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MICC 2017 Librarians and Evidence-Based Medical Practice:An Ever Closer Union

Michael Fanning, Customer Success - Training Manager7th June 2017

Starting Point

2

What is the role of librarians in

evidence-based medical practice

and especially in the production

of systematic reviews?

Question:

Information in the Digital World

3

In the light of not just the

volume of information.

But also the

diversity of information

location of information

authority of information.

Especially:

An Ovid Perspective…as a Journey!

4

MEDLINE Embase

EBMRPsycINFO

Databases

Journals Books Clinical Support Tools

Learning AidsElectronic Libraries

START

FINISH

An Ovid Perspective…as a Journey!

5

MEDLINE Embase

EBMRPsycINFO

Databases

Journals Books Clinical Support Tools

Learning AidsElectronic Libraries

START

FINISH

Brief tour to demonstrate the

volume of information

diversity of information

location of information

authority of information.

Databases

6

Challenge 1: Volume

Observation: Databases have grown dramatically

Source: https://www.nlm.nih.gov/pubs/techbull/so16/so16_medline_45.html

Databases

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Challenge 1: Volume

Provider: NLM, USA

Type: Bibliographic

Focus: Biomedical

Scope: 1946 to date

Journals: 5,600

Records: 28 million

Ovid MEDLINE Essentials:

Databases

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Challenge 1: Volume

Databases

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Challenge 1: Volume

39%29%24%33%45%

Observation: Structure and system facilitates specific searching

Databases

10

Challenge 1: Volume

1. Profile of the Databases:

Provider

(Country of Origin)

National Library of Medicine

(USA)

Elsevier b.v.

(NL)

American Psychological Association

(USA)

Resource MEDLINE Embase PsycINFO

Number of Records 28,000,000

Journals Indexed 5,600

Coverage Start Date 1946*

Type of Resource Bibliographic*

Publication Diversity High

Peer Reviewed Yes

2. Searchable Database Fields:

Title (.ti) Yes

Abstract (.ab) Yes

Text Word (.ti,.ab) Yes

Publication Type (.pt) Yes

Subject Headings (.sh) MeSH / DB specific

Full Text Indirect

Observation: Ovid MEDLINE is a useful comparator...

Databases

11

Challenge 1: Volume

1. Profile of the Databases:

Provider

(Country of Origin)

National Library of Medicine

(USA)

Elsevier b.v.

(NL)

American Psychological Association

(USA)

Resource MEDLINE Embase PsycINFO

Number of Records 28,000,000 31,000,000

Journals Indexed 5,600 8,500

Coverage Start Date 1946* 1974*

Type of Resource Bibliographic* Bibliographic*

Publication Diversity High High

Peer Reviewed Yes Yes

2. Searchable Database Fields:

Title (.ti) Yes Yes

Abstract (.ab) Yes Yes

Text Word (.ti,.ab) Yes Yes

Publication Type (.pt) Yes Yes

Subject Headings (.sh) MeSH / DB specific Emtree / DB specific

Full Text Indirect Indirect

Observation: Ovid MEDLINE is a useful comparator... v. Embase

Databases

12

Challenge 1: Volume

1. Profile of the Databases:

Provider

(Country of Origin)

National Library of Medicine

(USA)

Elsevier b.v.

(NL)

American Psychological Association

(USA)

Resource MEDLINE Embase PsycINFO

Number of Records 28,000,000 31,000,000 4,200,000

Journals Indexed 5,600 8,500 2,500

Coverage Start Date 1946* 1974* 1806*

Type of Resource Bibliographic* Bibliographic* Bibliographic*

Publication Diversity High High High

Peer Reviewed Yes Yes Yes

2. Searchable Database Fields:

Title (.ti) Yes Yes Yes

Abstract (.ab) Yes Yes Yes

Text Word (.ti,.ab) Yes Yes Yes

Publication Type (.pt) Yes Yes Yes

Subject Headings (.sh) MeSH / DB specific Emtree / DB specific ToPIT / DB specific

Full Text Indirect Indirect Indirect

Observation: Ovid MEDLINE is a useful comparator... v. PsycINFO

Databases

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Challenge 1: Volume

Provider National

Library of

Medicine

1.

Cochrane

Collaboration

1.

Cochrane

Collaboration

2.

UK NHS

(York/CRD)

2.

UK NHS

(CRD)

2.

UK NHS

(CRD)

2.

UK Cochrane

Centre (NHS)

3.

Am. College

of Physicians

Resource MEDLINE Cochrane Db.

Of Systematic

Reviews

Cochrane

CRg. Of

Controlled

Trials

Db. Of Review

of Abstracts

of Effects

(DARE)

Health

Technology

Assessments

NHS

Economic

Evaluation

Db.

Cochrane

Methodology

Register

ACP Journal

Club

Records Description

Number 28,000,000 9,450 1,066,865 36,700 16,300 15,000 15,700 4,500

Type Bibliographic Full-text Bibliographic Full-Text(*) Bibliographic Bibliographic Bibliographic Bibliographic

Pub.

