evidence based
clinical practice

Most of the following resources are free. $$ indicates that an individual or institutional license are required. For off campus access login to LibAccess

• Library Catalogue: New Look / Classic Library Catalogue (McMaster Libraries online catalogue)
  • Request items from the Health Sciences Library
  • eJournals at McMaster

Searching for Resources using the '6S' Hierarchy of Evidence:

DiCenso, Bayley and Haynes (2009). ACP Journal Club. Editorial: Accessing pre-appraised evidence: Fine-tuning the 5S model into a 6S model. Annals of Internal Medicine, 151(6):JC3-2, JC3-3.

Systems - the ideal

Summaries

Evidence-Based Texts

• Clinical Evidence $$
• DynaMed $$
• FIRSTConsult $$ (an Evidence Based Primary Care Decision Support Tool providing quick concise information to Clinicians)
• PIER $$ : ACP's Physicians' Information and Education Resource
• UpToDate (on campus access only)
• Essential Evidence Plus $$

 

Clinical Practice Guidelines

• National Guideline Clearinghouse (United States)
• CMA Infobase: clinical practice guidelines -- Canadian Medical Association
• Clinical Practice Guidelines -- Alberta Medical Association
• NICE Clinical Guidelines (National Institute for Health and Clinical Excellence, UK)
• Best Practice Guidelines (Registered Nurses Association of Ontario)
• AGREE (Appraisal of Guidelines Research & Evaluation)

 

Synopsis of Syntheses

Evidence-Based Abstract Journals

• ACP Journal Club $$
• Evidence-Based Gastroenterology $$
• Evidence-Based Medicine $$
• EBMH Online (Evidence-Based Mental Health) $$
• EBN Online (Evidence-Based Nursing) $$
• McMaster Plus - McMaster Premium Literature Service - includes structured abstracts of articles that have been critically appraised and rated by clinical experts

NHS Centre for Reviews and Dissemination (CRD) Databases:

• DARE Database of Abstracts of Reviews of Effectiveness
• NHS Economic Evaluation Database (NHS EED)
• Health Technology Assessment Database

 

Syntheses

Systematic Reviews

• Cochrane Library $$ / Cochrane Reviews (Free abstracts only)
• EvidenceUPDATES - free service sponsored by BMJ Group includes Cochrane Reviews, and SRs from clinical journals, and agencies such as US AHRQ and CADTH
• Additional Systematic Reviews found in PubMed/Medline, EMBASE, CINAHL

 

Synopsis of Studies

Evidence-Based Abstract Journals

• ACP Journal Club $$
• Evidence-Based Gastroenterology $$
• Evidence-Based Medicine $$
• EBMH Online (Evidence-Based Mental Health) $$
• EBN Online (Evidence-Based Nursing) $$
• McMaster Plus - McMaster Premium Literature Service - includes structured abstracts of articles that have been critically appraised and rated by clinical experts

 

Studies

• PubMed
• Clinical Queries (Old Version)
• Special Queries
• MeSH Database
• Buscar en MEDLINE con PubMed (guía de uso)
• PubMed - enhanced search (Búsqueda mejorada en PubMed)
• Ovid databases (Medline, EMBASE, PsycINFO, AMED)
• EBSCO CINAHL

 

Additional Resources

Tips for searching for the evidence

Alerting Services

• MyNCBI (PubMed)
• My Workspace - OVID
• MyEBSCOHost - CINAHL
• PubCrawler - an Update Alerting Service for PubMed and GenBank. PubCrawler is a free "alerting" service that scans daily updates to the NCBI Medline (PubMed) and GenBank databases. PubCrawler can keep scientists informed of the current contents of Medline and GenBank, by listing new database entries that match their research interests.
• McMaster Plus
• EvidenceUPDATES
• Essential Evidence Plus $$

EBM Search Engines & Resources

• MacPLUS Federated Search
• TRIP (Turning Research Into Practice) Database (Clinical Effectiveness Initiative for Wales)
• SUM Search
• Essential Evidence Plus $$
• PEDro: The Physiotherapy Evidence Database
• health-evidence.ca
  • "Designed to provide quality research evidence to public health decision makers, saving you time by searching, screening, and rating the systematic review evidence to compile it in a free, searchable online registry."
• Medion Database
  • "There are three parts within the database: Methodological studies on systematic reviews of diagnostic studies; Systematic reviews of diagnostic studies; Systematic reviews of studies on genetic tests."
• Bandolier "Evidence based thinking about health care" (Bandolera (español))

Other Databases

• Web of Science $$ (citation linking)

Consumer Health

• Informed Health Online (produced by the Health Research and Education Foundation Ltd.)
• MEDLINEplus (español)

Clinical Decision Rules:

• How to Use Articles About Clinical Decision Rules (Thomas McGinn, Gordon Guyatt, Peter Wyer, David Naylor, Ian Stiell, Scott Richardson, for the Evidence Based Medicine Working Group

  Based on the Users' Guides to Evidence-based Medicine and reproduced with permission from JAMA. (2000;284(1):79-84).

