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KEEPING IN TOUCH

In the 21st century, critical care physicians must effectively retrieve and acquire literature to enhance their clinical practice, decision-making, teaching, and research. This comprehensive guide highlights the unparalleled breadth of disciplines in critical care, including pulmonology, cardiology, and infectious diseases, among others. It emphasizes staying current with emerging literature through journal subscriptions, review services, and departmental meetings. By implementing effective strategies and utilizing available resources, healthcare professionals can foster evidence-based practice and improve patient care outcomes.

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KEEPING IN TOUCH

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

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

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

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

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

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

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

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

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

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

  11. Literature Retrieval and Acquisition Journals: Review Services Examples: • Practical reviews – Oakstone Publishing Service@oakstone medical.com (Jointly sponsored by Johns Hopkins Medical School) • 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) Cost: $290.00

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

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

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

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