November 2006 Agenda Evidence Based Medicine Product overview Features and benefits New projects

November 2006 Let me ask you a question… New medical studies are published every day. How do you sort through the mountain of research to find facts you can trust? And once you find a study, how do you understand its findings and judge how good it is ?...

November 2006 Evidence Based Medicine aims to assist… “The Practice of Evidence Based Medicine is the conscientious, explicit and judicious use of current best practice in making decisions about the care of patients”. Contains clinical expertise, skills and judgment combined with the best available current research Clinically lead information rather than research lead Looks at the evidence and decides how certain treatments best work, or DON’T work, or shows there is not enough information to support a decision

November 2006 Product overview…

November 2006 Mission We publish a number of journals covering major specialties and a growing number of online products for doctors and patientsWe publish a number of journals covering major specialties and a growing number of online products for doctors and patients Continuous product development ensures that our products and services are of constant importance to the medical profession.Continuous product development ensures that our products and services are of constant importance to the medical profession. The BMJ Publishing Group Ltd (BMJPG) is the innovative publishing division of the British Medical AssociationThe BMJ Publishing Group Ltd (BMJPG) is the innovative publishing division of the British Medical Association

November 2006 What we do?

November 2006 Product overview The British Medical Journal – BMJ.com The Group’s Flagship Journal Weekly general medical journal, copies printed each week Publishes rigorous, accessible & entertaining material to help Dr’s and Medical students in daily practice, learning and international debate on health Scientific studies & reviews, educational articles, papers commenting on: clinical, scientific, social, political, and economic factors affecting health

November 2006 BMJ.com

November 2006 BMJ Specialist Journals 22 journals in specialist areas, public health & evidence based medicine Mainly clinical titles, focussing on helping doctors improve their day to day practice International: editors and associate editors from all over the world: USA, Australia, Canada, Hong Kong, Europe, South East Asia Innovative – Educations sections, case- based learning, Patient columns Influential – many are at the top of their specialty

November 2006 BMJ Specialist Journals All journals have individual websites and full- text hosted by HighWire Press Full-text from Abstracts & TOC earlier Adding Full-text to volume 1, issue 1 Current year paid for subscriptions, previous years free of charge All available in print & online Reference links included CiteTrack alerting service, author and citations Ability to search across all journals via HighWire

November 2006

BMJ Specialist Journals Gut Heart Journal of Clinical Pathology Journal of Medical Ethics Journal of Medical Genetics Journal of Neurology, Neurosurgery and Psychiatry Postgraduate Medical Journal Quality and Safety in Health Care Sexually Transmitted Infections Thorax Archives of Disease in Childhood Annals of the Rheumatic Diseases BJO: British Journal of Ophthalmology British Journal of Sports Medicine Emergency Medicine Journal Evidence-Based Medicine Evidence-Based Mental Health Evidence-Based Nursing Occupational and Environmental Medicine Journal of Epidemiology and Community Health Injury Prevention Tobacco Control Evidence Based Public Health Specialist

November 2006 Knowledge Products…

November 2006 Knowledge Products Clinical Evidence BMJ Learning Best Treatments (Not available in INLM) Evidence Based to support decision making Patient and Doctor information from the same source Point of care information to reduce information overload Content fits into workflow & needs of clinicians and patients

November 2006 Advantages of using BMJ Knowledge products Encouraging best practice by preventing overuse and misuse of treatments Increasing the quality of care for patients Allows shared decisions by offering the same source of information for doctors and patients Quality information from a rigorous search and appraisal process Trusted based on an internationally recognised evidence-based editorial process Clinically lead information rather than research lead

November 2006 Clinical Evidence…

November 2006 Clinical Evidence A compendium of the best available research & evidence findings on common and important clinical questions (systematic reviews) Originally in print now also online & PDA Covers over 500 topics and over 2000 treatments These topics are the most important & common conditions seen in primary and hospital care Describes the questions, summary and background of a condition then benefits & harms of preventative and therapeutic interventions Emphasis on the outcome for patients Findings based on expert knowledge & evidence collected from detailed research using Cochrane Library, Medline, Embase and evidence based journals Contributors, advisors and editors are all specialist expert clinicians

November 2006

How is Clinical Evidence put together ? Select Topics: common conditions –Review data on consultation rates, morbidity, mortality –Advice and suggestions from clinicians and patient groups Topic Planning: select the questions –Relevance to actual practice –Detailed and systematic appraisal of material –Quality check of EBM material and guidelines Search & appraise literature: systematic reviews and RCT’s –Where no evidence: observational studies –Done by in-house specialists & contributions from external clinical specialists Summarise the evidence: peer review and edit –Peer reviewed by at least 2 expert clinicians –Edited and compared with original papers –Consistancy and quality measures also monitored Feedback, error corrections and user responses

November 2006 BMJ Clinical Evidence on PDA Complete Clinical Evidence content on PDA Updates available on synchronization Browse, search and bookmarks for quick navigation Tables and charts included Personal & site licenses available Discounts when purchased with online

November 2006 BMJ Clinical Evidence on PDA

November 2006 BMJ Best Treatments…

November 2006 BMJ Best Treatments Database for doctors & patients to use evidence to decide on a certain treatment To inform and initiate a dialogue between doctors and patients at a level a Patient can understand Written for patients in an easy to use and clear format Covers the top conditions, which treatments work, the drugs that may be used and any possible side effects Advice on operations and tests Helps patients balance benefits and risks of treatments Leads to informed joint decisions between patients and doctors Unbiased and up to date and links to reference articles and studies

November 2006

Patient Handout

November 2006 BMJ Learning…

November 2006 BMJ Learning CME or learning tool for professionals in primary and hospital care Hospital Doctors, GP’s, Nurses, other clinical staff, practice managers, and receptionists Assess needs, plan then take online learning modules, courses and interactive case studies and tests (300 modules) Quick up to date facts on evidence based conditions Record your progress and create certificates online Read, reflect and correspond with other users online Integrate learning into your appraisal system to continue professional & personal development Constantly updated with new or withdrawn drugs New case studies added weekly also from user suggestions

November 2006

BMJ Learning Plan

November 2006 BMJ Learning appraisal

November 2006 BMJ Learning Certificates

November 2006 New Projects

November 2006 New Projects

November 2006 New Projects

November 2006 Comorbidities For purchasersFor doctorsFor patients Increasing incidence of chronic disease in an aging population Many patients living with more than one condition Unscheduled hospital admissions High healthcare spending Guidelines and studies that usually deal with individual conditions separately Difficulty identifying optimal care plans Obstacles to finding good research evidence about comorbidities Drug interactions that may lead to adverse events Care fragmented between specialists Polypharmacy leading to poor adherence and side effects Self-care designed for individual conditions Quality of life, values and preferences possibly not taken into account When a patient has one or more conditions…

November 2006 Evidence-based recommendations for patients with comorbidities diabetes heart failure asthma COPD coronary artery disease hypertension lipid disorders

November 2006 Flexible care plans Patient Coach/ case manager Doctor

November 2006 Contact Us Any access problem Please inform us via the below Any training issues Please contact us via the below

November

– Any technical difficulties – Any training issues