Monthly Archives: February 2012

Panel to Discuss U.S. Epidemic Intelligence Service

By Jennifer Nachbur

Since 1951, an elite group of public health officers – called the Epidemic Intelligence Service (EIS) – has been charged with investigating and identifying disease epidemics. A program of the U.S. Centers for Disease Control and Prevention, these specially-trained detectives have solved such medical mysteries as Reye’s Syndrome and Legionnaires’ disease, and helped to eliminate wild polio and eradicate smallpox, and save countless lives in the process.

The UVM community and members of the public can learn all about the EIS at “Investigating Outbreaks: The Epidemic Intelligence Service,” a talk by Mark Pendergrast, author of Inside the Outbreaks: The Elite Medical Detectives of the Epidemic Intelligence Service (Houghton Mifflin Harcourt, 2010), and a panel of former EIS officers now working in Vermont. The event will take place at the University of Vermont College of Medicine Medical Education Center in the Sullivan Classroom, Room 200, from 4:30 – 5:30 p.m. A reception and book-signing will follow the discussion.

This event is co-sponsored by the Vermont Public Health Association, UVM College of Nursing and Health Sciences, UVM College of Medicine, and the Vermont Department of Health. For more information, call 802-656-0525 or email burton.wilcke@uvm.edu .

White Coat Ceremony for Class of 2015

The College of Medicine’s White Coat Ceremony for the Class of 2015 will be held on Friday, February 17 at 2:00 pm in the Ira Allen Chapel. During the ceremony first year medical students will be presented with their white coats, a universal symbol of the medical profession representing an individual’s responsibility and commitment to providing care for others.

A reception will follow the ceremony in the Grand Maple Ballroom in UVM’s Davis Center.

The event will be available live via videostreaming. A link to the live videostream will be posted on the UVM College of Medicine’s website – www.uvm.edu/medicine – on February 17, 2012. Following the ceremony, photographs and a link to the ceremony video will be available at http://med.uvm.edu/medphoto .

For more information, contact the Office of Medical Student Education at (802) 656-2150.

Point-of-Care Information Sources Scrutinized

Attention UpToDate and DynaMed users!

The use of online information resources for answering patient-related questions is playing an increasingly important role in the daily practice of clinicians. In fact, the names of these e-resources have become part of most health care providers’ vernacular. Who hasn’t heard of UpToDate, FirstConsult, DynaMed, eMedicine or Clin eguide to name a few?

The overall aim of these resources is to synthesize all available evidence for major clinical topics. Some basic features shared by these clinical point-of-care tools include:

  • Synthesis of current evidence for diagnosis, interventions, and therapy;
  • Designed for rapid consultation at point of patient care;
  • Evidence-based and frequently updated with links to relevant literature;
  • Drug information, ICD coding, patient information, PDA application, and provision for links to electronic health records.

A recent article from BMJ (1) published the results of its findings on the evaluation of five point-of-care information summaries. The study group looked specifically at the speed of updating evidence relevant to medical practice. The article’s conclusion cited DynaMed as the clear leader in updating speed among the field of five information summary tools.

This journal article raised questions among publishers, guideline developers, researchers, and especially clinicians about the quality and timeliness of point-of-care tools: What is the “need for speed”? How quick is too quick? What are the best approaches (priority, time, other?) for inclusion of topics? Is there now a need for an expert panel to set standards for the development of these clinical decision support tools?

This growing list of questions addressing the quality of decision support tools will be the focus at the Evidence 2012 conference, co-hosted by the BMJ Evidence Centre and the Centre for Evidence Based Medicine (CEBM) at the University of Oxford.

Time has certainly come to address and assess the relevance and validity of these point-of-care information resources, particularly in terms of quality of content and comprehensiveness. Along with patron input, Dana Medical Library pays close attention to these studies when assessing point of care resources. We will continue to feature such studies in our newsletters and on our home page.

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1. Banzi, R., Cinquini, M., Liberati, A., Moschetti, I., Pecoraro, V., Tagliabue, L., & Moja, L. (2011). Speed of updating online evidence based point of care summaries: prospective cohort analysis. BMJ, 343, d5856.

