1. Information Pyramid UpToDate, Dynamed, FIRSTConsult, ACP PIER ACP Journal Club Cochrane and other Systematic Reviews (OVID EBMR) MEDLINE Searches with Clinical Queries SOURCE: Haynes, R. B. (2001). Of studies, syntheses, synopses, and systems: the “4S” evolution of services for finding current best evidence. Evidence-Based Medicine, 6 (2), 36-38. Retrieved 2-07-07 from http://ebm.bmj.com/cgi/reprint/6/2/36 http://ebm.bmj.com/cgi/reprint/6/2/36

2. Critically Appraised Content

3. Appraisal Required by User

4. UpToDate Expert opinion and evidence-based, clinical decision support tool 60,000 pages of original text 7,000 topics in primary care and internal medicine 3,000 expert contributors Available at large medical institutions, IHS hospitals, VA hospitals

5. DynaMed Evidence-based, clinical decision support tool 2,000 up-to-date clinical topic summaries Information on etiology, directed history & physical findings, differential diagnosis, prognosis, treatment, and prevention Links to most common ICD-9 Codes Available at NSUCO

6. ACP PIER Evidence-based, clinical decision support tool 330 disease modules, 11 videos, and 14,000 pages of medical condition and diagnostic text with graphs and tables Integrated with STAT!Ref Available at NSUCO

7. ACP Journal Club Expert summaries of original studies and systematic reviews from 150 journals Value-added abstracts commented on by clinical experts Commentaries on context, methods, and clinical applications of findings Available at NSUCO

8. Cochrane Database Systematic reviews conducted by world-wide research group Limited to studies of prevention and therapeutic interventions Eyes & Vision Research Group Available at NSUCO

9. FIRSTConsult Evidence-based, clinical decision support tool 1,500 diagnoses, 600 medical conditions, 300 signs & symptoms Differential diagnosis tool based on chief complaint Video clips of surgical procedures Integrates with MD Consult Trial passwords available from publisher

10. MEDLINE Searches Limit search results to study type –Double blind randomized controlled trials –Randomized controlled trials –Clinical trials In OVID, limit by Clinical Queries Appraise study for validity and relevance