“ The medical librarian's role in the promotion of the evidence: a Cuban experience.” MSc. Ania Torres Pombert National Coordinator Centre of Clinical Trials CUBA World Library & Information Congress 74th IFLA General Conference Satellite Meeting. Biosciences and Health Libraries August 9th, Québec, Canada

EVIDENCE BASED MEDICINE (EBM) Patient's Values and Expectations Best External Evidence Individual Clinical Expertise Tacit Knowledge (professional's experience) Explicit Knowledge (Medical Literature) Clinical method Doctor/ Patient Medical Librarian MSc. Ania Torres Pombert

Clinical Expertise/ Doctors- Researchers External Evidence/ Medical Literature Health Research Medical Practice EBM Medical Librarian Assessing Applying Appraising Accessing Asking EBM and Medical Librarian MSc. Ania Torres Pombert

Limited capacity for drug regulation. Limited resources for the National Health Systems Some difficulties for continuing medical education. Few library facilities Poor access to the literature (databases, journals, textbooks) Why to promote it in CUBA Poor knowledge about its concepts and methodology Scarce presence in education programs Low use frequency of EBM sources in spite of Infomed Poor abilities for searching of doctors and researchers Few articles in Cuban literature, majority Why EBM in Developing Countries MSc. Ania Torres Pombert

Scientific meetings Medical Librarian's Role in EBM No Library, No Librarian Librarian-Researcher/ Professor + Traditional librarian / Users' Educator / Reader of EBM Promoter of EBM + Courses Web2.0 Courses Scientific meetings EBM Inf. services EBM Inf. services Traditional Inf. Services MSc. Ania Torres Pombert

More than 60 Clinical Trials (Protocols & Final Reports) Since Applying EBM Methodology to Searching process Asking Clinical Question (PICO Analysis) Accessing ?Study type Searching in EBM information resources Cochrane, Pubmed-Clinical Queries, TRIP Appraising Critical appraisal (Validity & Applicability) Librarians promoting the evidence Information Services MSc. Ania Torres Pombert

Librarians promoting the evidence Education Programs National Diploma on Clinical Trials / CENCEC- 4 editions (Module: Clinical Trial Organization/ Subject: “EBM and their main information resources” with conferences and training in Databases) Postgraduate Course "Scientific information: intrinsic component of clinical research“ Accredited in the National School of Health Public. 40 hours. 26 graduates. MSc. Ania Torres Pombert

Motivational Conferences in: Scientific session for Medical Libraries Network in Infomed. 35 librarians Information Literacy Program. Centre for State Control of Medical Equipment. 15 researchers Course: Information Literacy, Master on Cerebrovascular diseases, 2nd edition. National Institute of Neurology and Neurosurgery. 20 lecturers. Master on Clinical Trials in accreditation (Course: “Information and technologies applied to clinical research” / Subject: EBM for decision making on health. 148 hours) Librarians promoting the evidence Education Programs MSc. Ania Torres Pombert

3 Posters about EBM II International Workshop on Clinical Trials. Havana, Cuba. More than 200 Cuban and foreign delegates Young “Science”. Tropical Medicine Institute Pedro Kourí. More than 250 Cuban delegates Scientific Session. Carlos J. Finlay Hospital. Havana, Cuba. More than 250 Cuban delegates. 1 Conference about EBM IV International Workshop on Clinical Trials. Havana, Cuba. More than 150 Cuban and foreign delegates. Librarians promoting the evidence Scientific Meetings MSc. Ania Torres Pombert

Librarians promoting the evidence Information technologies EBM Cuban Portal ( Some Portal Sections: About EBM How to access the evidence Cuban Literature on EBM Article recommended Courses and events Information resources Related sites Link to EBM blog for Cuban health professionals MSc. Ania Torres Pombert

Librarians promoting the evidence RESULTS MSc. Ania Torres Pombert Boarding of concepts, theory, and methodology of EBM also practical aspects of the searching process of evidence Contribution to the information culture of health professionals with new and updated knowledge Beginning of the pedagogic formation of librarians in the practice and teaching of the EBM. Leadership of Libraries and librarians in the promotion of EBM in the National Network of Clinical Trials and other contexts Incursion in the design of Web 2.0-based public services for a shared production of information and knowledge Identified authors and articles on EBM in Cuban literature

Activities dependent of librarians leadership Poor scope of educational interventions Educational interventions based mainly on “asking” and “access” Predominance of individual and spontaneous efforts Lack of support in higher organisms Absence of a multidisciplinary team to support EBM teaching Lack of training and formation on EBM Librarians promoting the evidence LIMITATIONS MSc. Ania Torres Pombert

Presentation of a Project for National Promotion of EBM: Creation of a Multidisciplinary National Group of EBM Conformation of an External Consultant Group of EBM Development of formation programs on EBM for librarians and health professionals (including e-course) Official presentation and maintenance of the EBM Cuban Portal and other public services Collection and centralization of EBM Cuban literature to share Librarians' training in the practice of the EBM Organization of scientific events on EBM Librarians promoting the evidence PROJECTIONS MSc. Ania Torres Pombert

Sometimes, some words make us reflect, other they make us do something and once I read these: THINK BIG! start small! ACT NOW! and it was enough … ACT is what I'm doing NOW MSc. Ania Torres Pombert