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MEDLIB-L  January 1994

MEDLIB-L January 1994

Subject:

Re: User's Guide to Medical Literature Articles.

From:

Tom Flemming <[log in to unmask]>

Reply-To:

Medical Libraries Discussion List <[log in to unmask]>

Date:

Mon, 24 Jan 1994 16:34:48 +0500

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (59 lines)

Rick Henning of Milwaukee notes with implied disbelief the comments made by
Oxman, Sackett and Guyatt in their article entitled "Users' Guides to the
Medical Literature" in the 3 November 1993 issue of JAMA (to the effect that
it is possible to teach clinicians to search Medline and retrieve the same
numbers of relevant articles as expert librarian searchers).  He asks if
there should be some library response to these claims ...
 
These authors are all clients of mine here in the HSL at McMaster; I
participated in the studies which lead up to their being able to make such
a statement.  There are librarians (not me, though) in their research
team, who keep them on the straight and narrow with respect to searching
issues. The only point that is missing from the claim as stated here
on MEDLIB and in the article (which I have just scanned quickly) is that
our studies showed that it cost the clinicians a lot more in both time and
money to come up with the numbers of relevant citations that we librarian
searchers got.  We may not do it significantly better (from the point of
view of retrieval), although it is indisputable that we do it more
economically and faster than the average clinician searcher.
 
We have been teaching clinicians to search using Grateful Med and CD Plus
(and formerly, Compact Cambridge Medline on CD) for a number of years now
here at Mcmaster. Our studies show that those who want to learn can learn to
do a very good job at searching for clinical literature that is relevant to
their needs.  Various research groups here at McMaster have published
studies over a number of years which testify to these results.  One of the
useful citations follows:
 
        McKibbon KA, Haynes RB, Walker Dilks CJ, Ramsden MF, Ryan NC,
        Baker L, Flemming T, Fitzgerald D.  How good are clinical Medline
        searches? A comparative study of clinical end-user and librarian
        searches.  Computers and biomedical research, v23(6), 1990, 583-593.
 
Another citation from the same group which is relevant follows:
 
        McKibbon KA, Haynes RB, Baker LM, Flemming T, Walker C.  Teaching
        clinicians to search Medline: description and evaluation of a
        short course.  Proceedings of the Annual Conference on Research in
        Medical Education, v25, 1986, 231-236.
 
As I mentioned above, we have been doing this for years with good results.
I don't suggest that all those we have taught continue to want to search
on their own, or maintain their skills, but clinicians can be taught to do a
good job at searching with relatively little difficulty.  After all, they
have the subject knowledge that many of us librarians lack, although we
know considerably more about the database than clinicians do, and more
about databases in general than most clinicians.
 
There is good research behind the comment in the JAMA paper with which
Rick Henning wants us to take issue.  Read the results carefully before
you start claiming these guys are wrong.
.............................................................................
Tom Flemming                            Internet: [log in to unmask]
Health Sciences Library                 Envoy 100: mac.lib.hsl
McMaster University                     LIFEnet: [log in to unmask]
1200 Main Street West                   (905) 525-9140  x2-2321  work
Hamilton, Ontario   L8N 3Z5             (905) 528-3733           fax
Canada                                  (905) 527-2848           home
..............................................................................

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December 1998, Week 5
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January 1998, Week 5
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January 1998, Week 3
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December 1997, Week 5
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December 1997, Week 3
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December 1995, Week 5
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