Critically Appraised Topics:

• CATmaker (Centre for Evidence-Based Medicine, Oxford University)

  "CATmaker is a software tool which helps you create Critically Appraised Topics, or CATs, for the key articles you encounter about Therapy, Diagnosis, Prognosis, Aetiology/Harm and Systematic Reviews of Therapy."

• CATwalk: a guided walk through the process of doing a CAT (University of Alberta Libraries)
• BestBETS: Best Evidence Topics

Tools:

• JAMAevidence.com $$ – Follow the instructions – enter your single-use code (located on the back of your workshop ID badge) and then login with your personal account or register for a new personal account (one time only).  Participants must enter their code by June 6th 2011; the subscription will then be active for 60 days.
• EBM Tools (Centre for Evidence-Based Medicine, Oxford University)
• Evidence-Based Medicine Toolkit (University of Alberta)

Tutorials:

• Evidence Based Clinical Practice Tutorial (Edward G. Miner Library, University of Rochester Medical Center)
• Introduction to Evidence-Based Medicine (Duke University Medical Center Library and Health Sciences Library, University of North Carolina at Chapel Hill)

Directories:

• US Cochrane Center (US)
• Evidence-Based Health Care (New York University School of Medicine. Frederick L. Ehrman Medical Library)
• Resource Guide for Evidence-Based Practice (University of Alberta Libraries)

Formulating the Clinical Question

• Formulating Answerable Clinical Questions (Centre for Evidence-Based Medicine, Mount Sinai Hospital, Toronto)

  Including: Educational prescription

• The Well-Built Clinical Question (Duke University Medical Center Library and Health Sciences Library, UNC-Chapel Hill)
• Richardson, WS, Wilson MC, Nishikawa J, Hayward RS. The well-built clinical question: a key to evidence based decisions. ACP Journal Club. 1995 Nov-Dec;123(3):A12-13.PubMed Astract. $$
• Formulating Patient Centered Questions (University Library, University of Illinois at Chicago)
• Focusing Clinical Questions (Centre for Evidence-Based Medicine, Oxford)

Clinical Skills

• Clinical Examination Research Interest Group including the JAMA Rational Clinical Examination series
• Clinical Assessment of the Reliability of the Examination (CARE)

Teaching Tips

• Tips for learners of evidence-based medicine (Evidence-Based Medicine Series - CMAJ)
• Developing the teaching instinct. Series in Medical Teacher $$
• Brown G, Manogue M. AMEE Medical Education Guide No. 22: Refreshing lecturing: a guide for lecturers. Medical Teacher 2001;23(3):231-244. PubMed Abstract ~ Full text $$

Undergraduate EBM Resources

• An Introduction to Evidence Based Practice for Medical Students (Health Sciences Library - McMaster University)

Sites by Specialty:

Emergency Medicine:

• Evidence-Based Emergency Medicine at the New York Academy of Medicine
• Emory University, Emergency-Medicine-Ambulatory Care, Evidence Based Medicine
• BestBETS: Best Evidence Topics (Emergency medicine EBM at its best)
• Emergency Medical Abstracts $$ (not available through McMaster)
• BMC Emergency Medicine
• BEEM: Best Evidence in Emergency Medicine - BEEM Course

Family Medicine:

• Essential Evidence Plus $$
• American Family Physician
• Australian Family Physician
• BMC Family Practice
• familydoctor.org (American Academy of Family Physicians)

Gastroenterology:

• Evidence-Based Gastroenterology $$
• Syllabi for Practising EBM: Evidence-based Gastroenterology and Hepatology (Centre for Evidence-Based Medicine, Toronto)
• BMC Gastroenterology

Internal Medicine:

• ACP Journal Club
  • Through the American College of Physicians (available to ACP members)
• ACP's PIER: the Physicians' Information and Education Resource $$
• Harrison's Online $$

Pediatrics:

• Cochrane Neonatal Systematic Reviews
• Evidence-Based Pediatrics Web Site (University of Michigan)
• Canadian Paediatric Society Position Statements
• Merck Manual: Pediatrics
• BMC Pediatrics
• Virtual Pediatric Hospital
• Evidence-Based Child Health: A Cochrane Review Journal

