Evidence-Based Veterinary Medicine Needs and education at the Univiversity of Liège Françoise Pasleau, Sandrine Vandenput Nicolas Fairon, Christian Hanzen.

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Presentation transcript:

Evidence-Based Veterinary Medicine Needs and education at the Univiversity of Liège Françoise Pasleau, Sandrine Vandenput Nicolas Fairon, Christian Hanzen Bibliothèque des Sciences de la Vie

EAHIL, Santander ULg, BSV- Médecine Users' education at the BSV 4 libraries / 4 Faculties 1.Human Medicine 2.Veterinary Medicine 3.Psychology and Education Sciences 4.Life Sciences : Zoology & Botany To share experience in users' education

EAHIL, Santander ULg, BSV- Médecine EBM teaching at the BSV latform - Clinicalqueries Year2 - Evaluationgridfor RCT(therapy) EBMEBM EBMEBM Curriculum in information sciences atthe Faculty ofMedicine YearContent Firstcycle Year1 - Computerli racy Year2 - Usingthemedicallibrary - SearchingPubMed (basicmode) - Analysingthestru

EAHIL, Santander ULg, BSV- Médecine From EBM to EBVM ? To survey veterinary practitioners Have they heard about EBVM ? Would they be interested in ? To compare sources of information Are they adapted to EB(V)M practice ? To optimize users' education Is the EBM course content suited to EBVM ? What adaptations ?

EAHIL, Santander ULg, BSV- Médecine Our reference Handbook of Evidence-Based Veterinary Medicine Peter Cockcroft and Mark Holmes Blackwell Publishing, 2003

EAHIL, Santander ULg, BSV- Médecine Results of the ed survey Sample : 800 private "vet." interested in CE / LLL Participation : 138 feed-back (17%) Results : The surveyed veterinarians … never heard about EBVM (93%) frequently need foreground information (100%) and … -seek evidence in textbooks, journals, Internet, … (54%) -advise with respected colleagues (28%) -refer the patient (28%) -base the clinical decision on background knowledge (6%) encounter problems during their search (60%) have never been trained in information sciences (IS) (40%) are satisfied with their IS education/skills (25%)

EAHIL, Santander ULg, BSV- Médecine Information sources Are they adapted to EB(V)M practice ? To compare the available information about therapeutic interventions in human small/large animals To search Medline (Ovid) and CAB (SPIRS) To compare the results

EAHIL, Santander ULg, BSV- Médecine Pyramid of evidence Case series Control case studies Cohort studies Blinded RCTs Single case reports Sys tematic reviews Meta-analyses Individual Studies Integrative Literature

EAHIL, Santander ULg, BSV- Médecine GNRH & ovarian cysts treatment Controlled searches (using subject headings) - Limit

EAHIL, Santander ULg, BSV- Médecine Conclusion EBVM Public Tools Courses

EAHIL, Santander ULg, BSV- Médecine The veterinarians… Seek evidence to support decision making Prefer scientific sources Are moderately satisfied with their searches Are rather poorly trained Are interested in improving their skills Never heard of EBVM

EAHIL, Santander ULg, BSV- Médecine The tools in veterinary medicine …. Are not adapted to the EBVM practice The literature has … Smaller content No Cochrane Library No systematic reviews Very few meta-analyses Few RCTs The search engines need to be adapted with integrated filters for clinical queries limits according to the publication types

EAHIL, Santander ULg, BSV- Médecine Teaching EBVM The transposition of the EBM course to Vet. Med. is not conceivable without modification New evaluation grids have to be developped Librarians have to be trained to evaluate sources of poorer evidence The collaboration with the clinical staff is needed

EAHIL, Santander ULg, BSV- Médecine