[ Louis Calder Memorial Library ][ Biomedical Communications ]
New Guide, EBM Curriculum Support, and Virtual Tour

Synergy Brings Access to 200 More Electronic Journals

2001/02 Guide to Collections and Services



EBM (Evidence Based Medicine) Search Techniques




Vol. 22 No. 4 July - August 2001

New Guide, EBM Curriculum Support, and Virtual Tour

To support the School's new case-based curriculum which began in August, EBM filters and other ways of limiting your MEDLINE retrieval to citations with the "best evidence" follow the Guide inside this issue. This year, you can also sit at your desktop and visit the Library virtually! In July, the Library's Virtual Tour was completed and the "Calder Virtual Tour" link was added to the Library's web site beneath the animated graphic. The following faculty and staff are congratulated and thanked for their contributions to the virtual tour: Photography and Production - Geddy Paulaitis; Design, Graphics and Research - Kelly Moore; Production Support - Michael Brennan.

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Synergy Brings Access to 200 More Electronic Journals

In August, the full text of more than 300 scientific-technical-medical journals published by Blackwell Science and Munksgaard became freely accessible University-wide through the Calder Library's subscription to Synergy. All 300 journals are accessible from within the University's I.P. domain and via the proxy server at www.blackwell-synergy.com/Journals/member/institutions/journallist.asp. Links have been created, where possible, to bibliographic databases, such as MEDLINE, for access to specific articles from the corresponding citation. 200 of the Synergy titles are important journals in the health sciences, 163 of which were not previously available either online or in print at Calder. The 200 health sciences titles were added to the 1,600 electronic journals accessible via Calder's web page alphabetically by title and by subject, and faculty are in the process of cataloging them for CALLCAT, the online catalog.

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2001/02 Guide to Collections and Services

This Guide is a brief overview of the resources and services of the Calder Library and Biomedical Communications. Additional information is available at the Library's web site calder.med.miami.edu and on the information rack at the Library entrance, and at the Biomedical Communications web site classnet.med.miami.edu and at the service window (1004 RMSB). The faculty and staff of the Department look forward to assisting with your information needs.

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Print: The current four years of 1,800 journals in the biomedical and nursing sciences are shelved alphabetically by title on the first floor of the Library. Nearby, the Current Journal Display section contains the current issues of 400 journals. All volumes published between 1945-1997 are shelved alphabetically by title on the second floor. Volumes published prior to 1945 are shelved on the lower level.

Electronic: The full text of 1,600 biomedical and nursing online journals is available on the "Full Text Publications" link on Calder's web site and in hundreds of journals via the CALLCAT online catalog. 893 (55%) of these titles are unique to the collection. The full text of the articles in hundreds of these journals is directly accessible from the corresponding citation in many bibliographic databases, e.g. MEDLINE, CINAHL, Current Contents, PsychINFO, Web of Science, etc.


Print: 61,000 textbooks and monographs are shelved on the third floor according to the National Library of Medicine classification system. Materials placed on reserve by course instructors are shelved behind the Circulation Desk, along with core biomedical texts and copy 2 of the current year of JAMA and the New England Journal of Medicine.

Electronic: Online books include Harrison's Principles of Internal Medicine, more than 40 major texts representing most medical specialties in MD Consult, and many others on the "Full Text Publications" link on the Library�s web site.


Print: On the first floor are collections of dictionaries, directories, indexes, abstracts, and other reference books and journals. Volumes prior to 1980 are available upon request.

Electronic: Online databases include: Ovid MEDLINE, CINAHL, Current Contents Search, CancerLit, Clinical Evidence, and Evidence-Based Medicine Reviews databases, as well as Health and Wellness Resource Center, PsychINFO, Web of Science, and many others on the "Electronic Databases & Information Sources" link on the Library's web site.

