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Workshop - Task List

These are a set of structured tasks to make you familiar with using general Internet search engines to find medical information. Most of the medical information on the Internet is not cloistered in password-protected sites, but is in the public domain. The problem with Internet searching is often that a search can produce many thousands of 'hits'. Finding high quality information is much more difficult.

Internet To understand the basic use of a browser and how to navigate from site to site. Know how to bookmark a site (or store in Favorites folder)

Task 1: navigate to the Northern Light search engine (http://www.nlsearch.com) and Yahoo (http://www.yahoo.com)

Discussion

Internet Search Engines

To be able to find and use an Internet Search Engine and to be aware of their different characteristics

Task 2: use a search engine to identify Internet resources which teach you how to use the Internet (including finding other search engines)

Discussion

Internet Search Engines Task 3: use an Internet search engine to find sites which offer Medline

This should be a simple search to perform - perhaps just one word. A metasearch engine such as Dogpile should ensure the broadest coverage.........Try it and see!!!

Visit a few of the Medline sites on offer and save them in your Favorites folder for use later.

Discussion

Internet Search Engines Task 4: use an Internet search engine to find an evidence-based medicine site

Discussion

Evidence Based Medicine Task 5: Find Cochrane, Bandolier, ScHARR, York CRD and Oxford EBM sites

Discussion

Medline To be able to access a Medline search engine and perform basic searching

Task 6: Find articles on how to use Medline. Once you have done this then go to one of the sites which you identified in Task 3.

Discussion

Medline Task 7: Find and download the article 'The Medline Database' by Trisha Greenhalgh BMJ 1997;315:180-184

Discussion

Medline Task 8: Follow the Medline instructions which you found in Tasks 6 and 7 to answer a specific medical question.

Discussion

 

 




Discussion

 

Task 1: Basic Internet Navigation Navigate to the Northern Light search engine (http://www.nlsearch.com) and Yahoo (http://www.yahoo.com)

Navigating on the Internet is accomplished either by typing in the address in the navigation bar (or the File/Open dialog box), or by clicking on a hypertext link. When you reach a site you can add it to the Favorites folder (Internet Explorer) or bookmark it (Netscape). This allows you to return to the site easily in the future.

These two sites were selected to demonstrate a standard search engine interface (Northern Light), as well as the hierarchical subject-tree approach (Yahoo). Yahoo is one of the most popular search sites because many people find it easier to follow hyperlinks down a subject tree rather than construct a search themselves. I certainly use both approaches when searching on the Internet, as different resources will be found with different search methods.

Next Task

Task 2: Internet Search Engines

Use a search engine to identify Internet resources which teach you how to use the Internet (including finding other search engines)

Try "Search Engine + Guide + English"  using Northern Light or "Search Engine" using Yahoo in the 'Computers and Internet' section.

Following the hypertext links will soon find you some reasonable guides to using search engines.

Next Task

Task 3: Internet Search Engines Use an Internet search engine to find sites which offer Medline

Depending on which engine you chose you might have found several hundred thousand sites! This would include companies called Medline, and research where Medline was used in a literature search. Refining the search might involve using Boolean operators - e.g. Medline AND Database or choosing a search engine which organises the search results into logical categories e.g. Northern Light or Inference Find.

Try Dogpile just entering 'Medline' as the search string. Dogpile is a metasearch engine, meaning that it sends your search string to a number of other search engines - it is interesting to note the wide differences between the results. A good strategy when using a metasearch engine is to visit the search engine site which seemed to produce the best 'hits', and refine your search there.

Medline is available, free, at many sites round the world. The underlying database (Medline) will always be the same. The difference lies in the search engine at the site which performs your search. For example, you may already have encountered the Ovid search engine at the BMA Medline Plus site. If you struggled with the interface there, then do not despair. You may find it easier to use an engine at a different site, and some sites provide superb documentation on how to perform a search - more later!.

Next Task

Task 4: Internet Search Engines Use an Internet search engine to find an evidence-based medicine site

It is tricky to know whether a search on the Internet will be easy or difficult, until you try. To find medical websites on the Internet I favour using Northern Light as a starting point as it indexes more professional sites than other search engines. You could try just typing in 'evidence based medicine' and see what happens.

If this is not successful you could try the same search string in different search engines such as Alta Vista, Hotbot, or Infoseek, as these cover a huge number of sites, or a metasearch engine such as Dogpile or Inference Find. Alternatively, you could try a different search string such as 'evidence medicine' in the hope of obtaining some hits which you could later refine.

If you were still not successful, then using an engine with a thesaurus such as Excite would allow mapping to similar words.

Next Task

Task 5: Evidence Based Medicine Find Cochrane, Bandolier, ScHARR, York CRD and Oxford EBM sites

Actually this is pretty easy once you have found the ScHARR netting.html site as it contains links to other EBM sites. The Oxford Centre for Evidence Based Medicine Links Page is also a useful resource.


Next Task

Task 6:Medline Find articles on how to use Medline

I'm sure I don't need to hold your hand by now. However, if you get stuck, then try entering 'Medline guide' in Dogpile and Northern Light. Depending on which search engines seem to be on target you can then refine your search further.

Additional material may be obtained by visiting Medline sites and downloading the local site guides, or by following links from ScHARR netting.html to EBM sites which offer help on using Medline (e.g. the Oxford CEBM). Medical librarians are experts at searching both the Internet and Medline, so another search strategy would be to find some medical library sites and find local guides and/or links to guides.

Finally, of course, you can use Medline itself to search for medical literature on using Medline. A quickie cheat is that if you already know of an article indexed in Medline (such as the Trisha Greenhalgh article in Task 7) you can use a 'query by example' technique. This is similar to the 'More like this...' facility provided by some of the Internet search engines. You have to find a Medline site that offers this facility (e.g. Pubmed). You perform a quick search that finds this article and then click on the 'Related Articles' link to find other papers which have been indexed as being of similar content. It's a bit hit-and-miss, but it can sometimes be a real timesaver.


Next Task

Task 7: Medline Find and download the article 'The Medline Database' by Trisha Greenhalgh BMJ 1997;315:180-184

Finding an abstract or reference is not the same as being able to download an article. Only certain journals make their articles available on line, the BMJ and JAMA being the notable ones. The NEJM, Lancet and Annals of Internal Medicine allow you to search but not download. By now you shouldn't have much trouble finding the British Medical Journal website.

You have to go to the BMJ website, search the local database to find the article, and then download it. An article may be in *.html format (i.e. formatted as an actual web-page) or in *.pdf format (which requires the Adobe Acrobat Reader program to read it). Sites which offer information as *.pdf files will usually have a link to the Adobe website so that you can download the program - it is free. A cheaper way to obtain it may be from a computer magazine disc..

Next Task

Task 8: Medline Follow the Medline instructions which you found in Tasks 6 and 7 to answer a specific medical question.

The subject of my second Internet workshop!!

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Raouf Allim
22 Benjamin Road
High Wycombe
Bucks. HP13 6SR
raouf@wycombe.com
22nd June 2000