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PBL Information Resources and Tools for the First Year: Case #20 : Mr. Talmaier -- Boy, that medicine is strong!

This guide provides resources and strategies for finding background, clinical and drug information, including evidence-based medicine strategies and specific information for problem-based learning exercises.

Textbooks

Electronic books of interest outside of Access Medicine.

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Mr. Talmaier -- Boy, that medicine is strong!

For many of this week's questions, your usual background resources will get you to the answers you seek, so the following is mostly a reminder of some of those resources and a couple of novel ones that might be worth checking out.  

 

Resources for this case include:

Textbook Suggestions (look left)

Those point of care tools 

Videos:  Sensory Exam from JOVE

PubMed Search Tips -- Finding more like the one I have ...

General Search Tip -- Chasing Footnotes

Featured Resource - PubMed Health & AHFS

National & Local Organizations

MedlinePlus -- Patient Information

Point of Care Tools

Point of Care Tools

By now, these are probably some of your favorite tools.  Both Medscape & Up to Date will have some good information for you about cervical radiculopathy and DDX.  This week, Medscape will have some great images for you as well (some were even used in the tutors' guide). 

Video & Multimedia Resources

Video Resources

 Multimedia content is a growing collection within our resources - from the Journal of Visual Experimentation (JOVE) to the textbooks in Access Medicine.  For this case you might find the sensory exam videos helpful.

General Search Tips

Chasing Footnotes or rather, Chasing Citations

One way to find potentially good resources - for your write ups or for your research project - is to find a good article or book and see what they have referenced.  I realize that not everything in the article or book is of value, so focus in on those references from the sections that most closely relate to the topic you are interested in.  The items that have been cited in the article or book can be very enlightening for your search process.  What can you learn with this process?  How about:

  • Specialty journals
  • Key textbooks
  • Pertinent government documents or organization/websites 
  • Related articles (judging from title alone)

This would work for any type of resource you have that has references, from an article to a book to Up to Date, or even your course syllabus.

Searching PubMed

Finding More Like the One I Have

Brush up for the discussion on dealing with errors (or perceived errors) and the ethics surrounding that issue.  The literature may be tough to target in PubMed, but there are some very good articles.  What are the steps for finding them?

  • Type in your keywords (physician error, handling, etc -- whatever make sense to you)
  • Scan the titles and the abstracts - see if there are better terms to use
    • Revise search - add terms, subtract some as needed
  • Find a good article and ...
    1. Use Similar Articles link, or
    2. Look at the abstract and the MeSH terms, and redo your search with MeSH terms

In this case, two MeSH terms might stand out

  • "Medical Errors/ethics"[MAJR]
  • "Truth Disclosure/ethics"[MAJR]. 

These terms bring up a short list of articles.  (FWIW: the [MAJR] tells PubMed to make sure that term is one of the main points of the article - it helps narrow the results).  For example, you might find the following:

 

 

 

Drug Information Resources

Drug Info Sources

From details on specific drugs and their side effects to dosing information to interaction checkers, two of our subscribed resources provide a great deal of helpful information.  Check out Clinical Pharmacology or Micromedex for details on specific drugs or check a condition to see what drugs are suggested.  PubMed Health Drug Information is more patient-level information, but provides a nice concise overview of a drug, its uses, & side-effects.

National & Local Organizations

Check out MedlinePlus.gov if you need to know more about national organizations.

MedlinePlus: Information Tool for Patients

MedlinePlus is a great place to find consumer-friendly materials along with directories, a dictionary & encyclopedia, and more.  Take a look and see what you find - try radiculopathy.

Search MedlinePlus: