1. Cindy Sheffield, MBA, MLS Claire Twose, MLIS Brian Pinto, PharmD Mark Dodd PDA Resources for Evidence-Based Medicine The Welch Medical Library May 6, 2004

2. Today’s Lecture Intro to Evidence-Based Medicine Intro to Personal Digital Assistants Resources Government Guidelines Clearinghouse PubMed FIRSTConsult mobileMICROMEDEX Lexi-COMP (fee) PICO Maker EBM Calc Other Learning Opportunities Other Resources Questions and Answers

3. EBM Definition Evidence-Based Medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. Glossary, Centre for Evidence Based Medicine, Oxford accessed April 28, 2004 http://www.cebm.net/glossary.asp

4. No Yes 1 Refine Question 2 Formulate Query 2 Perform Search 2 Evaluate results: Satisfactory? 5 Evaluate Process 4 Incorporate into Patient Care 2 Select Sources for Pre-processed Pre-processed literature 3 Evidence is Critically Appraised by Reputable Source Finding EBM Flow Chart

5. Managing the Literature Usefulness of MedicalInformation = Relevance Relevance x Validity Work Shaughnessy AF, Slawson DC, Bennett JH. Becoming an information master: a guidebook to the medical information jungle. J Fam Pract 1994 Nov; 39(5):489-99

6. Levels of Evidence: study design Medical Center Library, Duke University Stronger Weaker

7. Welch’s EBM Page: Quicklinks, EBM

8. Intro to PDAs: Palm vs. Pocket PC Operating Systems PalmPocket PC

9. Intro to PDAs: Palm vs. Pocket PC

10. Introduction to PDAs – more info Jim’s Palm Pages –http://www.jimthompson.net/palmpda/http://www.jimthompson.net/palmpda/ Dalhouise –http://handheld.medicine.dal.ca/introduction/index.htmhttp://handheld.medicine.dal.ca/introduction/index.htm pdaMD.com Learning Center –http://www.pdamd.com/vertical/features/wireless _2.xmlhttp://www.pdamd.com/vertical/features/wireless _2.xml Etopicbrain –http://pbrain.hypermart.net/basics.htmlhttp://pbrain.hypermart.net/basics.html

11. Government Guidelines Clearinghouse Public resource for evidence-based clinical practice guidelines NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ)Agency for Healthcare Research and Quality (AHRQ) Can use a Reader with Palm; wireless direct access available on Pocket PC http://www.guideline.gov/

12. Government Guidelines Clearinghouse

13. PubMed Search in Medline for citations and abstracts Will provide interactive access in a wireless environment http://certif.nlm.nih.gov:8080/nlm/ Can use same address as Avantgo Channel Project called PubMed on Tap http://archive.nlm.nih.gov/proj/pmot/pmot.php

14. PubMed Search directly with a wireless connection or use Avantgo and create a custom channel.

15. FIRSTConsult 330 Differential Diagnoses 450 Medical Conditions 3 Different download sizes Updated quarterly http://www.welch.jhu.edu/internet/ebr. html#PDAs

16. FIRSTConsult

17. mobileMICROMEDEX Drug information and interactions Alternative medicine information Acute care Toxicology information Formulary advisories http://jhmcis.jhmi.edu/mdxcgi/mdxhtml.exe?&tmpl=mobile.tm1&SCRNAME=mo bile&CTL=E:\mdx\mdxcgi\megat.sys

18. mobileMICROMEDEX

19. Lexi-COMP Provides drug interaction information JHH Formularies www.lexi.com

20. Lexi-COMP

21. PICO Maker Store queries in PICO format for later Assist students and clinicians with evidence based practice. Palm based http://www.library.ualberta.ca/pdazone/pico/

22. PICO Maker

23. EBM Calc Statistics for Diagnostic, Prospective, Case Control & Randomized studies Can graph pre- and post test probability with likelihood ratio for Diagnostic Studies. Can save results and view at another time EBM Calculator – Centre for EBM – University Health Network http://www.cebm.utoronto.ca/palm/ebmcalc

24. EBM Calc

25. Other Learning Opportunities Library Classes (Resources for Research and Information Management & Presentations): Evidence-Based Health Care – 6/24/04 pm Pharmacology Resources – 8/12/04 am Evidence-Based Critical Appraisal for Patient Care - 7/27/04 am Registration @ http://www.welch.jhu.edu/classes http://www.welch.jhu.edu/classes

26. October 12 th All Day Event See http://mobileathopkins.jhu.edu/ For details

27. Other PDA Resources of Interest Avantgo – host server https://my.avantgo.com/home/ https://my.avantgo.com/home/ Hopkins Antibiotic Guide http://hopkins-abxguide.org ePocrates www.epocrates.com MedCalc http://www.collectivemed.com/jump/medca.shtml

28. Where to find PDA Resources http://www.welch.jhu.edu/classes/elearning/pdaresources.html Dalhousie University Handheld Recommendations - Organized set of hardware descriptions and software specifically for medicine with informative recommendationsDalhousie University Handheld Recommendations ectopicbrain - List of medical applications with descriptions for eachectopicbrain handheldmed - Delivers point of care content and applications for healthcare professionalshandheldmed pdaMD.com - Premier website providing tutorials, forums, news, and software for health care professionals who use PDAspdaMD.com Skyscape - Extensive list of medical reference titlesSkyscape

29. Where to find PDA Resources CollectiveMed - Owned and operated by healthcare professionalsCollectiveMed MedicalPocketPC - Software, news, and reviews for PocketPC and WinCE medical usersMedicalPocketPC HealthyPalmPilot - Over 700 downloadable healthcare resources from pdaMD.comHealthyPalmPilot Memoware Medical Downloads - Over 300 downloads for medical specialtiesMemoware Medical Downloads Johns Hopkins Office of Academic Computing – Several medical applications for the Palm OS.Johns Hopkins Office of Academic Computing WelchWeb’s Personal Digital Assistants – A guide to resources for healthcare.WelchWeb’s Personal Digital Assistants

30. How to Evaluate PDA Resources Knowing What’s What and What’s Not http://www.media- awareness.ca/english/resources/educational/handout s/internet/5ws_cyberspace.cfm Ten C’s for Evaluating Internet Sources http://www.uwec.edu/Library/Guides/tencs.html