Online catalogs available include the Internet Catalog - a directory of hundreds of important biomedical Web-based resources accessible by subject; CALLCAT - the online catalog of the Calder, Bascom Palmer, and departmental libraries, with links to the Richter and Law Libraries, the AIDS Care and Service Providers database, and important Web sites; and others via the "Electronic Catalogs & Directories" link on the Library's web site.

Consumer Health: Near the Reference Desk are books, journals, and other materials on consumer health. The online bibliographic and full text database available at the Library for consumer information is Health and Wellness resource Center on the Library's web site.


  • Adjacent to the Systems Department at the rear of the first floor is the Multimedia Lab with all CD-ROM- based materials.
  • In the Learning Resources Center on the lower level are 2,500 videotapes, audiotapes, videodisks, and other non-print materials.


Print: In the Emanuel M. Papper, M.D. History of Medicine Room on the third floor are collections of archival materials, rare books, illustrations, portraits, medallions, stamps, and several named collections: the Anderson, Millard, and Schiff Collections.

Electronic: On the "Special Publications Link" of the Library's web site are:

  • Historical photographs on plastic surgery and bio- graphical information on the D. Ralph Millard, M.D. site
  • Full text information for patients and providers on spinal cord and traumatic brain injury, links to important Web sites and more on the Point-of-care, Team-based Information System (PoinTIS) site, developed with funding from the National Library of Medicine.

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7:30 a.m. - Midnight
7:30 a.m. - 8:00 p.m.
8:00 a.m. - 8:00 p.m.
12 Noon - Midnight

Your UM/JMMC ID, your Sponsor Associates card, or your ID from a CLASSIC member institution is your Library card. Present your ID to access the Library at no charge, receive in-house rates for fee-based services, and procure services available only to primary clientele, such as Ovid passwords, interlibrary loan services, etc. You must register for a barcode at the Circulation Desk in order to borrow materials and to access electronic resources from off-campus sites.


Books and audiovisuals: Loan - One week. Fine - $1.00 per DAY after the 7th day

Reference, historical materials, journals, and multimedia: Do not circulate.

You may place a HOLD on any item that has been checked out. The item will be held and you will be contacted when it is returned. A book return is located on the Library patio for the return of materials when the Library is closed.

There are 4 photocopiers on the first floor and 2 on the second floor for patrons to do their own copying. All 6 machines require copicards, available at the Circulation Desk for 10 cents per copy.

There are 2 high-speed network printers on the first floor, connected to 37 of the publicly accessible Web-ready computers and requiring a copicard to operate.

INTERLIBRARY LOAN/DOCUMENT DELIVERY/LRC (T: 305-243-6749; F: 305-324-4089)

Borrowing/photocopy: Forms to request items not owned by the Library, as well as copies of items in the Library's collections, are available in the Interlibrary Loan/Document Delivery Office on the lower level and on the "Request Forms" link on the Library's web site. Copies of articles retrieved during searches of the Library's Ovid databases for which full text links are not available can be requested by clicking on the desired citation and then on the "order" button in the Citation Manager section at the end of the list of citations.

Scanning/e-mail: Upon request, the Library will scan items in its collections and e-mail these and other items that have been scanned.

Costs: Items not owned by the Library are procured for a $2.00 transaction fee per request. Items in the Library's collections are photocopied or scanned for $5.00 per article. Items can be e-mailed or faxed per the fee structure in place for faxing documents to users.

Classrooms: The classrooms in the Learning Resources Center (LRC) for small group study are available on a first come, first served basis and may be scheduled by calling 305-243-6749. Priority is given to UM/JMMC students and faculty.

SYSTEMS (305-243-5530)

  • Technical assistance in accessing the Library's databases and Multimedia Lab
  • Ovid password acquisition and renewal at no charge
  • Web site development and storage
  • Scheduling the electronic classroom, which has 16 fully networked Pentium II 400 computers and individual printers. This attractive facility continues to be available on a first come, first served basis and at no charge, for educational programs that teach medical center faculty, staff, and students about computer-based applications and programs.

