Deep Dive will give a bit more insider’s info on some of our resources. Here, Roberta Fitzpatrick gives us some more information about JAMAevidence.
In 1990, Dr. Gordon Guyatt, Internal Medicine residency program director at McMaster University in Canada began to teach using a new method which he called “Scientific Medicine.” He felt that many clinical decisions were not necessarily rooted in scientific fact and taught his residents to make such decisions based in part on evidence found in the published literature. It eventually evolved into what is currently called Evidence-Based Medicine (EBM) or Evidence-Based Practice (EBP) or Evidence-Based Health Care (EBHC), combining a clinician’s experiences, well as information about the specific patient with the best evidence from journal articles.
JAMAevidence, an information resource new to Rutgers and found at https://www.libraries.rutgers.edu/indexes/jamaevidence, is a natural extension from Gordon Guyatt’s original ideas and educational program. In order to assist health professionals in the practice of evidence-based health care, JAMAevidence provides guides to the systematic consideration of validity, importance, and applicability of problems and outcomes in health care. It consists of three textbooks, user tools, and forms useful to the critical appraisal process. Textbooks contained in JAMAevidence are:
- Users’ Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed.
- The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
- Care at the Close of Life: Evidence and Experience
Contents of the first two textbooks have been published as an article series in JAMA, the Journal of the American Medical Association. The User’s Guides are key to understanding the process of critically appraising an article. The Tational Clinical Exam series and subsequent textbook walks the reader through the process of conducting a physical exam of a patient.
Tools in JAMAevidence include Education Guides, which consist of a library of PowerPoint slides useful in providing instruction on evidence-based medicine concepts; a glossary of over 900 EBM terms; calculators; and two types of worksheets, ones for critical appraisal of articles and those for charting an information cycle.
JAMAevidnce is simple to use; a navigation bar is located at the top of each page and allows the users to review the contents through pointing and clicking. There is also a search box that allows for retrieval of searched key words. The resources is available on a monthly basis.
Those who are interested in learning more about EBM may want to consider a review of an article titled “History of evidence-based medicine” by Roger L. Sur and Phillip Dahm from the Division of Urology, UC San Diego, published in the open-access Indian Journal of Urology, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263217/.