Diversity

High Low Medium Low Low Low Low Low

Critically Ass. Yes Yes Yes Yes No Yes Yes yes

Searchable Fields (A –Z)

Abstract Yes Yes Yes No No No Yes Yes

Full Text No Yes No Yes No “Jein” No Yes

Keyword Yes Yes Yes Yes Yes No Yes Yes

MeSH Terms Yes “Jein” Yes No Yes Yes No No

Publicat. Tp. Yes No Yes Yes Yes Yes Yes Yes

Text Word Yes Yes Yes Yes Yes Yes No Yes

Title Yes Yes Yes Yes Yes Yes Yes Yes

Observation: Ovid MEDLINE is a useful comparator... v. EBMR

Databases

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Challenge 2: Variety

Ovid MEDLINE Embase PsycINFO

(18)

Publication Types:

Database Variations:

(70) (10)

Databases

15

Challenge 2: Variety

Ovid MEDLINE Embase PsycINFO

(18)

Publication Types:

Database Variations:

(70) (10)

Question: Just how important is this?

Databases

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Challenge 2: Variety

7% of the total are

from these other

Publication Types

Observation: ADRs are also reported in other publication types

Databases

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Challenge 3: Location

Question: Which database and then which segment as well as what time frame?

Databases

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Challenge 3: Location

Observation: Google is perceived as an alternative option

Databases

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Challenge 3: Location

Observation: OvidInsights – Making Ovid content discoverable

Databases

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Challenge 3: Location

Ovid Discovery

Observation: Ovid Discovery – Similarly with your content as well

Databases

21

Challenge 4: Authority

Ovid MEDLINE Embase EBMRPsycINFO

Databases

22

Challenge 4: Authority

Ovid MEDLINE Embase EBMRPsycINFO

Databases

23

Challenge 4: Authority

Ovid MEDLINE Embase EBMRPsycINFO

Books

24

Challenge 4: Authority

Journals

25

Challenge 4: Authority

Electronic Libraries

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Challenge 4: Authority

Learning Aids

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Challenge 4: Authority

Learning Aids

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Challenge 4: Authority

Clinical Support Tools

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Challenge 4: Authority

Clinical Support Tools

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Challenge 4: Authority

Clinical Support Tools

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Challenge 4: Authority

So with the journey complete…

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MEDLINE Embase

EBMRPsycINFO

Databases

Journals Books Clinical Support Tools

Learning AidsElectronic Libraries

START

FINISH

…what is the role of librarians…

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...in evidence-based medical practice now

in the light of the

volume of information.

diversity of information

location of information

authority of information?

Seeking Answers – “Ask” Ovid!

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Look for literature relating to,

information competence, information literacy

media competence, media literacy

digital competence, digital literacy

health literacy etc

Seeking Answers – “Ask” Ovid

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Observation: The idea lacks precision and hence presence

Seeking Answers – “Talk” to TED!

36

Source: TED Talk, The incredible inventions of intuitive AI by Maurice Conti

https://www.ted.com/talks/maurice_conti_the_incredible_inventions_of_intuitive_ai

A Starting Point For Inspiration?

37

Source: TED Talk, The incredible inventions of intuitive AI by Maurice Conti

https://www.ted.com/talks/maurice_conti_the_incredible_inventions_of_intuitive_ai

„hunter-gatherer age“

A Starting Point For Inspiration?

38

Source: TED Talk, The incredible inventions of intuitive AI by Maurice Conti

https://www.ted.com/talks/maurice_conti_the_incredible_inventions_of_intuitive_ai

„hunter-gatherer age“

„agricultural age“

A Starting Point For Inspiration?

39

Source: TED Talk, The incredible inventions of intuitive AI by Maurice Conti

https://www.ted.com/talks/maurice_conti_the_incredible_inventions_of_intuitive_ai

„hunter-gatherer age“

„agricultural age“

„industrial age“

A Starting Point For Inspiration?

40

Source: TED Talk, The incredible inventions of intuitive AI by Maurice Conti

https://www.ted.com/talks/maurice_conti_the_incredible_inventions_of_intuitive_ai

„hunter-gatherer age“

„agricultural age“

„industrial age“

„Information age“

A Starting Point!

41

Source: TED Talk, The incredible inventions of intuitive AI by Maurice Conti

https://www.ted.com/talks/maurice_conti_the_incredible_inventions_of_intuitive_ai

„hunter-gatherer age“

„agricultural age“

„industrial age“

„Information age“

A Starting Point – Suggestion

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Librarians have a pivotal role to play

helping medical researchers and

clinical practitioners better critically

assess the information they seek

and use to make decisions...

A Starting Point – Suggestion

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...and with respect to systematic reviews

why not see and postion yourselves as

Systematic Review Augmentors!

Thank you for listening.

Michael.Fanning@wolterskluwer.com

Further Information: www.ovid.com

Starting Point – A Suggestion

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Starting Point – A Suggestion

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