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¿Cómo depurar la información médica?
          (que nos llega por medios electrónicos)

Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
BOOM
Thursday, January 28, 2010
Thursday, January 28, 2010
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Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
NLM metathesaurus, diagnosis pro
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875,255 conceptos médicos




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875,255 conceptos médicos
                            11,000 enfermedades




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875,255 conceptos médicos
                            11,000 enfermedades
                          20,000 signos y síntomas



    NLM metathesaurus, diagnosis pro
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875,255 conceptos médicos
                            11,000 enfermedades
                          20,000 signos y síntomas
                            3,200 medicamentos


    NLM metathesaurus, diagnosis pro
Thursday, January 28, 2010
875,255 conceptos médicos
                            11,000 enfermedades
                          20,000 signos y síntomas
                            3,200 medicamentos


    NLM metathesaurus, diagnosis pro
Thursday, January 28, 2010
Artículos al año
                       5000/día




                                          1700/día
                                                          45/día


                             Biomédicos         Medline            ECA’s


Thursday, January 28, 2010
Artículos al año
                       5000/día                                             2000000


                                                                           1500000


                                                                           1000000


                                          1700/día                     500000


                                                          45/día      0




                             Biomédicos         Medline            ECA’s


Thursday, January 28, 2010
¿Y la calidad?




Thursday, January 28, 2010
Thursday, January 28, 2010
PULL



                             PUSH

Thursday, January 28, 2010
PULL


               “justo a tiempo”
               cuando la necesito, la
               busco y la encuentro




Thursday, January 28, 2010
PUSH

               “por si acaso”
               Información válida y
               relevante
               Llega “sin pedirla”
               La evidencia encuentra
               al usuario



Thursday, January 28, 2010
Thursday, January 28, 2010
INDEX MEDICUS

                                   Localizar referencia


                                           Buscar revista


                                    eStudio individual



Thursday, January 28, 2010
eStudio individual




Thursday, January 28, 2010
eStudio individual




Thursday, January 28, 2010
Thursday, January 28, 2010
eStudio individual



Thursday, January 28, 2010
eStudio individual



Thursday, January 28, 2010
Crítica o Sinopsis del
                                     estudio




                                eStudio individual



Thursday, January 28, 2010
Crítica o Sinopsis del
                                     estudio




                                eStudio individual



Thursday, January 28, 2010
mayor evidencia


                             Revisiones sistemáticas

                               Ensayos clínicos aleatorios
         mayor sesgo
                                    Cohortes

                                       Casos y Controles

                                          Opinión


Thursday, January 28, 2010
Sinopsis de estudios
                         individuales

                             eStudios

Thursday, January 28, 2010
Síntesis de varios estudios
             que hablen de lo mismo




                     Sinopsis de estudios
                         individuales

                             eStudios

Thursday, January 28, 2010
Síntesis de varios estudios
             que hablen de lo mismo