Surgery:

• Evidence-based Surgery (SOURCE: Surgical Outcomes Research Centre): Incudes the Evidence-Based Surgery articles from the Canadian Journal of Surgery
• ACS Surgery

Español:

• Unidad de Medicina Basada en Evidencia (Pontificia Universidad Catolica de Chile)
• Buscar en MEDLINE con PubMed (guía de uso)
• Búsqueda mejorada en PubMed
• MEDLINEplus
• Bandolera
• Atrapando la evidencia: Una introducción de la ScHARR a la práctica basada en la evidencia en Internet

Mobile Resources

• McMaster University Mobile (PDA) Resources Page
• Duke University Medical Center Library Online: Mobile Devices

Workshop Participant Sites (2010)

• RxFiles, academic detailing program providing objective, comparative drug information to physicians, pharmacists and allied health professionals

Workshop Participant Sites (2007)

• Evidence-Based Child Health: A Cochrane Review Journal
• BEEM: Best Evidence in Emergency Medicine - BEEM Course

Workshop Participant Sites (2006)

• Dr. Chris Cates' EBM Web Site, including Visual Rx used to calculate NNT and produce a visual display (recommended by Victor Montori)
• EPIQ (Effective Practice, Informatics & Quality Improvement), especially the GATE approach under Critical Appraisal (recommended by Kent Stobart)
• MedScape - from WebMD (recommended by Liz Dennett)

Workshop Participant Sites (2004)

• Unidad de Medicina Basada en Evidencia (Claudio Vera - Pontificia Universidad Catolica de Chile)

Workshop Participant Sites (2001)

• Introduction to Evidence-Based Medicine (Duke University Medical Center Library and Health Sciences Library, University of North Carolina at Chapel Hill)
• Centre for Evidence-Based Medicine (Oxford, England)

Just for fun:

• Isaacs D. , Fitzgerald D. Seven alternatives to evidence based medicine. BMJ. 319(7225):1618, 1999 Dec 18-25.
• Clinicians for the Restoration of Autonomous Practice (CRAP) Writing Group. EBM: unmasking the ugly truth. BMJ. 325(7378):1496-8, 2002 Dec 21.
• Smith, G.C.S., Pell, J.P. Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ. 327:1459-1461, 2003 Dec 20.  

EBCP Workshop information

---

URL: hsl.mcmaster.ca/ebcp ~ CONTACT: Neera Bhatnagar ~ UPDATED: May 12,2011
 

• Clinical Practice Guidelines -- Alberta Medical Association
• NICE Clinical Guidelines (National Institute for Health and Clinical Excellence, UK) AGREE (Appraisal of Guidelines Research & Evaluation)

 

Synopsis of Syntheses

Evidence-Based Abstract Journals

• ACP Journal Club $$
• Evidence-Based Gastroenterology $$
• Evidence-Based Medicine $$
• EBMH Online (Evidence-Based Mental Health) $$
• EBN Online (Evidence-Based Nursing) $$
• McMaster Plus - McMaster Premium Literature Service - includes structured abstracts of articles that have been critically appraised and rated by clinical experts

NHS Centre for Reviews and Dissemination (CRD) Databases:

• DARE Database of Abstracts of Reviews of Effectiveness
• NHS Economic Evaluation Database (NHS EED)
• Health Technology Assessment Database

 

Syntheses

Systematic Reviews

• Cochrane Library $$ / Cochrane Reviews (Free abstracts only)
• EvidenceUPDATES - free service sponsored by BMJ Group includes Cochrane Reviews, and SRs from clinical journals, and agencies such as US AHRQ and CADTH
• Additional Systematic Reviews found in PubMed/Medline, EMBASE, CINAHL

Synopsis of Studies

Evidence-Based Abstract Journals

• ACP Journal Club $$
• Evidence-Based Gastroenterology $$
• Evidence-Based Medicine $$
• EBMH Online (Evidence-Based Mental Health) $$
• EBN Online (Evidence-Based Nursing) $$
• McMaster Plus - McMaster Premium Literature Service - includes structured abstracts of articles that have been critically appraised and rated by clinical experts

Studies

• PubMed

• Clinical Queries
• Special Queries
• MeSH Database
• Buscar en MEDLINE con PubMed (guía de uso)
• PubMed - enhanced search (Búsqueda mejorada en PubMed)
• Ovid databases (Medline, EMBASE, PsycINFO, AMED)
• EBSCO CINAHL

