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Information Resources – NSUOCO New Residents Orientation
Sandra A. Martin, M.L.I.S.
Health Sciences Resource Coordinator
Optometry Subject Librarian
John Vaughan Library Room 305B
[email protected] – 918.444.3263
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Learning Objectives
• To provide a mechanism for residents to access the most current vision science and medically related information
• To familiarize residents with specific information resources and library services to support research for projects and clinical applications
• To familiarize residents with evidence-based practice and life-long learning techniques
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John Vaughan Library (JVL) Short walk from the Optometry building Comprehensive print and online collections Friendly, welcoming staff Open until 12:00 a.m. Sunday-Thursday during Fall and
Spring semesters Hours posted at
http://library.nsuok.edu/Admin/libhrs.html Checkout Laptops, iPads, & cameras at Reserve Desk Wi Fi hot spots throughout the building Comfortable seating and study environments
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Services and Collections
1st Floor – Reserves, Audiovisuals, Circulation, Interlibrary Loan, Computers, Scanners & Printers
2d Floor – Journals, Newspapers, Special Collections, Computers, Scanners & Printers
3d Floor – Books, Government Documents, Optometry Librarian (305B)
Books & Journals shelved by Library of Congress call numbers. Most Vision Science titles found in R, RE, and Q areas
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Sandra Martin Provides….
Instruction Research Assistance Small Group Consulting Database Searches Collection Development (Selection of print and online
books, audiovisuals, journals and databases) Assistance with any health-related information need Office Hours: Tuesday 10 am to 4 pm
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Helpful Tools Optometry Web Page
Optometry Databases, e-journals, e-books, and other tools available 24/7
Supports specific research, teaching, and patient care needs of NSUOCO faculty, students, and residents
Start Here to find resources for all optometry and medical topics http://library.nsuok.edu/collegeop/index.html
Important Link: Instructions for Locating Full Text Journal Articles shows you how to find full text of articles available in “all” library databases
Instructions for Locating Full Text Journal Articles
Link From the NSU Libraries Home Page
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Remote Access
Enter NT-NSU user id and password to access the library’s electronic resources
Contact Tom Tinnell if you have problems with your user id or password
Contact Sandra to report other technical problems or for search assistance
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Interlibrary Loan/Document Delivery Services
Scan and email pdf of articles from journals in the library’s print collection – you do not have to pull print journals from the shelf and scan or photocopy
Deliver books, audiovisuals, and journal articles not owned by the library
Journal articles delivered electronically if possible ILL Requests
Click on Interlibrary Loan link from Optometry Web Page Create the online Iliad Profile Complete online request form for articles and books
Contact [email protected] for help
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Getting Started: Match Resource to Information Need What is the question? How will information be used?
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Background vs. Foreground Questions Asking questions about your proposed topic
helps to clarify your knowledge gap Clarifying type of question helps to determine
which sources are most likely to have the answers you need
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Part I. Information Retrieval for Research Projects Comprehensive in scope and time
All levels of resources Current and retrospective Background and foreground Information
Use/Application of results Presentations Publications Sharing with colleagues
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Background Questions
Generally ask who, what, why, where or how about a single concept
Require general knowledge of disease and therapeutic processes
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Proposed Research Projects Evaluate the accuracy of the Humphrey
Visual Field Analyzer compared to the MP-1 in patients with glaucoma
Assess efficacy of anti-fatigue lenses in relieving eye strain and computer vision syndrome
Assess effectiveness of vitamin supplements and oral antioxidants to improve dry eye symptoms
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Begin with Background Questions What are methods of visual field testing in
glaucoma? How is the Humphrey Visual Field Analyzer used?
What are the ocular causes and potential treatments of visual fatigue and computer vision syndrome?
What oral antioxidant combinations and topical vitamin eye drops have been used to treat dry eyes in adult patients?
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Answers to Background Questions
Information Resources: Clinical Key e-Book and e-Journal Collections Print Books Ovid MEDLINE – Basic Search Visionet – vision therapy related topics
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Clinical Key
Full text access to 1,000 books and 500 journals in every medical and surgical specialty
Ophthalmology – Over 60 full text books Includes 12 Content Types Access to information at all levels from topic overview to
evidence-based data in one search Smart search engine matches first few letters of search
word/words to relevant clinical content No complicated search strategies or Boolean connectors Easier than Google – but with reliable, evidence-based
results
Ovid MEDLINE- Basic Search
U. S. National Library of Medicine’s premier database. Contains over 20 million citations to journal articles in medicine, nursing, allied health, and basic sciences as they relate to health care
OvidSP software provides useful tools to filter search results and target information for precise needs
Begin with “Basic Search” Contains links to full text of major vision science journals
in NSU libraries subscriptions and open access sources NOTE: PubMed (free MEDLINE) contains links to “open
access” (free) full text but NOT to NSU subscriptions
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Visionet – produced by SCO
Citations to articles in Optometry journals not found in MEDLINE
Especially useful for articles on vision therapy, visual training, vision screening, low vision, practice management, etc.
