Library support for meeting the AVMA clinical competency 9:
"Searching effectively for and critically appraising evidence applicable to clinical and diagnostic cases"
1 video, 2 articles on how to read (critically Appraise) a paper (quickly to see if it Applies to the clinical question you have Asked)
-
Article: “How to Read a Paper and Appraise the Evidence.” In Practice 35.5 (2013): 282–285. Web. by" Improving basic paper-reading skills can reduce the time it takes to assess a paper, decide if it is relevant and valid, and apply it to a clinical setting."
5 key skills of evidence-based veterinary medicine
-
RCVS Five Key Steps Roadmap flyerNeed a roadmap to what skills to learn? See flyer.
Ask, Acquire, Appraise, Apply, Assess are the five key skills of evidence-based veterinary medicine.
How to appraise is listed first above, because learners find appraisal challenging.
Below are tips on Asking and Acquiring.
ASK: Asking an answerable clinical question
1/ Take the RCVS ASK tutorial http://www.ebvmlearning.org/ask/
2/ A less detailed overview about how to use PICO than the RCVS tutorial (Source: Colorado State).
Below is work sheet with a veterinary example and blank worksheet to help you format and document your PICO to prepare for searching.
ACQUIRE: where to search for veterinary clinical information
Suggested list of databases / information services to search to acquire evidence to answer clinical questions that arise in practice.
Tips:
- Develop a list of databases to search based on your practice focus, access to databases, and experience searching for evidence.
- If your go-to database has a subscription fee, include that in your employment contract negotiations.
-
VetCompanion-- point-of-care clinical information service with graded evidence305 topics in Dogs and Cats only
Free to students with registration or
UTK Libraries has a subscription so all have access -
VIN-- Veterinary Information Network VINcyclopedia of Diseases Expert opionion point-of-care serviceCheck out the VINcyclopedia of Diseases (formerly VIN Associate) for expert opinion on 800 canine diseases and 600 feline diseases, also exotic diseases and swine are included. Links to client handouts in Veterinary Partner.
Journal Abstracts: access to the veterinary journal literature that report research results. If the research was well-designed, evidence will be higher quality. Always evaluate any information you find relevant to the case.
Message boards are crowdsourced data, not particularly strong evidence but can be useful depending on topic.
Also provides access to conference proceedings which can be valuable depending on topic! -
Vetlexicon from VetStream -- expert opinion point-of-care service in vetmedDogs, cats, horses, cows, exotics, rabbits
More species and topics plus 1000 client handouts. -
CONSULTANT from Cornell5,200 diseases of 8 species (AVIAN IS THE ONLY EXOTIC SPECIES COVERED). Dr. Pete White filters for quality prior to adding citations to CONSULTANT.
-
CAB Abstracts (1910-present)If the evidence exists for your clinical question, it is most likely to be indexed by CAB. For high-stakes searches, CAB ABSTRACTS must be searched. Searcher must spend the time to filter for quality.
-
VetSREVVetSRev, the database of systematic reviews in veterinary medicine and science from U. Nottingham. See Below for "Getting Started Guide"
-
Best Bets for VetsA BET is a simple review of the current best evidence available to answer very common and specific clinical questions.
-
Google Scholar--"the catch-all"The most efficient way to use of Google Scholar is the "Cited By" feature which will tell you if an article as been cited and by whom. Do search Google Scholar, but clients can also search it, so vet students need to learn to use the professional databases listed above as part of professional skill set.
-
UpToDate--point-of-care resource for human medicine--VetCompanion and VetStream are the veterinary equivalentsHuman only. Can be used for small animal medicine. "access to over 10,000 topics in over 22 specialties. Click on a specialty to view the list of topics."
ACQUIRE Tutorials: how to search for evidence
HOW WILL SEARCHING EFFECTIVELY FOR BEST AVAILABLE EVIDENCE HELP ME IN PRACTICE?
“In an age of misinformation, evidence is a competitive advantage.”
~ Dr. Ron Larson, Kansas State CVM, featured speaker at UT CVM CE conference 2015
- McKenzie, B. A. (2014). Veterinary clinical decision-making: Cognitive biases, external constraints, and strategies for improvement. Journal of the American Veterinary Medical Association, 244(3), 271-276.
- A Crucial Blind Spot in Veterinary Medicine: The placebo effect shows up in pets too, but these treatments are fooling owners, not their animals.
-
Peter Cockcroft WebinarNOTE: WEBINAR IS FREE. ACCOUNT NEEDED ON THE SITE.
5 LEARNING OBJECTIVES:
Appreciate some of the challenges in knowledge mobilisation
Appreciate why the practise of evidence-based veterinary medicine is the bridge between science and clinical practice
Appreciate why the practice of evidence based medicine should be the bridge between practice and research
Increase understanding of practice-based evidence
Understand the resources required to support EBVM – RCVS Knowledge and Veterinary Evidence
2016 editorial in Today's Veterinary Practice by Kirk J. Breuninger, VMD, MPH
Don't pay for access OR spend a lot of time trying to get access, AskUs!
Jeanine Williamson | jwilliamson@utk.edu | Veterinary Librarian (interim)
Jeffrey Hines | jhines@utk.edu | Evening Supervisor
Primary contacts for veterinary medicine @ Pendergrass Library
