Lecture on how to search the medical literature
1) Major Public Databases
Link to Primary Sources PageSearch OvidSearch Grateful MedSearch PubMed
The National Library of Medicine (NLM) databases  now include more than 10 million citations.  Although there are numerous commercial vendors providing access to these databases, they are available for free via  Grateful Med, and PubMed.  A good description of the NLM databases, which include Medline, Healthstar and several specialized databases,  is available through Grateful Med. 

Many institutions (including our own) use OVID, and there are other commercial vendors. Through OVID,  you can also search multiple databases including Medline, EMBASE, HealthStar, Best Evidence, and the Cochrane Database of Systematic Reviews. Furthermore, full text articles are available for many major journals.

EMBASE is the British equivalent of the NLM database.  Medline and EMBASE overlap by approximately 35%, however, both include most of the common, high quality, medical journals.  If you are doing a systematic review, or if you don't find what you want in Medline, try EBMBASE. 

HealthStar is a valuable database which is often overlooked by clinicians.  It covers many clinical journals and particularly focuses on health care process and outcomes information. 

If you do not have access to a private vendor, such as OVID, the choice of Public access format (Grateful Med or PubMed) is largely a matter of preference.   The current version of Gratful Med is easy to use and quite versatile.    PubMed also offers automatically filtered searches for diagnosis, therapy, prognosis, and etiology from the "clinical query"  search format.  Note that "sensitivity" and "specificity" on the pubmed clinical query page refer a focused versus unfocused search, not to the statistical terms.  However, PubMed only includes Medline and PreMedline for clinical citations. 

 

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MeSH Vocabulary: organization of the database: (NLM document) 

FOLLOW THE COURSE OUTLINE:
1) Major Public Databases
2) MeSH Vocabulary: organization of the database: (NLM document)
3) What is a search filter?
4) Combining Searches: Boolean logic
5) The Anatomy of a Search
6) Expanding and Limiting your search
7) Notation
8) A note on (not) using subheadings
9) Searching for a particular citation or for a related citation
10) Tips on searching for specific information types
Additional Resources

Ovid Online Search Manual
PubMed Overview
PubMed FAQ's
Grateful Med Users Guide