Research Guides: Audience: UTK Veterinary College: AVMA Competency 9: Evidence-based Practice

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)

Includes handy checklist: Training Students to Appraise the Quality of Scientific Literature.” Journal of Veterinary Medical Education 38.2 (2011): 135–140. Web. by Arlt and Heuwieser
Article: “How to Read a Paper and Appraise the Evidence.” In Practice 35.5 (2013): 282–285. Web. by Rachel Dean
" 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 flyer
Need a roadmap to what skills to learn? See flyer.

Ask, Acquire, Appraise, Apply, Assess are the five key skills of evidence-based veterinary medicine. The first three skills will be discussed on this guide.

EBVM Learning
Tutorial on the five steps of EBVM.

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 evidence
305 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 service
Check 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 vetmed
Dogs, cats, horses, cows, exotics, rabbits
More species and topics plus 1000 client handouts.
CONSULTANT from Cornell
5,200 diseases of 8 species (AVIAN IS THE ONLY EXOTIC SPECIES COVERED). Dr. Pete White filters for quality prior to adding citations to CONSULTANT.

CABI: CAB Abstracts
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.

PubMed
Partially indexes the veterinary literature. Killer app: a quality filter called Clinical Queries, use to apply evidence-based medicine filters developed at McMaster U to quickly find best evidence.

more... less...

For a tutorial on using Clinical Queries, see http://www.nlm.nih.gov/bsd/disted/pubmedtutorial/020_570.html.
A specific tutorial for searching PubMed for veterinary clinicians is below.
VetSREV
VetSRev, the database of systematic reviews in veterinary medicine and science from U. Nottingham. See Below for "Getting Started Guide"
Knowledge Summaries from RCVS
Best Bets for Vets
A 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 equivalents
Human 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."

Audience: UTK Veterinary College

Library support for meeting the AVMA clinical competency 9:

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)

5 key skills of evidence-based veterinary medicine

ASK: Asking an answerable clinical question

ACQUIRE: where to search for veterinary clinical information

ACQUIRE Tutorials: how to search for evidence