Contact Sandra for help
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Major e-Book Publishers
Elsevier and Subsidiaries: Clinical Key, Science Direct Lippincott, Williams & Wilkins: Books@Ovid Slack and Springer Science: R2 Digital Library McGraw Hill: Access Medicine Search e-Books from the Optometry web page
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Drug Monographs
Full-text monographs for all FDA approved drugs: Clinical Key, Access Medicine, UpToDate
Include information for the health care professional and the patient
Search by generic or brand name Include sections on indications, contraindications, handy
tools, calculators, and tables
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Print Book Collection
John Vaughan Library, 3rd Floor Comprehensive collection
Meets Association of Vision Science Libraries standards for core collection
Largest Optometry/Ophthalmology book collection in the region Search NSU libraries “Catalog: Books & More” link from
Optometry web page Interlibrary loan staff will mail books from NSU
collections at no cost to you except return postage
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Additional Background Resources Frequently used e-Journals
Optometry and Vision Science JAMA Ophthalmology JAMA New England Journal of Medicine Investigative Ophthalmology & Visual Science
Web Portals ARVO Journals Healio Optometry Open Access Ophthalmology Journals
Link to these titles directly from Optometry web page
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Part II. Information Retrieval for Evidence Based Patient Care Using research findings versus conducting research Retrieving and evaluating information that has direct
application to specific patient care problems Selecting resources that are current, valid and available
at point-of-care Developing search strategies that are feasible within
time constraints of clinical practice
Answers to Clinical (Foreground) Questions Require:
precise information about complex issues trustworthy clinical research data with direct
application to patient problems Fill gaps in clinical knowledge pertinent to:
Therapy/prevention Diagnosis Prognosis Etiology
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Background v Foreground Knowledge
Both types of knowledge needed Varies over time Depends on experience with condition Point A: Student – limited experience Point B: Resident – growing clinical experience Point C: Attending – extensive experience Note: Diagonal line shows “we’re never too green to
learn foreground knowledge, nor too experienced to outlive the need for background knowledge”
Source: Evidence-based medicine: how to practice and teach it. 4 th edition. By Straus, et. al. Churchill Livingstone Elsevier
Therapy Question Example
In patients with primary open angle glaucoma, [Patient/Population], do topical medications to reduce intraocular pressure [Intervention] versus no treatment [Comparison Intervention], delay visual field defect progression [Outcome]?
Answers to Foreground Questions
Resources – Evidence based textbooks Provide rapid access to concise information to clinicians at the
point of care Not a database of articles from books, journals, or guidelines Original, current, summaries written by experts Formal systems used to grade strength of recommendations
and quality of evidence Available from Optometry web page
UpToDate First Consult
Clinical Question
Therapy/Prevention In patients with primary open angle glaucoma
or ocular hypertension [Patient/Population], do topical medications to reduce intraocular pressure [Intervention] versus no treatment [Comparison Intervention], delay visual field defect progression [Outcome]?
Summaries• UpToDate
– Evidence based summaries of over 9,500 topics in over 22 specialties
– 8,500 Treatment Recommendations– GRADE System used to score
recommendations and strength of evidence– Practice changing updates; Updated
continuously– Drug database; Patient education materials– The Gold Standard of summaries
Simple UTD Search Answers Clinical Question in Seconds
Summaries• FirstConsult
– Search online in Clinical Key– App available through NSU subscription to
Clinical Key for iPhone or iPad only– Create a personal account in Clinical Key– Download the app from the Apple app store– Login with your CK username and password– Concise summaries; sections on differential
diagnosis; quality of evidence graded– Not updated as rapidly as UTD
Next Steps
Explore online resources from the Optometry web page
Review slides and exercises posted at Residency Program class page
Attend “Clinical Applications of Evidence Based Practice” Workshop – Sept. 2
If you need Help, contact Sandra, [email protected]