REFERENCE AND EDUCATION SERVICES (T: 305-243-6648; F: 305-325-9670)

Assistance in locating information and using the Library's collections and services is available at the Reference Desk, 8:00 a.m.- 5:00 p.m., Monday - Friday, and at the Circulation Desk at all other times. Searches of biomedical databases are performed by librarians for a nominal fee.

Audiotape tours of the Library are available at the Circulation Desk; individual and group tours are available upon request from the Reference and Education Services department.

The following courses are available to all affiliated individuals at no charge:

  • Ovid MEDLINE Tutorial
  • Advanced Ovid MEDLINE
  • PubMed
  • Current Contents
  • Electronic Access to Full Text Books and Journals
  • Introduction to the Internet/WWW
  • Web Site Development/HTML
  • Introduction to Core Competencies in Medical Informatics

An array of web-based tutorials are available at the "Educational Programs & Facilities" link on the Library's web site, including newly revised HTML and printer-friendly PDF versions of the Calder Ovid MEDLINE manual.

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EBM (Evidence Based Medicine) Search Techniques

Of the 10 million citations in the MEDLINE database, a relatively small percentage are to articles that meet strict criteria for evidence based medicine. When you are interested in identifying those articles on a clinical practice topic that meet rigorous EBM criteria, the following search techniques are recommended:

1. Select Clinical Evidence or EBM Reviews - Cochrane Database of Systematic Reviews from the Ovid database menu and, using text words, search either or both of these relatively small databases of rigorous reviews on some of the more common medical problems:

  • Clinical Evidence, published by the BMJ Publishing Group, consists of more than 130 detailed summaries of the "current state of knowledge, ignorance, and uncertainty about the prevention and treatment of clinical conditions�It describes the best available evidence and where there is no good evidence it says so."
  • Cochrane Database of Systematic Reviews, produced by the Cochrane Collaboration, consists of approximately 2,000 detailed and structured reviews of clinical practice topics, written by Cochrane authors who "review hundreds of studies that meet strict EBM criteria and perform 'meta-analyses' when possible."

2. Search the Calder Ovid MEDLINE database for a topic using Medical Subject Headings and limit your retrieval to the few articles that meet the highest EBM standards by using one of the limit options:

  • Click on the EBM Reviews option in the "Limit to" section on the main search page to restrict your retrieval to those articles reviewed by Cochrane authors and those articles reviewed in the ACP Journal Club and BMJ Evidence-Base Medicine journals and in the Database of Reviews of Effectiveness (DARE).
  • Click on the Limit icon along the top of the main search page to limit your retrieval to the topic reviews in the Cochrane, Best Evidence, or DARE databases

3. Create the nationally recognized EBM filters found on the verso of this page, in your Ovid account accessible with your Ovid Password, and save the filters permanently as saved searches. When you wish to limit your retrieval to articles that meet general EBM guidelines, execute the appropriate saved EBM filter (therapy, etiology, diagnosis, or prognosis) and combine it with the search statement of your Ovid MEDLINE search you wish to restrict to citations with the best available evidence. Use the next to the last search statement in each filter for the least restricted and the last search statement for the most restricted retrieval.

If you are not familiar with creating and executing saved search strategies, go to the Calder web site, click on the "Educational Programs and Services" option, then on the "Calder Ovid MEDLINE Tutorial" option, and finally on the "Saving/Retrieving Searches and SDIs" option.


