Introduction to the Maguire Medical Library Online and PDA Resources

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Introduction to the Maguire Medical Library
Online and PDA Resources

• Nancy Clark, M.Ed., Director of Medical
  Informatics Education
• Susan Epstein, M.L.S., Librarian, Head of Public
  Services

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Handouts

• PowerPoint slides
• Syllabus
• Description of PDA Resources

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Objectives for Session

• Learners will
• Access and navigate the library web site
• Find an eBook or eJournal,
• Use a drug and EBM resource
• Find a patient ed handout
• Find PDA resources
• Get help online or a person

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New Web Site 8/27/10

• Some loss of functionality
• Identifying and fixing as discovered
• Please report any broken links or problems
  encountered to
• medlibrary_at_med.fsu.edu

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Goals of Virtual Library

• Excellent service
• Collection relevant to curriculum research
• 99 electronic (100 for regional campuses)
• Instant, seamless access

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24/7 Access to Resources

• gt1900 medical eJournals (millions of articles)
• Hundreds of clinical eBooks
• Evidence-based medicine resources and Guidelines
• Disease, drug, images and patient education
  resources
• PDA versions of 9 web resources
• Web-based course materials

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Who May Access Resources?

• All CoM faculty with appointments
• Full and part time
• All CoM students and residents
• All CoM staff
• Who cant? (legally)
• Faculty clinic staff
• Affiliated hospitals
• Alumni

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Finding the Library Web Site

• Open a web browser
• Type in URL www.med.fsu.edu
• Top of page, click on Library
• Bookmark site IE Favorites Menu,
  Add to Favorites

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www.med.fsu.edu
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Off Campus Access

• IP authentication
• Proxy server EZProxy
• FSU CoM ID and password
• Use links on library page

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EZProxy
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Log into EZProxy

• Lets make sure this works
• Note the ezproxy.med.fsu.edu in the address
  line
• If you lose this, you wont access resources
  STOMP, STOMP!
• Follow links on the library page to resources
• If you lose ezproxy, go back and login again

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Navigating the Library Site
9/17/2014
Intro to Medical Library Resources
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Find the Tutorials and User Guides
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Keep Up with New Library Features

• Sign up to receive Library Blog via email

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Getting Help From a Librarian

• Under About Us Librarians and Staff
• Under Give us Feedback
• Ask a Librarian
• E-mail medlibrary_at_med.fsu.edu
• Call
• Voice 850-644-3883
• Fax [phone]
• Interlibrary loan, link on top of library page to
  form

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Subscription Resources
9/17/2014
Intro to Medical Library Resources
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Use a Major Resource

• MDConsult, OVID, eMedicine, Access Med.
• Contain multiple resources
• Serve multiple functions
• Each has its own interface
• Must learn each resources quirks
• MedResource List for description

9/17/2014
Intro to Medical Library Resources
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Find the eBooks List

• Find a book you like in your specialty
• Open it
• Using the Table of Contents or Index find a
  chapter you need

9/17/2014
Intro to Medical Library Resources
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Find eJournals

• Find your favorite journal
• Find a full text article in that journal
• You can save (PDF) or print out that article

9/17/2014
Intro to Medical Library Resources
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Searching eJournals

• Pubmed searches linked to full text
• See tutorial on Pubmed searching

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Endnote X4

• 100 Software free to all faculty
• Manages articles
• Create libraries of articles by topic
• Cite and format bibliography in papers/articles
• Contact librarians if interested

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Clinical Information Needs

• Organized by Topic
• EBM
• Point of Care Decision Support
• Drugs
• Pt Ed

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Academic and Research

• Clerkship Resources
• Link to Informatics Resources Site
• All Informatics faculty development workshops
  resources

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EBM Summaries -- Dynamed

• Constantly updated review of literature and
  guidelines organized by topic
• Brief summarized information presented
• Links out to articles and reviews if more details
  needed
• Available online or PDA, iPhone

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Dynamed
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Sample Question Dynamed

• A 65 year old Jewish woman is worried that she
  may get Parkinsons Disease because her father
  was diagnosed with it when he was 65. He was a
  heavy smoker. She does not smoke or drink
  alcohol or coffee. What do you tell her?
• What is the prognosis for a 60 y/o female with
  Stage IV metastatic breast cancer?

