“ The medical librarian's role in the promotion of the evidence: a Cuban experience.” MSc. Ania...

“The medical librarian's role in the promotion of the

evidence: a Cuban experience.”

MSc. Ania Torres PombertNational Coordinator Centre of Clinical Trials

CUBA

World Library & Information Congress 74th IFLA General Conference

Satellite Meeting . Biosciences and Health Libraries August 9th, Québec, Canada

EVIDENCE BASED MEDICINE (EBM)

Patient's Values and

Expectations

BestExternalEvidence

Individual Clinical

Expertise

Tacit Knowledge (professional's experience)

Explicit Knowledge(Medical Literature)

Clinical methodDoctor/ Patient

Medical Librarian

MSc. Ania Torres Pombert

Clinical Expertise/Doctors-

Researchers

External Evidence/Medical

Literature

HealthResearch

Medical Practice

EBM

Medical Librarian

Assessing

Applying

Appraising Accessing

Asking

EBM and Medical Librarian


•Limited capacity for drug regulation.•Limited resources for the National Health Systems •Some difficulties for continuing medical education.•Few library facilities •Poor access to the literature (databases, journals, textbooks)

Why to promote it in CUBA

•Poor knowledge about its concepts and methodology•Scarce presence in education programs •Low use frequency of EBM sources in spite of Infomed •Poor abilities for searching of doctors and researchers •Few articles in Cuban literature, majority

Why EBM in Developing Countries


Scientific meetings

Medical Librarian's Role in EBM

2007

2006

2002

2001

1996

1995

1991 No Library, No Librarian

Librarian-Researcher/ Professor +

Traditional librarian / Users' Educator / Reader of EBM

Promoter of EBM +Courses

Web2.0

CoursesScientific meetings

EBM Inf.services

EBM Inf.services

Traditional Inf. Services


More than 60Clinical Trials

(Protocols & Final Reports)

Since 2002. Applying EBM Methodology to Searching process

AskingClinical Question (PICO Analysis)

Accessing ?Study typeSearching in EBM information resources Cochrane, Pubmed-Clinical Queries, TRIP

Appraising Critical appraisal (Validity & Applicability)

Librarians promoting the evidenceInformation Services


Librarians promoting the evidenceEducation Programs

•National Diploma on Clinical Trials/ CENCEC- 4 editions(Module: Clinical Trial Organization/ Subject: “EBM and their main information resources” with conferences and training in Databases)

2003 2004 2005 2006

hoursgraduates

46 46

30 30

21262629

•2004. Postgraduate Course "Scientific information: intrinsic component of clinical research“ Accredited in the National School of Health Public. 40 hours. 26 graduates.


•Motivational Conferences in: 2007. Scientific session for Medical Libraries Network in Infomed. 35

librarians.

2008. Information Literacy Program. Centre for State Control of Medical Equipment. 15 researchers.

2008. Course: Information Literacy, Master on Cerebrovascular diseases, 2nd edition. National Institute of Neurology and Neurosurgery. 20 lecturers.

•Master on Clinical Trials in accreditation (Course: “Information and technologies applied to clinical research” / Subject: EBM for decision making on health. 148 hours)

Librarians promoting the evidenceEducation Programs


3 Posters about EBM

•2002. II International Workshop on Clinical Trials. Havana, Cuba. More than 200 Cuban and foreign delegates.

•2003. Young “Science”. Tropical Medicine Institute Pedro Kourí. More than 250 Cuban delegates.

•2003. Scientific Session. Carlos J. Finlay Hospital. Havana, Cuba. More than 250 Cuban delegates.

1 Conference about EBM

•2007. IV International Workshop on Clinical Trials. Havana, Cuba. More than 150 Cuban and foreign delegates.

Librarians promoting the evidenceScientific Meetings


Librarians promoting the evidenceInformation technologies

EBM Cuban Portal (http://www.sld.cu/sitios/mbe)

Some Portal Sections:• About EBM•How to access the evidence •Cuban Literature on EBM •Article recommended•Courses and events •Information resources •Related sites •Link to EBM blog for Cuban health professionals


Librarians promoting the evidenceRESULTS


•Boarding of concepts, theory, and methodology of EBM also practical aspects of the searching process of evidence

•Contribution to the information culture of health professionals with new and updated knowledge

•Beginning of the pedagogic formation of librarians in the practice and teaching of the EBM .•

•Leadership of Libraries and librarians in the promotion of EBM in the National Network of Clinical Trials and other contexts

•Incursion in the design of Web 2.0-based public services for a shared production of information and knowledge

•Identified authors and articles on EBM in Cuban literature

•Activities dependent of librarians leadership

•Poor scope of educational interventions

•Educational interventions based mainly on “asking” and “access”

•Predominance of individual and spontaneous efforts

•Lack of support in higher organisms

•Absence of a multidisciplinary team to support EBM teaching

•Lack of training and formation on EBM

Librarians promoting the evidenceLIMITATIONS


Presentation of a Project for National Promotion of EBM:

•Creation of a Multidisciplinary National Group of EBM

•Conformation of an External Consultant Group of EBM

•Development of formation programs on EBM for librarians and health professionals (including e-course)

•Official presentation and maintenance of the EBM Cuban Portal and other public services

•Collection and centralization of EBM Cuban literature to share

•Librarians' training in the practice of the EBM

•Organization of scientific events on EBM

Librarians promoting the evidencePROJECTIONS


Sometimes, some words make us reflect, other they make us do something and once I read these:

THINK BIG!

start small!

ACT NOW!

and it was enough … ACT is what I'm doing NOW


[email protected]

“ The medical librarian's role in the promotion of the evidence: a Cuban experience.” MSc. Ania...

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