Additional Resources

Tips for searching for the evidence

Alerting Services

• MyNCBI (PubMed)
• My Workspace - OVID
• MyEBSCOHost - CINAHL
• PubCrawler - an Update Alerting Service for PubMed and GenBank. PubCrawler is a free "alerting" service that scans daily updates to the NCBI Medline (PubMed) and GenBank databases. PubCrawler can keep scientists informed of the current contents of Medline and GenBank, by listing new database entries that match their research interests.
• McMaster Plus
• EvidenceUPDATES
• Essential Evidence Plus $$

EBM Search Engines & Resources

• MacPLUS Federated Search
• TRIP (Turning Research Into Practice) Database (Clinical Effectiveness Initiative for Wales)
• SUM Search
• PEDro: The Physiotherapy Evidence Database
• Essential Evidence Plus $$
• health-evidence.ca

  "Designed to provide quality research evidence to public health decision makers, saving you time by searching, screening, and rating the systematic review evidence to compile it in a free, searchable online registry."

• Medion Database

  "There are three parts within the database: Methodological studies on systematic reviews of diagnostic studies; Systematic reviews of diagnostic studies; Systematic reviews of studies on genetic tests."

• Bandolier "Evidence based thinking about health care" (Bandolera (español))

•  

 

Other Resources

• Web of Science $$ (citation linking)

Consumer Health

• Informed Health Online (produced by the Health Research and Education Foundation Ltd.)
• MEDLINEplus (español)

 

Resources:

• NHS Centre for Reviews and Dissemination (CRD) Databases, including:
  • DARE Database of Abstracts of Reviews of Effectiveness
  • NHS Economic Evaluation Database (NHS EED)
  • Health Technology Assessment Database

•  

• DynaMed $$
• FIRSTConsult $$ (an Evidence Based Primary Care Decision Support Tool providing quick concise information to Clinicians)
• PIER $$ : ACP's Physicians' Information and Education Resource
• Bandolier "Evidence based thinking about health care" (Bandolera (español))
• UpToDate (on campus access only)
• EvidenceUPDATES - BMJ Group and McMaster University - provides "access to current best evidence from research, tailored to your own health care interests, to support evidence-based clinical decisions"

Clinical Decision Rules:

• How to Use Articles About Clinical Decision Rules (Thomas McGinn, Gordon Guyatt, Peter Wyer, David Naylor, Ian Stiell, Scott Richardson, for the Evidence Based Medicine Working Group

  Based on the Users' Guides to Evidence-based Medicine and reproduced with permission from JAMA. (2000;284(1):79-84).

Critically Appraised Topics:

• CATmaker (Centre for Evidence-Based Medicine, Oxford University)

  "CATmaker is a software tool which helps you create Critically Appraised Topics, or CATs, for the key articles you encounter about Therapy, Diagnosis, Prognosis, Aetiology/Harm and Systematic Reviews of Therapy."

• CATwalk: a guided walk through the process of doing a CAT (University of Alberta Libraries)
• BestBETS: Best Evidence Topics

Tools:

• JAMAevidence.com $$ – Follow the instructions – enter your single-use code (located on the back of your workshop ID badge) and then login with your personal account or register for a new personal account (one time only).  Participants must enter their code by June 10th 2011; the subscription will then be active for 60 days.
• EBM Tools (Centre for Evidence-Based Medicine, Oxford University)
• Evidence-Based Medicine Toolkit (University of Alberta)

Tutorials:

• Evidence Based Clinical Practice Tutorial (Edward G. Miner Library, University of Rochester Medical Center)
• Introduction to Evidence-Based Medicine (Duke University Medical Center Library and Health Sciences Library, University of North Carolina at Chapel Hill)

Directories:

• Evidence Based Medicine (EBM) Toolkit (New York University School of Medicine. Frederick L. Ehrman Medical Library)
• Nesbit Guide to Evidence Based Resources (University of Rochester, Edward G. Miner Library)
• Resource Guide for Evidence-Based Practice (University of Alberta Libraries)

Formulating the Clinical Question

• Formulating Answerable Clinical Questions (Centre for Evidence-Based Medicine, Mount Sinai Hospital, Toronto)

Including: Educational prescription

• The Well-Built Clinical Question (Duke University Medical Center Library and Health Sciences Library, UNC-Chapel Hill)
• Richardson, WS, Wilson MC, Nishikawa J, Hayward RS. The well-built clinical question: a key to evidence based decisions. ACP Journal Club. 1995 Nov-Dec;123(3):A12-13.PubMed Astract. $$
• Formulating Patient Centered Questions (University Library, University of Illinois at Chicago)
• Focusing Clinical Questions (Centre for Evidence-Based Medicine, Oxford)

