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PDA Resources for Evidence-Based Medicine The Welch Medical Library May 6, 2004 Cindy Sheffield, MBA, MLS Claire Twose, MLIS Brian Pinto, PharmD Mark Dodd Today’s Lecture Intro to Evidence-Based Medicine Intro to Personal Digital Assistants Resources Government Guidelines Clearinghouse

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Pda resources for evidence based medicine the welch medical library may 6 2004 l.jpg

PDA Resources for Evidence-Based MedicineThe Welch Medical Library May 6, 2004

Cindy Sheffield, MBA, MLS

Claire Twose, MLIS

Brian Pinto, PharmD

Mark Dodd

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Today’s Lecture

Intro to Evidence-Based Medicine

Intro to Personal Digital Assistants


Government Guidelines Clearinghouse




Lexi-COMP (fee)

PICO Maker

EBM Calc

Other Learning Opportunities

Other Resources

Questions and Answers

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EBM Definition

Evidence-Based Medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.

Glossary, Centre for Evidence Based Medicine,

Oxford accessed April 28, 2004 http://www.cebm.net/glossary.asp

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3 Evidence is

Critically Appraised

by Reputable Source

2 Select Sources for

Pre-processed literature

1Refine Question


2 Formulate Query


Evaluate results:



4Incorporate into

Patient Care

2Perform Search




Finding EBM Flow Chart

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Usefulness of



Relevance x Validity



Managing the Literature

Shaughnessy AF, Slawson DC, Bennett JH. Becoming an information master: a

guidebook to the medical information jungle. J Fam Pract 1994 Nov; 39(5):489-99

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Levels of Evidence: study design

Medical Center Library, Duke University

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Welch’s EBM Page: Quicklinks, EBM

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Intro to PDAs: Palm vs. Pocket PCOperating Systems


Pocket PC

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Introduction to PDAs – more info

  • Jim’s Palm Pages

    • http://www.jimthompson.net/palmpda/

  • Dalhouise

    • http://handheld.medicine.dal.ca/introduction/index.htm

  • pdaMD.com Learning Center

    • http://www.pdamd.com/vertical/features/wireless_2.xml

  • Etopicbrain

    • http://pbrain.hypermart.net/basics.html

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Government Guidelines Clearinghouse

  • Public resource for evidence-based clinical practice guidelines

  • NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ)

  • Can use a Reader with Palm; wireless direct access available on Pocket PC


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  • Search in Medline for citations and abstracts

  • Will provide interactive access in a wireless environment


  • Can use same address as Avantgo Channel

  • Project called PubMed on Tap


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Search directly with a wireless connection or use Avantgo and create a custom channel.

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  • 330 Differential Diagnoses

  • 450 Medical Conditions

  • 3 Different download sizes

  • Updated quarterly


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  • Drug information and interactions

  • Alternative medicine information

  • Acute care

  • Toxicology information

  • Formulary advisories


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  • Provides drug interaction information

  • JHH Formularies


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PICO Maker

  • Store queries in PICO format for later

  • Assist students and clinicians with evidence based practice.

  • Palm based


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EBM Calc

  • Statistics for Diagnostic, Prospective, Case Control & Randomized studies

  • Can graph pre- and post test probability with likelihood ratio for Diagnostic Studies.

  • Can save results and view at another time EBM Calculator – Centre for EBM – University Health Network


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Other Learning Opportunities

Library Classes (Resources for Research and Information Management & Presentations):

  • Evidence-Based Health Care – 6/24/04 pm

  • Pharmacology Resources – 8/12/04 am

  • Evidence-Based Critical Appraisal for Patient Care - 7/27/04 am

  • Registration @ http://www.welch.jhu.edu/classes

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October 12th

All Day Event



For details

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Other PDA Resources of Interest

  • Avantgo – host server https://my.avantgo.com/home/

  • Hopkins Antibiotic Guide


  • ePocrates


  • MedCalc


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Where to find PDA Resourceshttp://www.welch.jhu.edu/classes/elearning/pdaresources.html

  • Dalhousie University Handheld Recommendations - Organized set of hardware descriptions and software specifically for medicine with informative recommendations

  • ectopicbrain - List of medical applications with descriptions for each

  • handheldmed - Delivers point of care content and applications for healthcare professionals

  • pdaMD.com - Premier website providing tutorials, forums, news, and software for health care professionals who use PDAs

  • Skyscape - Extensive list of medical reference titles

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Where to find PDA Resources

  • CollectiveMed - Owned and operated by healthcare professionals

  • MedicalPocketPC - Software, news, and reviews for PocketPC and WinCE medical users

  • HealthyPalmPilot - Over 700 downloadable healthcare resources from pdaMD.com

  • Memoware Medical Downloads - Over 300 downloads for medical specialties

  • Johns Hopkins Office of Academic Computing – Several medical applications for the Palm OS.

  • WelchWeb’s Personal Digital Assistants – A guide to resources for healthcare.

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How to Evaluate PDA Resources

Knowing What’s What and What’s Not


Ten C’s for Evaluating Internet Sources