Finding Orthopaedic Knowledge Online

more of what you want, less of what you don’t

Christian Veillette M.D., M.Sc., FRCSCAssistant Professor, University of TorontoShoulder & Elbow Reconstructive Surgery

University Health Network

Deputy Editor, Information and Communication TechnologyClinical Orthopaedics and Related Research

Email: orthonet@gmail.com

Objectives

• Develop a strategy for searching the Internet for high quality resources to use when learning on the fly

• Develop familiarity with major orthopaedic Internet resources

Where you need the information

Next Best

                         

               

Is the Internet an appropriate place to look for high quality orthopaedic

information?

• Information overload

• Commercial bias

• No quality assurance

All common and legitimate comments

- Biermann et al. JBJS (Am) 2006; 88:1134-1140

Yes• Lack of a strategy for searching the Internet

limits success– EBM = PICO– Search = FRIAR

• Effective search engine use requires learning and practice

• Different types of information, different search engines– Different coverage, different search features, different

algorithms for sorting results

Must KNOW your Internet resources

FRIAR

• Frame • Relevant Search Concepts• Irrelevant Search Concepts• Alternate Terms for Relevant Concepts• Review

- P.F. Anderson, http://www-personal.umich.edu/~pfa/pro/8fold/

Rapid Internet Preview

• Search Engines– General: Google, Yahoo, Ask, Live– Semantic: Hakia, Powerset– Health: Medstory– Orthopaedics: Orthopaedic Web Links (OWL)

• Textbook– Wheeless– Hyperguide– OKO– Emedicine– Medscape– Orthopaedia

• PubMed Fast Literature Search

Hakia.com

Medstory.com

Orthopaedic Web Links (OWL)(www.orthopaedicweblinks.com)

OWL Web

Rapid Internet Preview

• Search Engines– General: Google, Yahoo, Ask, Live– Health: Medstory– Orthopaedics: Orthopaedic Web Links (OWL)

• Textbook– Wheeless– Emedicine– Medscape– Hyperguide– OKO– Orthopaedia

• PubMed Fast Literature Search

Wheeless’ Textbook of Orthopaedics

• www.wheelessonline.com• Duke University and Data Trace• Search or Browse• Hypertext format, cross-referenced • Note form• References

EMedicine

• http://www.emedicine.com/orthoped/index.shtml

Medscape Orthopaedics• http://www.medscape.com/orthopaedics

ORTHOPEDICS hyperguide• http://www.ortho.hyperguides.com

OKO• http://www5.aaos.org/oko/login.cfm

What are they missing?

• Social Technologies• Collaboration & Community

– Who are your people?– Who do you want to tell what?– Who do you want information from?

Web 2.0Wikis

Sharing OpennessUser Generated

Content

Social Networks

Personal Knowledge Management

“Knowledge is created by people”… through …

Comparisons

Consequences

Connections

Conversations

Orthopaedia.com

Orthopaedia.com

Rapid Internet Preview

• Search Engines– General: Google, Yahoo, Ask, Live– Health: Medstory– Orthopaedics: Orthopaedic Web Links (OWL)

• Textbook– Wheeless– Emedicine– Medscape– Hyperguide– OKO– Orthopaedia

• PubMed Fast Literature Search

PubMed

• www.pubmed.gov • Internet Interface with Medline Database

– National Library of Medicine (USA)– Over 100 Orthopaedic Journals

• not all journals

• Citation includes– Authors, Title, Reference, Abstract, Subject

Classification

Fast PubMed Search• Enter search string with jargon terms

– Use as many as possible– Terms that ‘must’ be in the article

• Find an on-subject article– Read abstract to make sure

• Click on Related Articles– First 10 should be on-subject– If too many click Review tab

Full Internet Bibliography

• Orthopaedic Portals• Textbooks• Directories• Organizations• “Push” sites• EBM• Electronic Journals• Discussion Sites

• Commercial Sites• Patient Information• Search Engines• PubMed• Social Networks

Which type of site is useful?

Depends on yourtopic and purpose

Know your Internet resources

Thank you

The Orthopaedic Internet:

A Collaborative Resource