The Evidence Pyramid - Finding Resources - [HMS] EBM - Evidence-based Medicine - ...
`
`Page 1 of 3
`
`The Francis A.
`Countway Library of Medicine
`
`HARVARD LIBRARY / RESEARCH GUIDES / HARVARD MEDICAL SCHOOL - COUNTWAY LIBRARY OF MEDICINE
`
`/
`
`[HMS] EBM - EVIDENCE-BASED MEDICINE / THE EVIDENCE PYRAMID - FINDING RESOURCES
`
`[HMS] EBM - Evidence-based Medicine
`
`Tutorials on the EBM process, EBM based information resources
`
`Table of Contents
`
`Levels of Evidence
`
`You can use the TRIP Database to search for EBM sources that extend from
`
`individual studies (cohort studies, RCTs) to systematic reviews and guidelines.
`
`Filtered Information Sources
`
`Filtered resources summarize and appraise evidence from several studies and
`
`included systematic reviews, critically appraised topics, evidence-based
`
`guidelines and point of care references.
`
`DynaMed
`
`Point-of-care reference resource designed to provide doctors and medical
`
`researchers with the best available evidence to support clinical decision-
`
`making. All evidence is critically appraised.
`
`http://guides.library.harvard.edu/hms/ebm
`
`6/2/2016
`
`Ex. 2044-0001
`
`

`
`The Evidence Pyramid - Finding Resources - [HMS] EBM - Evidence-based Medicine - ...
`
`Page 2 of 3
`
`The Cochrane Database of Systematic Reviews
`
`Detailed, structured topic reviews of hundreds of articles. Teams of experts
`
`complete comprehensive literature reviews, evaluate the literature, and present
`
`summaries of the findings of the best studies. Published by the International
`
`Cochrane Collaboration.
`
`ACP Smart Medicine and AHFS DI
`
`Evidence-based point-of-care reference. Gives evidence in bibliographic form
`
`and makes it easy to identify supporting studies. AHFS DI is a point-of-care
`
`drug reference. Includes comparative price infromation.
`
`The ACP Journal Club
`
`Summarizes best new evidence from 130+ clinical journals and identify studies
`
`that are methodologically sound and clinically relevant. An enhanced abstract,
`
`with conclusions clearly stated, and a commentary are provided for each
`
`selected article. Published by the American College of Physicians-American
`
`Society of Internal Medicine and part of the Annals of Internal Medicine.
`
`EvidenceUpdates from the BMJ
`
`Articles from over 120 clinical journals are rated for quality, clinical relevance
`
`and interest by an international group of physicians. Includes a searchable
`
`database of the best evidence from the medical literature and an email alerting
`
`system. REGISTRATION IS REQUIRED in order to search, but the database is
`
`free and users are not harrassed.
`
`Wiki Journal Club
`
`Founded by medical students at UVM, the Wiki Journal Club is a collaborative
`
`effort to review major trials. Includes critical appraisals of major trials. Good
`
`coverage of major health questions. If the trial you're interested in has a catchy
`
`acronym for a name, it might be here.
`
`PDQ (Physician Data Query)
`
`From the NCI - summaries for patients and healthcare professionals on
`
`diagnosis, staging and treatment of cancers. All summaries linke directly to
`
`evidence through PubMed and they are updated frequently.
`
`Systematic reviews in PubMed (MEDLINE)
`
`Quickly find systematic reviews in PubMed using Systematic Review
`
`publication limit or just append AND systematic[sb] to your search.
`
`Unfiltered Information Sources
`
`Use these tools to search for primary studies. Utilize filters to find study types
`
`that provide best evidence; to narrow your results by patient age or gender,
`
`date or language.
`
`PubMed
`
`To limit your PubMed search to the best evidence-producing studies: Click on
`
`"clinical queries" (in the center column of the main screen). This specialized
`
`search is intended for clinicians and has built-in search "filters." After
`
`http://guides.library.harvard.edu/hms/ebm
`
`6/2/2016
`
`Ex. 2044-0002
`
`

`
`The Evidence Pyramid - Finding Resources - [HMS] EBM - Evidence-based Medicine - ...
`
`Page 3 of 3
`
`completing a topic search you can also use the LIMITS tab and choose "Types
`
`of Articles" such as Meta-analysis, Randomized Controlled Trial, Practice
`
`Guideline, etc.
`
`EMBASE
`
`Major European biomedical and pharmaceutical database. Search your drug or
`
`disease topic in EMBASE. Then click on Edit and then LIMIT, then MORE
`
`LIMITS. An Evidence Based Medicine Box will appear where you can choose
`
`from Cochrane Review, Systematic Reivew, Controlled Clinical Trial, etc.
`
`PsycINFO
`
`Psychological publications (not psychiatry). To limit your search to the best
`
`evidence-producing studies: scroll down the search page to the Methodology
`
`box. There you will find selections such as Systematic Review, Meta-analysis,
`
`and Treatment Outcome/Clinical Trial.
`
`CINAHL
`
`Patient care, including nursing and allied health. To limit your search to
`
`evidence-based literature, scroll down the search page and either select
`
`appropriate EBM type studies (systematic review, controlled trial, etc.) from the
`
`Publication Type box OR in the Special Interest box select Evidence Based
`
`Practice OR click Evidence-based Practice box on the left.
`
`Materials for EBM Assignment
`
`• EBM Video
`
`• (cid:2) Class slides
`
`• (cid:3) PubMed Tips
`
`• (cid:3) Assignment worksheet
`
`Last Updated: Nov 15, 2015 2:54 PM
`
`URL: http://guides.library.harvard.edu/hms/ebm (cid:1) Print Page
`
`Login to LibApps
`
`Subjects: Medical Sciences Tags: clerkship, clinical practice, critical appraisal, evidence-based, guidelines, hms, how_to, primary
`
`clinical experience, pyramid
`
`http://guides.library.harvard.edu/hms/ebm
`
`6/2/2016
`
`Ex. 2044-0003