1. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Using Library Resources to Answer Clinical Questions Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine Summer 20141

2. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Objectives Students will begin to utilize the FSU COM virtual library resources to locate clinical information online –Identify the type of question you have: background or clinical –Distinguish which type of resource would best answer a clinical question: drug, disease or differential diagnosis resource –Identify the type and depth of information contained in various resources. –Find answers to clinical questions in the library resources. Summer 20142

3. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care What Kind of Question Do I Have? Basic science or background question? – What is an olecranon? [for personal learning] – What is Kawasaki Disease? Clinical question? [for patient care] – What are the risk factors for Heart Disease? – Which is better for diagnosing pneumonia: x-ray, CT or MRI? [Diagnosis] – Which antibiotic(s) should I prescribe for MRSA? [Treatment] – How much does amoxicillin cost? [Drug] Summer 20143

4. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Answering a Background Question Searching most efficient Google/Wikipedia (assess the validity) Use Medical Dictionary Use basic science textbooks – Listed under Course Pages on Library Summer 20144

5. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Medical Dictionaries Stedman’s is in PEPID and StatRef Others: Academic/Research Summer 20145 Includes pronunciation

6. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Answering Clinical Questions Quickest method: Browse a specific resource Requires: knowing the content of sites/resources Starting point: Library web page or your handheld (iPod/iPad or smartphone)Library Learn to use subscription resources Summer 20146

7. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care What Kind of Clinical Question? The type of question and how much information you need will determine the resource you use. – Drug – Disease – Lab – Calculator – Differential Diagnosis Tool Summer 20147

8. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Library Webpage Summer 20148

9. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Clinical Tools Summer 20149

10. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Resource Content ResourceRxDDxDxLABCalcs DxPlain Online X Epocrates Online XXX PEPID XXXXX Dynamed X X X 5 Minute Clinical Consult X Diagnosaurus X Summer 201410

11. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Drug References Summer 201411

12. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Typical Drug Information Indications (what is it prescribed for) Dosing Contraindications/cautions Complications/adverse reactions Interactions Safety Pharmacology Summer 201412

13. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Typical Drug Resource Tools Drug Interaction Checker Pill Identifier Dosage Calculator Antibiotics Guide Formularies Summer 201413

14. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Disease References 5 Minute Clinical Consult DynaMed Epocrates PEPID Summer 201414

15. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Types of Questions Best Answered by Dx References Description/background/risk factors Epidemiology Diagnosis (H&P) Treatment Ongoing management Prognosis/outcomes Prevention Summer 201415 How much information do you want?

16. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Differential Diagnosis Tools (Making the Diagnosis) DxPlain PEPID Diagnosaurus Summer 201416

17. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Differential Diagnosis Tools Enter symptom(s), findings, and/or labs – Get a differential in order of likelihood – Distinguish common and rare conditions – Get more info on disease – Get advice on more symptoms to look for – Get advice on labs to order 17 Summer 2014

18. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Demonstrations of Resources Posted separately 5-10 minute demos – Epocrates Online Epocrates Online – 5 Minute Clinical Consult 5 Minute Clinical Consult – Dynamed Dynamed – PEPID PEPID – DxPlain DxPlain – Diagnosaurus Diagnosaurus Summer 201418

19. T HE F LORIDA S TATE U NIVERSITY C OLLEGE OF MEDICINE Educating and developing exemplary physicians who practice patient-centered health care Assignment Goal of assignment: become familiar with the structure, content, depth of content of the major resources on the Medical Library web site. Do the Medical Resources Exercise.Medical Resources Exercise Summer 201419