical Key
e-Book and e-Journal Collections
Print Books
Ovid MEDLINE – Basic Search
Visionet – vision therapy related topics
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Clinical Key
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Full text access to 1,000 books and 500 journals in every
medical and surgical specialty
Ophthalmology – Over 60 full text books
Includes 12 Content Types
Access to information at all levels from topic overview to
evidence-based data in one search
Smart search engine matches first few letters of search
word/words to relevant clinical content
No complicated search strategies or Boolean connectors
Easier than Google – but with reliable, evidence-based
results
Ovid MEDLINE- Basic Search
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U. S. National Library of Medicine’s premier database.
Contains over 20 million citations to journal articles in
medicine, nursing, allied health, and basic sciences as
they relate to health care
OvidSP software provides useful tools to filter search
results and target information for precise needs
Begin with “Basic Search”
Contains links to full text of major vision science journals
in NSU libraries subscriptions and open access sources
NOTE: PubMed (free MEDLINE) contains links to “open
access” (free) full text but NOT to NSU subscriptions
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Visionet – produced by SCO
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Citations to articles in Optometry journals not found in
MEDLINE
Especially useful for articles on vision therapy, visual
training, vision screening, low vision, practice
management, etc.
Contact Sandra for help
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Major e-Book Publishers
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Elsevier and Subsidiaries: Clinical Key, Science Direct
Lippincott, Williams & Wilkins: Books@Ovid
Slack and Springer Science: R2 Digital Library
McGraw Hill: Access Medicine
Search e-Books from the Optometry web page
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Drug Monographs
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Full-text monographs for all FDA approved drugs:
Clinical Key, Access Medicine, UpToDate
Include information for the health care professional and
the patient
Search by generic or brand name
Include sections on indications, contraindications, handy
tools, calculators, and tables
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Print Book Collection
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John Vaughan Library, 3rd Floor
Comprehensive collection
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Meets Association of Vision Science Libraries standards for core
collection
Largest Optometry/Ophthalmology book collection in the region
Search NSU libraries “Catalog: Books & More” link from
Optometry web page
Interlibrary loan staff will mail books from NSU
collections at no cost to you except return postage
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Additional Background Resources
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Frequently used e-Journals
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Web Portals
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Optometry and Vision Science
JAMA Ophthalmology
JAMA
New England Journal of Medicine
Investigative Ophthalmology & Visual Science
ARVO Journals
Healio Optometry
Open Access Ophthalmology Journals
Link to these titles directly from Optometry web page
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Part II. Information Retrieval for
Evidence Based Patient Care
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Using research findings versus conducting research
Retrieving and evaluating information that has direct
application to specific patient care problems
Selecting resources that are current, valid and available
at point-of-care
Developing search strategies that are feasible within
time constraints of clinical practice
Answers to Clinical (Foreground)
Questions
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Require:
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precise information about complex issues
trustworthy clinical research data with direct
application to patient problems
Fill gaps in clinical knowledge pertinent to:
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Therapy/prevention
Diagnosis
Prognosis
Etiology
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Background v Foreground Knowledge
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Both types of knowledge needed
Varies over time
Depends on experience with condition
Point A: Student – limited experience
Point B: Resident – growing clinical experience
Point C: Attending – extensive experience
Note: Diagonal line shows “we’re never too green to
learn foreground knowledge, nor too experienced to
outlive the need for background knowledge”
Source: Evidence-based medicine: how to practice and teach it. 4th edition. By Straus, et. al.
Churchill Livingstone Elsevier
Therapy Question Example
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In patients with primary open angle
glaucoma, [Patient/Population], do topical
medications to reduce intraocular
pressure [Intervention] versus no
treatment [Comparison Intervention],
delay visual field defect progression
[Outcome]?
Answers to Foreground Questions
Resources – Evidence based textbooks
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Provide rapid access to concise information to clinicians at the
point of care
Not a database of articles from books, journals, or guidelines
Original, current, summaries written by experts
Formal systems used to grade strength of recommendations
and quality of evidence
Available from Optometry web page
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UpToDate
First Consult
Clinical Question
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Therapy/Prevention
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In patients with primary open angle glaucoma
or ocular hypertension [Patient/Population],
do topical medications to reduce intraocular
pressure [Intervention] versus no treatment
[Comparison Intervention], delay visual field
defect progression [Outcome]?
Summaries
• UpToDate
– Evidence based summaries of over 9,500
topics in over 22 specialties
– 8,500 Treatment Recommendations
– GRADE System used to score
recommendations and strength of evidence
– Practice changing updates; Updated
continuously
– Drug database; Patient education materials
– The Gold Standard of summaries
Simple UTD Search Answers
Clinical Question in Seconds
Summaries
• FirstConsult
– Search online in Clinical Key
– App available through NSU subscription to
Clinical Key for iPhone or iPad only
– Create a personal account in Clinical Key
– Download the app from the Apple app store
– Login with your CK username and password
– Concise summaries; sections on differential
diagnosis; quality of evidence graded
– Not updated as rapidly as UTD
Next Steps
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Explore online resources from the
Optometry web page
Review slides and exercises posted at
Residency Program class page
Attend “Clinical Applications of Evidence
Based Practice” Workshop – Sept. 2
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