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Using Library Resources to Answer Clinical Questions

This session led by Nancy Clark, M.Ed., Director of Medical Informatics Education at FSU College of Medicine, introduces students to the FSU COM virtual library resources essential for locating clinical information online. The objectives include identifying the nature of clinical questions (background vs. clinical), selecting appropriate resources based on the type of question (drug, disease, differential diagnosis), and understanding the depth of information available in various references. By the end, students will have practical skills for utilizing library resources to answer clinical queries effectively.

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Using Library Resources to Answer Clinical Questions

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  1. Using Library Resourcesto Answer Clinical Questions Nancy Clark, M.Ed. Director of Medical Informatics Education FSU College of Medicine

  2. 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.

  3. 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]

  4. 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

  5. Medical Dictionaries • Stedman’s is in PEPID and StatRef • Others: Academic/Research Includes pronunciation

  6. 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) • Learn to use subscription resources

  7. 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

  8. Library Webpage

  9. Clinical Tools

  10. Resource Content

  11. Drug References Rx OTC Alt

  12. Typical Drug Information • Indications (what is it prescribed for) • Dosing • Contraindications/cautions • Complications/adverse reactions • Interactions • Safety • Pharmacology

  13. Typical Drug Resource Tools • Drug Interaction Checker • Pill Identifier • Dosage Calculator • Antibiotics Guide • Formularies

  14. Disease References 5 Minute Clinical Consult DynaMed Epocrates PEPID

  15. Types of Questions Best Answered by Dx References • Description/background/risk factors • Epidemiology • Diagnosis (H&P) • Treatment • Ongoing management • Prognosis/outcomes • Prevention How much information do you want?

  16. Differential Diagnosis Tools (Making the Diagnosis) DxPlain PEPID Diagnosaurus DDx

  17. 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

  18. Demonstrations of Resources • Posted separately 5-10 minute demos • Epocrates Online • 5 Minute Clinical Consult • Dynamed • PEPID • DxPlain • Diagnosaurus

  19. 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.

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