“ The medical librarian's role in the promotion of the evidence: a Cuban experience . ”

1. World Library & Information Congress 74th IFLA General Conference “The medical librarian's role in the promotion of the evidence: a Cuban experience.” MSc. Ania Torres PombertNational Coordinator Centre of Clinical TrialsCUBA Satellite Meeting . Biosciences and Health Libraries August 9th, Québec, Canada

2. EVIDENCE BASED MEDICINE (EBM) Clinical method Doctor/ Patient Tacit Knowledge (professional's experience) Individual Clinical Expertise Patient's Values and Expectations EBM Best External Evidence I & K Management Medical Librarian Explicit Knowledge (Medical Literature) MSc. Ania Torres Pombert

3. Medical Librarian EBM and Medical Librarian Health Research Medical Practice EBM Assessing Applying Appraising Accessing Asking Clinical Expertise/ Doctors- Researchers External Evidence/ Medical Literature MSc. Ania Torres Pombert

4. Why EBM in Developing Countries • Limited capacity for drug regulation. • Limited resources for the National Health Systems • Some difficulties for continuing medical education. • Few library facilities • Poor access to the literature (databases, journals, textbooks) • Why to promote it in CUBA • Poor knowledge about its concepts and methodology • Scarce presence in education programs • Low use frequency of EBM sources in spite of Infomed • Poor abilities for searching of doctors and researchers • Few articles in Cuban literature, majority MSc. Ania Torres Pombert

5. Medical Librarian's Role in EBM Scientific meetings Courses EBM Inf. services 2007 2006 2002 2001 1996 1995 1991 Promoter of EBM + Web2.0 Scientific meetings Courses Librarian-Researcher/ Professor + EBM Inf. services Traditional Inf. Services Traditional librarian / Users' Educator / Reader of EBM No Library, No Librarian MSc. Ania Torres Pombert

6. Librarians promoting the evidence Information Services Since 2002. Applying EBM Methodology to Searching process Asking Clinical Question (PICO Analysis) Accessing ?Study type Searching in EBM information resources Cochrane, Pubmed-Clinical Queries, TRIP Appraising Critical appraisal (Validity & Applicability) More than 60 Clinical Trials (Protocols & Final Reports) MSc. Ania Torres Pombert

7. 46 46 30 30 29 26 26 21 Librarians promoting the evidence Education Programs • National Diploma on Clinical Trials/ CENCEC- 4 editions • (Module: Clinical Trial Organization/ Subject: “EBM and their main information resources” with conferences and training in Databases) • 2004. Postgraduate Course "Scientific information: intrinsic component of clinical research“ Accredited in the National School of Health Public. 40 hours. 26 graduates. MSc. Ania Torres Pombert

8. Librarians promoting the evidence Education Programs • Motivational Conferences in: • 2007. Scientific session for Medical Libraries Network in Infomed. 35 librarians. • 2008. Information Literacy Program. Centre for State Control of Medical Equipment. 15 researchers. • 2008. Course: Information Literacy, Master on Cerebrovascular diseases, 2nd edition. National Institute of Neurology and Neurosurgery. 20 lecturers. • Master on Clinical Trials in accreditation • (Course: “Information and technologies applied to clinical research” / Subject: EBM for decision making on health. 148 hours) MSc. Ania Torres Pombert

9. Librarians promoting the evidence Scientific Meetings • 3 Posters about EBM • 2002. II International Workshop on Clinical Trials. Havana, Cuba. More than 200 Cuban and foreign delegates. • 2003. Young “Science”. Tropical Medicine Institute Pedro Kourí. More than 250 Cuban delegates. • 2003. Scientific Session. Carlos J. Finlay Hospital. Havana, Cuba. More than 250 Cuban delegates. • 1 Conference about EBM • 2007. IV International Workshop on Clinical Trials. Havana, Cuba. More than 150 Cuban and foreign delegates. MSc. Ania Torres Pombert

10. Librarians promoting the evidence Information technologies • EBM Cuban Portal (http://www.sld.cu/sitios/mbe) • Some Portal Sections: • About EBM • How to access the evidence • Cuban Literature on EBM • Article recommended • Courses and events • Information resources • Related sites • Link to EBMblog for Cuban health professionals MSc. Ania Torres Pombert

11. Librarians promoting the evidence RESULTS • Boarding of concepts, theory, and methodology of EBM also practical aspects of the searching process of evidence • Contribution to the information culture of health professionals with new and updated knowledge • Beginning of the pedagogic formation of librarians in the practice and teaching of the EBM . • Leadership of Libraries and librarians in the promotion of EBM in the National Network of Clinical Trials and other contexts • Incursion in the design of Web 2.0-based public services for a shared production of information and knowledge • Identified authors and articles on EBM in Cuban literature MSc. Ania Torres Pombert

12. Librarians promoting the evidence LIMITATIONS • Activities dependent of librarians leadership • Poor scope of educational interventions • Educational interventions based mainly on “asking” and “access” • Predominance of individual and spontaneous efforts • Lack of support in higher organisms • Absence of a multidisciplinary team to support EBM teaching • Lack of training and formation on EBM MSc. Ania Torres Pombert

13. Librarians promoting the evidence PROJECTIONS • Presentation of a Project for National Promotion of EBM: • Creation of a Multidisciplinary National Group of EBM • Conformation of an External Consultant Group of EBM • Development of formation programs on EBM for librarians and health professionals (including e-course) • Official presentation and maintenance of the EBM Cuban Portal and other public services • Collection and centralization of EBM Cuban literature to share • Librarians' training in the practice of the EBM • Organization of scientific events on EBM MSc. Ania Torres Pombert

14. Sometimes, some words make us reflect, other they make us do something and once I read these: THINK BIG! start small! ACT NOW! and it was enough … ACT is what I'm doing NOW MSc. Ania Torres Pombert

15. Thanks... a lot! ania@cencec.sld.cu