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Drug Information
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Epocrates Online

• Drug Monographs Rx, OTC and CAM
• Formularies
• Drug Interactions (enter multiple drugs)
• Pill Identifier
• Calculators, tables
• PDA Version include disease reference,
  antibiotics guide, differential diagnosis, lab
  manual

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Epocrates Online
Interaction Checker
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Sample Epocrates Question

• How much does a 9 pack of 50mg Imitrex tablets
  cost?
• Is this on BCBS of GA formulary?
• You have a patient on Lipitor, Lasix, Prozac and
  Zyrtec. Should you advise them to try Advil
  Migraine or give them Imitrex?

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Finding Patient Education Handouts
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MDConsult

• What is in it?
• Patient Ed materials
• Many of our books journals
• Guidelines
• Drug ref
• Images

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Patient Ed Materials in MDConsult
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Find a Handout

• Select your specialty
• Select a topic that you see frequently in your
  clinic
• Find an appropriate handout
• You can print these at your clinic with your info
  in them

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MDConsult Create an Account

• Why?
• Customize Patient Handouts
• Customize news and set up email alerts
• Save searches and bookmarks

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Customizing MDConsult Pt Ed Materials

• How? Create an account.
• Select your own username and password
• Login and click on My Account in the upper
  right
• Select the Preferences Tab
• Click on Customize Patient Handouts
• Type in your information

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Info Needs by Course/Speciality

• Pages under construction (9/10)
• Intend to link to pertinent textbooks, journals
  and medical web sites for each specialty.

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MedResource Map
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Access Off-linethe PDA

• No Internet connection required
• Replaces pocket manuals
• Library quick references most relevant to patient
  care
• Latest, most current information
• Teaching tool to facilitate discussion

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FSU Licensed PDA Software

• Epocrates Essentials (149/yr)
• Essential Evidence Plus (249/yr)
• DynaMed (200/yr)
• PEPID (199/yr)
• Pediatric Care Online (289/yr)
• Clinical Evidence (99/yr)
• Harrisons Practice (325/yr)
• Geriatrics at Your Fingertips (30)
• Savings to each faculty and student gt 1,500/yr

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Getting Help With PDA

• Regional Campus, IT Support Coordinator
• Regional Campus Informatics Curriculum Director
• Main Campus
• Nancy Clark, Kenneth Higgins, DL Laseur (see
  contact info in syllabus)
• IT HelpDesk [phone]

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Find PDA Resources
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iPhone Revolution

• Cell phone technology expanding to PDAs
• Medical reference websites reformatting
• Software versions availability expanding
• 6 resources Epocrates, PEPID, Dynamed, ePSS,
  Harrisons Practice, Pediatric Care Online,
  Clinical Evidence

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Search Tools

• Use Multi-Search to search all
• e-Books
• Patient Ed Handouts
• Use PubMed for journal articles
• Use Google Scholar for journal articles
• E-Journals for Journal Titles
• E-Books for Book Titles

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Medical Informatics

• Reference Websites
• Medical Dictionaries
• Reference books
• Informatics Resources
• All informatics teaching resources

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Find Training Resources
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Find Training Resources
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Incorporate Use of Library into Student Teaching

• As faculty, ask students to look up aspects of
  problems seen in clinic
• Incorporate PDA in teaching
• Look up, report, assess understanding of
  meaning/implications
• Race to find answers
• Incorporate web resources
• Bring articles on
• Guidelines on
• Find a patient ed handout on

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In Conclusion

• Fabulous resources
• Access anywhere on internet/PDA
• Play with the library site
• If you need help
• Include in teaching
• Come to more sessions

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Next Seminar Series Session

• Next session
• Date
• Where
• Gladly do more sessions. Let us know what you
  want.

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Individual Help Session