Clinical Skills

• Clinical Examination Research Interest Group including the JAMA Rational Clinical Examination series
• Clinical Assessment of the Reliability of the Examination (CARE)

Teaching Tips

• Tips for learners of evidence-based medicine (Evidence-Based Medicine Series - CMAJ)
• Developing the teaching instinct. Series in Medical Teacher $$
• Brown G, Manogue M. AMEE Medical Education Guide No. 22: Refreshing lecturing: a guide for lecturers. Medical Teacher 2001;23(3):231-244. PubMed Abstract ~ Full text $$

Sites by Specialty:

Emergency Medicine:

• Evidence-Based Emergency Medicine at the New York Academy of Medicine
• Emory University, Emergency-Medicine-Ambulatory Care, Evidence Based Medicine
• BestBETS: Best Evidence Topics (Emergency medicine EBM at its best)
• Emergency Medical Abstracts $$ (not available through McMaster)
• BMC Emergency Medicine
• BEEM: Best Evidence in Emergency Medicine - BEEM Course

Family Medicine:

• Essential Evidence Plus $$
• American Family Physician
• Australian Family Physician
• BMC Family Practice
• Primary Care Electronic Library
• familydoctor.org (American Academy of Family Physicians)

Gastroenterology:

• Evidence-Based Gastroenterology $$
• Syllabi for Practising EBM: Evidence-based Gastroenterology and Hepatology (Centre for Evidence-Based Medicine, Toronto)
• BMC Gastroenterology

Internal Medicine:

• ACP Journal Club
  • Through the American College of Physicians (available to ACP members)
• ACP's PIER: the Physicians' Information and Education Resource $$
• Harrison's Online $$

Pediatrics:

• Cochrane Neonatal Systematic Reviews
• Evidence-Based Pediatrics Web Site (University of Michigan)
• Canadian Paediatric Society Position Statements
• Merck Manual: Pediatrics
• BMC Pediatrics
• Virtual Pediatric Hospital
• Evidence-Based Child Health: A Cochrane Review Journal

Surgery:

• Evidence-based Surgery (SOURCE: Surgical Outcomes Research Centre):

  Incudes the Evidence-Based Surgery articles from the Canadian Journal of Surgery

• ACS Surgery

Español:

• Unidad de Medicina Basada en Evidencia (Pontificia Universidad Catolica de Chile)
• Buscar en MEDLINE con PubMed (guía de uso)
• Búsqueda mejorada en PubMed
• MEDLINEplus
• Bandolera
• Atrapando la evidencia: Una introducción de la ScHARR a la práctica basada en la evidencia en Internet

PDA Resources

• McMaster University PDA Resource Page
• Duke University Medical Center Library Online: Personal Digital Assistants (PDAs)

Workshop Participant Sites (2010)

• RxFiles, academic detailing program providing objective, comparative drug information to physicians, pharmacists and allied health professionals

Workshop Participant Sites (2007)

• Evidence-Based Child Health: A Cochrane Review Journal
• BEEM: Best Evidence in Emergency Medicine - BEEM Course

Workshop Participant Sites (2006)

• Dr. Chris Cates' EBM Web Site, including Visual Rx used to calculate NNT and produce a visual display (recommended by Victor Montori)
• EPIQ (Effective Practice, Informatics & Quality Improvement), especially the GATE approach under Critical Appraisal (recommended by Kent Stobart)
• eMedicine - from WebMD (recommended by Liz Dennett)

Workshop Participant Sites (2004)

• Unidad de Medicina Basada en Evidencia (Claudio Vera - Pontificia Universidad Catolica de Chile)
• Evidence-Based Medicine HomePage (Thomas McGinn - Mount Sinai School of Medicine, Division of General Internal Medicine)

Workshop Participant Sites (2001)

• Nesbit Guide to Evidence Based Resources (University of Rochester, Edward G. Miner Library)
• Introduction to Evidence-Based Medicine (Duke University Medical Center Library and Health Sciences Library, University of North Carolina at Chapel Hill)
• Centre for Evidence-Based Medicine (Oxford, England)

Just for fun:

• Isaacs D. , Fitzgerald D. Seven alternatives to evidence based medicine. BMJ. 319(7225):1618, 1999 Dec 18-25.
• Clinicians for the Restoration of Autonomous Practice (CRAP) Writing Group. EBM: unmasking the ugly truth. BMJ. 325(7378):1496-8, 2002 Dec 21.
• Smith, G.C.S., Pell, J.P. Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ. 327:1459-1461, 2003 Dec 20.  

EBCP Workshop information