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LKSOM Medical Clerkship Resources

Resources for the 3rd year and 4th year LKSOM Clinical Clerkships

Creating a clinical question

Why should you use PICO to define the clinical question?

  • PICO helps you create a focused question and generate keywords to create efficient searches. 

Patient, Population or Problem

How would I describe a group of patients similar to mine?

Intervention

Which main intervention, exposure, or prognostic factor am I considering?

Comparison (if appropriate)

What is the main alternative to compare with the intervention?

Outcome 

What can I hope to accomplish, measure, improve, affect?

Type of Question 

How would I categorize this question (therapy, diagnosis, prognosis, etiology/harm)?

Type of Study 

What would be the best study design in order to answer this question?

Finding Evidence-Based Answers to Clinical Questions – Quickly and Effectively

 

Finding Evidence-Based Answers to Clinical Questions - Quickly and Effectively
I need: Example: Resources to consider:

Point of Care tool

(Background question)

 

What are the symptoms of menopause?

Dynamed

UpToDate (GME)

Background information

(Background question)

I have a new patient with lupus and I need to learn about it

Dynamed

AccessMedicine

Textbooks

Calculator, Rule, Table, Lab Result, Procedure or Test What is the dosing conversion for lorazepam and diazepam?

Dynamed

Lexi-Comp Online (for drugs)

Practice Guidelines What is the current guideline for management of type 2 diabetes in adults?

What are the recommended screening guidelines for your new patient?

PubMed (use article type filter to limit to "practice guidelines")

Prevention TaskForce Mobile (ePSS)

Dynamed

ECRI Guidelines Trust (requires free registration)

Drug Information Are the two IV infusion drugs, cefazolin and acetaminophen compatible at the Y-site?

Lexi-Comp Online

AHFS DRUG INFORMATION®

AccessPharmacy

An answer to a narrower, focused clinical question

(Foreground question)

In a toddler with croup, do glucocorticoids reduce symptoms?

PubMed Clinical Queries

Cochrane Library 

Embase (PICO search option)

Information to Share with Patients Where can I find some nutrition information for my newly-diagnosed patient with diabetes?

AccessMedicine

Medline Plus

Mayo Clinic 

Lexi-Comp Online

Dynamed

Dermatology  Does this patient have rosacea?

Fitzpatrick's dermatology in general medicine

 

Adapted from Dartmouth College Biomedical Libraries' Finding Evidence-Based Answers to Clinical Questions-Quickly and Effectively