  1. exp research/
  2. Clinical Protocols/
  3. Feasibility Studies/
  4. Pilot Projects/
  5. Reproducibility of Results/
  6. Research Design/
  7. Double-Blind Method/
  8. Meta-Analysis/
  9. Patient Selection/
  10. Random Allocation/
  11. Sample Size/
  12. Comparative Study/
  14. Clinical Trials/
  15. Clinical Trials, Phase I/
  16. Clinical Trials, Phase II/
  17. Clinical Trials, Phase III/
  18. Clinical Trials, Phase IV/
  19. Multicenter Studies/
  20. Randomized Controlled Trials/
  22. Practice Guidelines/
  23. Program Evaluation/
  24. Evidence-Based Medicine/
  25. random$.ti,ab.
  26. (controlled clinical trial or randomized controlled trial).pt.
  27. or/1-26
  28. 7 or 25 or 26


  1. Epidemiologic Studies/
  2. Case-Control Studies/
  3. Retrospective Studies/
  4. Cohort Studies/
  5. Longitudinal Studies/
  6. Follow-Up Studies/
  7. Prospective Studies/
  8. Cross-Sectional Studies/
  9. RISK/
  10. Risk Factors/
  11. Risk Assessment/
  12. Odds Ratio/
  13. or/1-12
  14. 2 or 4 or 9


  1. "Sensitivity and Specificity"/
  2. Predictive Value of Tests/
  3. Diagnostic Errors/
  4. False Negative Reactions/
  5. False Positive Reactions/
  6. Diagnosis, Differential/
  7. Reference Values/
  8. Comparative Study/
  9. exp evaluation studies/
  10. sensitivity.tw.
  11. specificity.tw.
  12. predictive.tw.
  13. consensus development conference.pt.
  14. (likelihood adj ratio$1).ti,ab.
  15. practice guideline.pt.
  16. or/1-15
  17. 1 or 10 or 11 or 15


  1. Epidemiologic Studies/
  2. Case-Control Studies/
  3. Retrospective Studies/
  4. Cohort Studies/
  5. Longitudinal Studies/
  6. Follow-Up Studies/
  7. Prospective Studies/
  12. Cause of Death/
  13. Fatal Outcome/
  14. Hospital Mortality/
  15. Infant Mortality/
  16. Maternal Mortality/
  17. Survival Rate/
  18. Survival Analysis/
  19. Disease-Free Survival/
  21. Treatment Outcome/
  22. Medical Futility/
  23. Treatment Failure/
  24. Disease Progression/
  25. or/1-24 26. 4 or 20 or 24

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(T: 305-243-6783; F: 305-243-4869)


The Customer Service Window is located in room 1004 of the Rosenstiel building, directly across the street from the Calder Library. Special event or surgical photography, color and black & white laboratory services, slide or print scanning, digital image editing, and photo enhancement services are accepted Monday - Friday, from 8:30 a.m. to 5:00 p.m. The Photography Production unit recently acquired a state-of-the-art digital printer - the Fuji Pictrostat Digital 400. This device produces high-resolution color or black & white photographic prints of superb quality in any size up to 11x17 inches from slides, negatives, prints, x-rays, or digital files in various formats. Images can be enhanced in Adobe Photoshop, or directly from the Pictrostat's main console, prior to final exposure. GRAPHIC ARTS/CLASSNET High-resolution slides, prints, large-format color posters, and other computer-generated presentation materials, are quickly and professionally created and produced by the Computer Graphics Division at 1087 RMSB, Monday-Friday, 8:30 a.m.- 5:00 p.m. Graphics and presentations that are created in a wide array of software programs can be brought to the Department directly during business hours or transmitted via e-mail to CLASSNET any time of the day or night: (e-mail) classnet@med.miami.edu.


Video production and post-production services are available in Room 1089 RMSB, directly across from the Photography Customer Service Window. Broadcast quality video production and editing on state-of-the-art digital equipment provides for output in multiple video formats. These include videotape, AVI files for use in multi-media presentations, and live feeds via our fiber-optic network to numerous locations throughout the medical campus. Videotape duplication, "C" and "Ku" satellite teleconference reception and recording, as well as simultaneous translation equipment, are among the video production services available to the university community.

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P.O. BOX 016950 (R-950)
(305) 243-6441
P.O. BOX 016960 (R-4)
(305) 243-6783