                     Sinopsis de estudios
                         individuales

                             eStudios

Thursday, January 28, 2010
Síntesis de varios estudios

                   Sinopsis de estudios
                       individuales

                             eStudios

Thursday, January 28, 2010
Sinopsis de síntesis




          Síntesis de varios estudios

                   Sinopsis de estudios
                       individuales

                             eStudios

Thursday, January 28, 2010
Sinopsis de síntesis




          Síntesis de varios estudios

                   Sinopsis de estudios
                       individuales

                             eStudios

Thursday, January 28, 2010
Sinopsis de síntesis

            Síntesis de varios estudios

                     Sinopsis de estudios
                         individuales

                             eStudios
Thursday, January 28, 2010
Sumarios



                       Sinopsis de síntesis

            Síntesis de varios estudios

                     Sinopsis de estudios
                         individuales

                             eStudios
Thursday, January 28, 2010
Sumarios



                       Sinopsis de síntesis

            Síntesis de varios estudios

                     Sinopsis de estudios
                         individuales

                             eStudios
Thursday, January 28, 2010
Sumarios

                     Sinopsis de síntesis

           Síntesis de varios estudios

                    Sinopsis de estudios
                        individuales

                             eStudios


Thursday, January 28, 2010
Sumarios

                     Sinopsis de síntesis

           Síntesis de varios estudios

                    Sinopsis de estudios
                        individuales

                             eStudios


Thursday, January 28, 2010
Sumarios

                     Sinopsis de síntesis

           Síntesis de varios estudios

                    Sinopsis de estudios
                        individuales

                             eStudios


Thursday, January 28, 2010
Sumarios

                     Sinopsis de síntesis

           Síntesis de varios estudios

                    Sinopsis de estudios
                        individuales

                             eStudios


Thursday, January 28, 2010
Jerarquía 6S de recursos “pre-digeridos”

                                        Sistemas

                                           Sumarios

                                              Sinopsis de síntesis

                                                   Síntesis de varios estudios

                                                     Sinopsis de estudios
                                                         individuales

                                                         eStudios

                    ACP Journal Club 2009;151(3)
Thursday, January 28, 2010
Jerarquía 6S de recursos “pre-digeridos”

                                        Sistemas

                                           Sumarios

                                              Sinopsis de síntesis

                                                   Síntesis de varios estudios

                                                     Sinopsis de estudios
                                                         individuales

                                                         eStudios

                    ACP Journal Club 2009;151(3)
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
PUSH


               Email
               RSS
               Redes sociales




Thursday, January 28, 2010
¿Suscripciones por
                                  email?




Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
50,000 artículos/año   Filtros de
         de 120 revistas    lectura crítica




               Ej. Evidence Based Child Health

Thursday, January 28, 2010
50,000 artículos/año   Filtros de
         de 120 revistas    lectura crítica




                                                 ∼2,500 artículos/año
                                                 cumplen con criterios
                                                 (95% “noise reduction”)


               Ej. Evidence Based Child Health

Thursday, January 28, 2010
∼2,500 artículos/año            Filtro
    cumplen con criterios           MORE
     (95% “noise reduction”)




             BMJ Evidence Updates

Thursday, January 28, 2010
∼2,500 artículos/año            Filtro
    cumplen con criterios           MORE
     (95% “noise reduction”)




                                       ∼25 artículos/año
                                         para clínicos
                                    (99.9% “noise reduction”)

             BMJ Evidence Updates

Thursday, January 28, 2010
PUSH


               Email
               RSS
               Redes sociales




Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Reader, lector, agregador de RSS
Thursday, January 28, 2010
PUSH


               Email
               RSS
               Redes sociales




Thursday, January 28, 2010
Redes sociales

               No nada más para:




Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Impacto de redes sociales
          Ejemplo: Twitter en la pandemia

Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Thursday, January 28, 2010
Jerarquía 6S de recursos “pre-digeridos”

                                         Sistemas

                                             Sumarios

                                                Sinopsis de síntesis

                                                      Síntesis de varios estudios

                                                        Sinopsis de estudios
                                                            individuales

                                                            eStudios

                       ACP Journal Club 2009;151(3)
Thursday, January 28, 2010
¿Cómo depurar lo que nos llega?



               Escoger fuente depurada
               Escoger el medio (email, RSS, redes sociales)
               Aprender habilidades de lectura crítica




Thursday, January 28, 2010
“En la actualidad, para el clínico,
          internet se ha vuelto tan importante
          como el estetoscopio”
          Paul Glasziou




Thursday, January 28, 2010
Thursday, January 28, 2010
Taller
          ¿Cómo manejar la sobrecarga de información y
          estar al día en mi práctica clínica?


              Sábado 20 de febrero, 2010

              9:00 a 13:00 y 15:00 a 19:00

              Hospital Ángeles Culiacán



              Cupo limitado: 30 alumnos
                             14


         www.sinestetoscopio.com             giordanoperez@hps.org.mx

Thursday, January 28, 2010

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