Mount Sinai Hospital Toronto Mount Sinai Hospital is

Mount Sinai Hospital, Toronto • Mount Sinai Hospital is a fully accredited health care and teaching facility, affiliated with the University of Toronto. • Located in downtown Toronto, Canada, our hospital has approximately 465 beds, servicing a diverse multicultural community.

Centres of Excellence • The primary centres of excellence include, maternal, fetal and newborn health, surgical oncology, musculoskeletal disease, gastrointestinal disease and molecular sub-specialty medicine.

Sidney Liswood Library • Sidney Liswood Library serves 6300 staff and students at Mount Sinai Hospital. • Our goal is to better meet the information needs of our students, researchers and clinicians, which in turn leads to improvements in education, research and quality of patient care.

Assessment • The Sidney Liswood Library selected the best clinical decision-making tools for Mount Sinai Hospital’s centres of excellence. Based on these choices, an Intranet-accessible flowchart was designed.

Identified Need • The EBM Resources Toolkit is a practical complement to our teaching of Evidence-Based Medicine at Mount Sinai Hospital. • The resources provided are hyperlinked on the Sidney Liswood Library Intranet. These electronic resources assist in answering clinical questions.

Implementation • The evidence-based section of the Sidney Liswood Library Intranet integrates additional Evidence-Based Medicine teaching resources. “An answerable clinical question” opens to a PICO format template. • The Sidney Liswood Library is in the formative stages of bringing Evidence-Based Medicine to the point of care.

Up. To. Date • Subscription-based clinical information resource • Comprehensive - designed to provide concise, practical answers • Topic reviews written by physicians

Search terms may be a disease, a particular symptom, or a drug name

It recognizes most medical terms, common abbreviations and word roots

Can change this setting

When to introduce disease modifying antirheumatic drugs

Results • The EBM Resources Toolkit is a pathway that assists in seeking and searching for best evidence. The toolkit offers a practical guide to resources for clinical questions of therapy, etiology/harm, diagnosis and prognosis. • The EBM resources provide an outline of Sidney Liswood Library’s best external evidence for clinicians and allied health professionals.

Benefits • Effective and efficient use of the researcher’s time. • Useful aid for introducing the teaching of Evidence. Based Medicine and Evidence-Based Practice. • Considerable added value to having access to resources electronically.

Limitations • The Sidney Liswood Library does not subscribe to all Evidence-Based Medicine resources. • Current site licenses restricts direct access to additional EBM resources at the University of Toronto Libraries.

Next Steps • Introduction of this flowchart with hyperlinked resources for PDA (Personal Digital Assistant) use. • Pursue feedback from our clinicians, allied health professionals and librarians.

Please forward all suggestions or comments about this flowchart to: Sandra Kendall, B. A. , M. L. S. , Director, Library Services Mount Sinai Hospital 600 University Ave. 18 th Floor Toronto, ON M 5 G 1 X 5 skendall@mtsinai. on. ca (T)416. 586. 4614 (F)416. 586. 4998 http: //www. mtsinai. on. ca

Acknowledgement: Mrs. Jeannine Banack, Vice President Medical Administration and Special Services for her guidance and continuing support of this initiative.

Comments? Questions? Feedback?