Keeping Up To Date With The Literature In Child Health

Keeping Up to Date with the Keeping Up to Date with the Literature in Child HealthLiterature in Child Health

Caryn Scoville, MLSCaryn Scoville, MLSJ. Otto Lottes Health Sciences LibraryJ. Otto Lottes Health Sciences Library

“About 10 years ago, if general internists wanted to keep abreast of the primary clinical literature, they would have needed to read 17 articles daily.

Today, with more than 1000 articles indexed daily byMEDLINE, that figure is likely double.”

Straus S, Haynes RB. “Managing evidence-based knowledge: the need for reliable, relevant and readable resources.” CMAJ. 180(9):942-945, 2009, doi:10.1503/cmaj.081697.

Push and Pull for informationPush and Pull for information

Push Push Update and journal surveillance servicesUpdate and journal surveillance services Top journal Table of ContentsTop journal Table of Contents Alerts: subject, citation, authorAlerts: subject, citation, author

Pull Pull Looking up information to answer questions in Looking up information to answer questions in

clinical practiceclinical practice

Update and Journal Surveillance Update and Journal Surveillance ServicesServices

Journal Watch Journal Watch EvidenceUpdates (formerly BMJ Updates)EvidenceUpdates (formerly BMJ Updates)

OthersOthers DynaMed Journal SurveillanceDynaMed Journal Surveillance AAP Policy email alertsAAP Policy email alerts

Journal WatchJournal Watch

140 physician-editors140 physician-editors survey survey 350 350 medical journalsmedical journals

From the publishers of the From the publishers of the New England New England Journal of MedicineJournal of Medicine

Email alerts of article Email alerts of article summaries and summaries and commentariescommentaries

13 specialties13 specialties

Journal Watch library accessJournal Watch library access

Email alerts are free, but access to many Email alerts are free, but access to many full commentaries requires a subscriptionfull commentaries requires a subscription

Library subscribes to online access to Library subscribes to online access to Journal Watch specialtiesJournal Watch specialties General MedicineGeneral Medicine Pediatrics and Adolescent MedicinePediatrics and Adolescent Medicine Emergency MedicineEmergency Medicine

Library also has access to print copiesLibrary also has access to print copies

Steps for accessing Journal WatchSteps for accessing Journal Watch

1.1. RegisterRegister for Journal Watch email alerts for Journal Watch email alerts at at http://www.jwatch.org/http://www.jwatch.org/ . .

2.2. Receive free email alerts.Receive free email alerts.

3.3. To access commentaries that aren’t free, To access commentaries that aren’t free, go to library’s subscription of Journal go to library’s subscription of Journal Watch.Watch.

Not freeNot free No

t free

N

Physician FirstWatchPhysician FirstWatch

A Journal Watch alertA Journal Watch alert Daily news Daily news Available via email alert or RSS feedAvailable via email alert or RSS feed

Evidence UpdatesEvidence Updates

From the publishers of BMJFrom the publishers of BMJ Formerly known as BMJ UpdatesFormerly known as BMJ Updates Free for nowFree for now User-customized alerts available in email User-customized alerts available in email

or RSS or RSS Quality assessed, relevance rated studies, Quality assessed, relevance rated studies,

syntheses, synopses and summaries rated syntheses, synopses and summaries rated with McMaster evidence criteriawith McMaster evidence criteria

Access at Access at http://plus.mcmaster.ca/EvidenceUpdates/http://plus.mcmaster.ca/EvidenceUpdates/

Evidence Updates – article Evidence Updates – article inclusion processinclusion process

1.1. Staff select articlesStaff select articles 170 clinical journals are reviewed170 clinical journals are reviewed Studies included that meet strict criteria for scientific Studies included that meet strict criteria for scientific

meritmerit Reduces 50,000 articles per year to 3000 articles Reduces 50,000 articles per year to 3000 articles

(6%) as (6%) as having adequate methods to support having adequate methods to support their conclusionstheir conclusions for key aspects of clinical care. for key aspects of clinical care.

2.2. Physicians rate articlesPhysicians rate articles Articles assessed for Articles assessed for relevancerelevance and and newsworthinessnewsworthiness

Ratings provided by at least 3 practicing physicians Ratings provided by at least 3 practicing physicians for each discipline. for each discipline.

