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Searching for the Evidence:
    PubMed (Medline)
        Susan Fowler, MLIS
         Medical Librarian
        Fowler@wustl.edu
          314‐362‐8092
         pg: 314‐360‐1069
PubMed (Medline)
   • Free resource developed and maintained by the 
     National Center for Biotechnology Information (NCBI), 
     at the U.S. National Library of Medicine (NLM), located 
     at the National Institutes of Health (NIH).

   • 20 million citations for biomedical literature from 
     MEDLINE, life science journals, and online books. 
      – 5,400 worldwide journals in 60 languages

   • Covers 1947 to the present with some older material.
Access
  Be sure to access PubMed from becker.wustl.edu to take advantage of
  library links to full text.
Create a My NCBI Account
Create a My NCBI Account, cont…
MeSH = Medical Subject Headings

                         Choose MeSH
                              from 
                        Pull Down Menu
MeSH in PubMed

Enter your search terms one at a time…
MeSH cont…



             Choose the most 
                applicable 
               MeSH terms
MeSH cont…
 You have not searched the literature yet. Searching MeSH is akin to
 searching a thesaurus for the best term.
                                                            Send to Search Box
MeSH cont…
 Once you click “Search PubMed” you will have searched that term in all the
 citations in the Medline database.

                                             Click “Search PubMed”
Advanced Search 
Once you have searched each term separately, go to advanced search to
combine them.
Advanced Search, cont… 


                     Enter search 
                     numbers and 
                    combine using 
                  Boolean operators.
Limits
Limits cont…
For the most clinically applicable articles, limit to “Humans,” “English,” and 
“Type of Article”
Type of Article Suggestions

Tier 1                      Tier 2
                            •   Clinical Trial
 • Meta‐Analysis            •   Clinical Trial, Phase I
 • Practice Guideline       •   Clinical Trial, Phase II
                            •   Clinical Trial, Phase III
 • Randomized Controlled    •   Clinical Trial, Phase IV
   Trial                    •   Comparative Study
                            •   Controlled Clinical Trial
 • Review                   •   Research Support, N.I.H., Extramural
                            •   Research Support, N.I.H., Intramural
 • Guideline                •   Research Support, Non‐U.S. Gov't
                            •   Research Support, U.S. Gov't, Non‐P.H.S.
 • Multicenter Study        •   Research Support, U.S. Gov't, P.H.S.
Accessing Full‐Text Articles




  Avoid clicking on publisher icons unless they explicitly state that they are free or 
  unless you are willing to pay $ 35.00 ‐65.00 dollars per article. 
Accessing Full‐Text Articles, cont…




 It is likely that your institution’s library has facilitated link‐out in PubMed to link you 
 directly to articles from journals to which they subscribe to.

 It is also likely that your institution’s library has an Inter‐Library Loan service that will 
 “borrow” the article you want from another library for you for a small charge (certainly 
 less then $35.00!) or for free.  

 Contact your librarian and find out what services are available and how to use them. 
Send To                                                        From “Send to” drop 
                                                               down menu, choose 
                                                                    “E‐mail”
You can email your results to yourself and your colleagues. 
PubMed (MedLine)

 PubMed advantages                PubMed disadvantages
    – Free to search                 – Still have to appraise articles 
    – Searches same content as         once located
      Ovid MedLine                   – Adjacency searching is not 
                                       available
More PubMed Tutorials
PubMed has tutorials available from their site…
20 Minutes
      If 20 minutes have passed and you still have not found what you
      are looking for, stop and ask for help.

• 660 S. Euclid                         • St. Louis Children’s Hospital
   314‐362‐7085                            Lauren Yaeger, 314‐454‐2768
   Susan Fowler, 314‐362‐8092              yaegerl@wustl.edu
   Pg: 314‐360‐1069
   fowler@wustl.edu


• BJ North, Rothschild 
  Medical Library
  Reka Kozak, 314‐454‐7208
  kozakr@wustl.edu

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