1. KEEPING IN TOUCH Literature retrieval and acquisition for the critical care physician in the 21 st Century. G.A.Richards MBBCh PhD FCP(SA) FRCP FCCP Director: Multidisciplinary ICU, Johannesburg Hospital

2. Literature Retrieval and Acquisition  Critical Care  Pulmonology  Internal Medicine  Anaesthesia  Cardiology  Infectious Diseases  Antibiotics/Resistance  Nutrition  Nephrology  Haematology Breadth of discipline unparalleled

3. Literature Retrieval and Acquisition Retrieval - access of the literature Acquisition - gained by or for oneself in the form of knowledge Only knowledge can be uitilized

4. Utilization: Utilization: Literature Retrieval and Acquisition  Clinical practice  Decision making  Research  Teaching  Development of uniform Application to: Application to: evidence based practice nationally & internationally

5. 2 Aspects: 2 Aspects: Literature Retrieval and Acquisition A. A. Remaining current with new literature Retrieval of data related to specific topics B. B.

6. Literature Retrieval and Acquisition  Subscription to journals  Journal review services  Journal - table of contents  Journal clubs  Congresses  Departmental meetings - review a topic - review a topic Remaining Current: Remaining Current:

7. Literature Retrieval and Acquisition Journals: Journals: useful to subscribe to some journals, particularly those with access to study or CME material, protocols, etc. useful to subscribe to some journals, particularly those with access to study or CME material, protocols, etc. e.g. ACCP e.g. ACCP (www.chestnet.org)  Clinical networks  PCCU: on line – monthly reviews  CME: audio, tapes, CD-roms, etc

8. Literature Retrieval and Acquisition 1. Critical care, critically appraised topics. (evidence based reviews or practice and technique) Journal Clubs: monthly 5-7 reviews of critical care articles. 2. 2. http://www.thoracic.org.assemblies/cc/ccjcframe.html http://www.thoracic.org.assemblies/cc/cccat.asp Journals: Journals: AJRCCM/ATS: AJRCCM/ATS:

9. Literature Retrieval and Acquisition Table of Contents  Library  Drug Companies  Computer e.g. e.g. Chest: Chest: NEJM: NEJM: AJRCCM: AJRCCM: www.chestjournal.com contents available www.nejm.com contents + abstracts and full text 6 months after publication ajrccm.atsjournals.org contents + abstracts Journals: Journals:

10. Literature Retrieval and Acquisition Monthly:  Review of numerous journals  Information on: Flash Cards Tapes CD rom  Visual vs Auditory acquisition Review Services Journals: Journals:

11. Literature Retrieval and Acquisition Examples:  Practical reviews – Oakstone Publishing  Chest medicine – 13 journals  Critical Care – 75 journals Available with tapes, cards and computer based updates, CME quiz or as multimedia reviews: (CD roms and cards) Service@oakstone medical.com (Jointly sponsored by Johns Hopkins Medical School) Cost: $290.00 Review Services Journals: Journals:

14. Literature Retrieval and Acquisition Intensive care monitor Intensive care monitor www.intensivecare-monitor.com  Each article has an abstract, review and comment and comment  6 issues per year + index Cost: $85.00 Review Services Journals: Journals:

17. Literature Retrieval and Acquisition Congresses: Congresses: Pre-Congress Review Courses  “The year in review” – Chest/SCCM/ATS  Presentations by opinion leaders/authors of recent articles of recent articles International congresses – very expensive International congresses – very expensive Local refresher courses with review of Local refresher courses with review of specific topics – may be more reasonable specific topics – may be more reasonable

18. Literature Retrieval and Acquisition  Journal Clubs: Primary use is to learn how to evaluate an article how to evaluate an article  Often too slow to review large numbers of journals of journals  Department Meetings: Topic Reviews