DynaMed Weekly UpdateDynaMed Weekly Update

Selected from articles considered for Selected from articles considered for inclusion in DynaMedinclusion in DynaMed

Based on the criteria of choosing "articles Based on the criteria of choosing "articles most likely to change clinical practice", most likely to change clinical practice",

RSS feed and podcast availableRSS feed and podcast available Not customizable by specialtyNot customizable by specialty Access at Access at http://www.ebscohost.com/dynamed/weeklyUpdate.phphttp://www.ebscohost.com/dynamed/weeklyUpdate.php

Journals Journals

Review journal tables of contents (TOC)Review journal tables of contents (TOC)

Which journal TOC to review?Which journal TOC to review?

Top journals by impact factor for Top journals by impact factor for Pediatrics Pediatrics

1.1. Journal of the American Academy of Child & Adolescent Journal of the American Academy of Child & Adolescent PsychiatryPsychiatry

2.2. PediatricsPediatrics3.3. Journal of PediatricsJournal of Pediatrics4.4. Archives of Pediatrics and Adolescent MedicineArchives of Pediatrics and Adolescent Medicine5.5. Journal of Child & Adolescent PsychopharmacologyJournal of Child & Adolescent Psychopharmacology6.6. Pediatric Infectious Disease JournalPediatric Infectious Disease Journal7.7. Pediatric ResearchPediatric Research8.8. Archives of Disease in ChildhoodArchives of Disease in Childhood9.9. Seminars in PerinatologySeminars in Perinatology10.10. Pediatric Allergy & ImmunologyPediatric Allergy & Immunology

From 2007 Journal Citation ReportsFrom 2007 Journal Citation Reports

Other journals to considerOther journals to consider

Pediatrics in ReviewPediatrics in Review Specialty journalsSpecialty journals

Pediatric PulmonologyPediatric Pulmonology Pediatric NephrologyPediatric Nephrology

General MedicineGeneral Medicine New England Journal of MedicineNew England Journal of Medicine JAMAJAMA LancetLancet

What an RSS feed looks likeWhat an RSS feed looks like

Clinical ReaderClinical Reader

Free for nowFree for now Recent articles from high impact and Recent articles from high impact and

popular journals under speciality sectionspopular journals under speciality sections Access news, podcasts and other Access news, podcasts and other

multimediamultimedia Mobile version coming August 2009Mobile version coming August 2009 Access at Access at http://clinicalreader.com/http://clinicalreader.com/

ticTOCsticTOCs

Select the journals for which you want to Select the journals for which you want to review Table of Contentsreview Table of Contents

Get RSS feeds of journal Table of Get RSS feeds of journal Table of Contents delivered to your RSS feed Contents delivered to your RSS feed readerreader

Access at Access at http://www.tictocs.ac.ukhttp://www.tictocs.ac.uk

*Notes about journal access*Notes about journal access

Library subscribes to journals via various Library subscribes to journals via various sources, not always publisher sitesources, not always publisher site

Even if library subscribes, we might not Even if library subscribes, we might not have access to the article yet have access to the article yet

Check Journal/Article Finder to check Check Journal/Article Finder to check access or FindIt@MU for accessaccess or FindIt@MU for access

Search alertsSearch alerts

Subject alerts: create a search strategy in Subject alerts: create a search strategy in database like PubMed and have results database like PubMed and have results sent periodicallysent periodically

Citation alerts: receive alerts when certain Citation alerts: receive alerts when certain articles or authors are citedarticles or authors are cited

PubMed alertsPubMed alerts

1.1. Register for a MyNCBI account.Register for a MyNCBI account.

2.2. Do a search in PubMed.Do a search in PubMed.

3.3. Save Search.Save Search.

4.4. Receive alerts on a periodic basis.Receive alerts on a periodic basis.

PubMed alert email examplePubMed alert email example

Scopus citation alertScopus citation alert

What is Scopus?What is Scopus? Largest bibliographic citation database of Largest bibliographic citation database of

research literatureresearch literature Good for cited reference searchingGood for cited reference searching

1. Find an article that you’d like to know when it’s cited

Changing epidemiology of Clostridium difficile-associated disease in children.Benson L, Song X, Campos J, Singh N.Infect Control Hosp Epidemiol. 2007 Nov;28(11):1233-5. Epub 2007 Aug 27.PMID: 17926272 [PubMed - indexed for MEDLINE]

2. Copy article title into Scopus

Cited 4 times

Scopus citation alerts

Alert for new documents by author

Alert for when author’s documents are cited

What the heck is RSS anyway?What the heck is RSS anyway?