Nancy Bianchi, MLS

Collection News: Mobile MDConsult, Anatomy TV, and E-Textbooks

While some were making New Year’s resolutions, the Dana Medical Library was going through its annual exercise of adding, deleting, and improving items in our collections. Once a year, journal subscriptions and databases are scrutinized for their usage and adjusted accordingly. Trends in collections are considered as well, since the DML wants to remain a focused but dynamic collection that responds to changing user needs. Library users regularly submit requests for journals and books, and every effort is made to accommodate these requests.

MD Consult This popular, point-of-care database that includes e-books, full text journal articles and clinics was upgraded to an institutional site license. Previously, MD Consult suffered from limitations to the number of concurrent users that could access the books and articles. Now, users should never be “turned away” because of exceeded usage. The site license also allowed the Library to offer a mobile version of MD Consult and First Consult.

Anatomy TV The Dana Medical Library received several requests from different departments to license an interactive anatomy product that could be used for a variety of educational purposes. Following multiple trials and product evaluations, the Library settled on Anatomy-TV.

Anatomy TV can be used independently by medical students, nursing students, or anyone studying anatomy and physiology, but it can also be used by instructors to devise quizzes and create individual, customized lessons. It has multiple modules, so there is something in it for everyone.

Training for faculty wishing to use Anatomy-TV to its fullest can be arranged. Phone the Collection Development Department at Dana (656-0521) if you’d like additional training.

E-textbooks

Essential medical texts are now available as e-books:

AccessMedicine provides a Library of major clinical titles including Harrison’s Online, Schwartz’s Principles of Surgery, Hurst’s The Heart, and the CURRENT series. It also contains Lange’s Educational Library, including basic medical science and clinical books.
MDConsult provides clinical core titles in this collection that are available, including The Harriet Lane Handbook and Sabiston Textbook of Surgery.
EBRARY platform – Many important medical texts are available via this platform, and we are adding more titles monthly. For example, we were able to purchase popular USMLE study guides in the First Aid Series on the ebrary platform.

New e-journal titles for 2012

By request, the following titles were added for 2012: Heart Rhythm, Neuroimage, Osteoarthritis and Cartilage, Journal of Substance Abuse and Treatment, Methods in Enzymology, and Psychoneuroendocrinology.

Jeanene Light, MLS

New USMLE and Test Reviews Available

The Dana Medical Library recently added titles to the USMLE (and other examination test guides) collection, aided by recommendations from current medical students. Students provided valuable input to the library on which series and titles they found most useful. Special thanks to Kati Anderson (class of 2014) for representing the students, and for taking time from her busy schedule to meet with the Dana Collections Librarian.

Whenever possible, print titles are supplemented by licensing electronic study guides. The electronic books don’t need to be checked out (or returned!) on any specific date. Electronic titles include:

First Aid for the USMLE step 1
First Aid for the USMLE step 2
Costanzo’s Physiology in the Board Review Series
Goljan’s Pathology- Rapid Review Series
MD Consult E-book Collection of titles:
Brown: Rapid Review Physiology
Pazdernik: Rapid Review Pharmacology
Pelley: Rapid Review Biochemistry
Rosenthal: Rapid Review Microbiology and Immunology

Sample updated print titles include the latest editions of:

Katzung & Trevor’s pharmacology: examination & board review (multiple copies)
Rapid review pathology
Comprehensive psychiatry review
Clinical Microbiology Made Ridiculously Simple
High Yield Embryology

The USMLE Library Research Guide (http://danaguides.uvm.edu/usmle) provides links to many new titles, both in print and electronic versions. The list is automatically updated whenever new titles are added to the Dana collection. This guide is available on the Dana website (http://library.uvm.edu/dana) under the heading “Research Guides by Subject” and via BlackBoard.

Also, at the recommendation of students, a new policy change allows the print USMLE books to circulate from the Library. They can be checked out for a 2-hour loan, and the item can be renewed once, as long as no one else has asked for that specific item. The item can be taken overnight when borrowed within 2 hours of closing. If taken overnight, the book is due back within 30 minutes of the library opening the next day.

Whether you browse the collection in the Library, check out titles for two hour loans, or access the electronic versions, there should be something for everyone, whether studying for Step 1 of the medical licensure exam, or reviewing for other board licensure tests.

Note: Titles can be tricky to find in the online catalog. Please feel free to ask at the reference desk for assistance!

Jeanene Light, MLS