RSS stands for RSS stands for Really Simple SyndicationReally Simple Syndication. . A syndicated news feed in an XML format A syndicated news feed in an XML format

to which you can subscribe.to which you can subscribe. An An alternative to email alertsalternative to email alerts See new content when it is available on See new content when it is available on

websites, blogs, search alerts etc..websites, blogs, search alerts etc..

How to get RSS feedsHow to get RSS feeds

Choose and download a RSS feed reader Choose and download a RSS feed reader or use a browser compatible with RSS (IE or use a browser compatible with RSS (IE 7 and higher or Firefox).7 and higher or Firefox).

Copy and paste the appropriate URL into Copy and paste the appropriate URL into your RSS feed reader your RSS feed reader OR OR Click on the orange RSS iconClick on the orange RSS icon

What an RSS feed looks likeWhat an RSS feed looks like

Internet Explorer Favorites

Using a feed readerUsing a feed reader

Access your feeds from any locationAccess your feeds from any location More flexible than receiving in browserMore flexible than receiving in browser Many feed readersMany feed readers Google Reader is one example, access atGoogle Reader is one example, access at

google.comgoogle.com/reader /reader

Google ReaderGoogle Reader

Skyscape mobile alertsSkyscape mobile alerts

Skyscape mobile especially for mobile Skyscape mobile especially for mobile devicesdevices

Same service in which provides DynaMed Same service in which provides DynaMed via mobilevia mobile

Subscribe to pediatric alertSubscribe to pediatric alert

Drinking through a firehose….Drinking through a firehose….

Keeping up at the point of careKeeping up at the point of care

2 questions for every 3 patients seen2 questions for every 3 patients seen Only 30-36% of questions are answeredOnly 30-36% of questions are answered

Hersh, W. “Physician Information Needs”. In Hersh, W. “Physician Information Needs”. In Information Retrieval: A Health and Biomedical Information Retrieval: A Health and Biomedical PerspectivePerspective. pp. 99-107, 2009.. pp. 99-107, 2009.

Factors associated with pursuit of Factors associated with pursuit of answeranswer

UrgencyUrgency Answerability – the physician felt an Answerability – the physician felt an

answer was likely to existanswer was likely to exist Generalizability – an answer would help to Generalizability – an answer would help to

manage other patientsmanage other patients

Gorman, P. and Helfland M. Information seeking in primary care: how physicians choose which Gorman, P. and Helfland M. Information seeking in primary care: how physicians choose which clinical questions to pursue and which to leave unanswered. Medical Decision Making, 15:113-clinical questions to pursue and which to leave unanswered. Medical Decision Making, 15:113-119, 1995.119, 1995.

Barriers to answering clinical Barriers to answering clinical questionsquestions

AttitudeAttitude EnvironmentEnvironment Lack of computer skillsLack of computer skills Lack of resourcesLack of resources Lack of timeLack of time

Ebell, M. How to find answers to clinical questions. American Family Physician, 79:293-296, 2009.Ebell, M. How to find answers to clinical questions. American Family Physician, 79:293-296, 2009.

Possible solutionsPossible solutions

Value your own questions and write them Value your own questions and write them down as they occurdown as they occur

Respond positively when colleagues ask Respond positively when colleagues ask you questionsyou questions

Make computers available where you Make computers available where you practicepractice

Carry a tablet computer, PDA, or Carry a tablet computer, PDA, or smartphonesmartphone


More possible solutionsMore possible solutions

Practice searching for answers to become Practice searching for answers to become proficientproficient

Take classes that teach computer skillsTake classes that teach computer skills Subscribe to (or become aware of) Subscribe to (or become aware of)

relevant evidence-based information relevant evidence-based information sourcessources

Plan adequate time every week or month Plan adequate time every week or month to review recent literatureto review recent literature


Best bet – point of care resourcesBest bet – point of care resources

UpToDateUpToDate DynaMedDynaMed EBM resources pageEBM resources page

PDA resourcesPDA resources

DynaMedDynaMed

Clinical Xpert – via Micromedex Clinical Xpert – via Micromedex

Epocrates – free drug resourceEpocrates – free drug resource

Thank you!Thank you!

Caryn ScovilleCaryn Scoville

Librarian Librarian

[email protected]@health.missouri.edu

882-2844882-2844

Health & Medicine

Keeping Up To Date With The Literature In Child Health