www.bmjgroup.bmj.comwww.bmjgroup.bmj.com

November 2006

Agenda

• Evidence Based Medicine• Product overview• Features and benefits• New projects

November 2006

Let me ask you a question…

• New medical studies are published every day. How do you sort through the mountain of research to find facts you can trust? And once you find a study, how do you understand its findings and judge how good it is ? ...

November 2006

Evidence Based Medicine aims to assist…

• “The Practice of Evidence Based Medicine is the conscientious, explicit and judicious use of current best practice in making decisions about the care of patients”.

• Contains clinical expertise, skills and judgment combined with the best available current research

• Clinically lead information rather than research lead

• Looks at the evidence and decides how certain treatments best work, or DON’T work, or shows there is not enough information to support a decision

November 2006

Product overview…

November 2006

Mission

• We publish a number of journals covering major We publish a number of journals covering major specialties and a growing number of online specialties and a growing number of online products for doctors and patientsproducts for doctors and patients

• Continuous product development ensures that Continuous product development ensures that our products and services are of constant our products and services are of constant importance to the medical profession.importance to the medical profession.

• The BMJ Publishing Group Ltd (BMJPG) is the The BMJ Publishing Group Ltd (BMJPG) is the innovative publishing division of the British innovative publishing division of the British Medical AssociationMedical Association

November 2006

What we do?

November 2006

Product overview

• The British Medical Journal – BMJ.com• The Group’s Flagship Journal• Weekly general medical journal, 120.000 copies

printed each week• Publishes rigorous, accessible & entertaining material

to help Dr’s and Medical students in daily practice, learning and international debate on health

• Scientific studies & reviews, educational articles, papers commenting on: clinical, scientific, social, political, and economic factors affecting health

November 2006

BMJ.com

November 2006

BMJ Specialist Journals

• www.bmjjournals.com• 22 journals in specialist areas, public health

& evidence based medicine• Mainly clinical titles, focussing on helping

doctors improve their day to day practice• International: editors and associate editors

from all over the world: USA, Australia, Canada, Hong Kong, Europe, South East Asia

• Innovative – Educations sections, case-based learning, Patient columns

• Influential – many are at the top of their specialty

November 2006

BMJ Specialist Journals

• All journals have individual websites and full-text hosted by HighWire Press

• Full-text from 1997+• Abstracts & TOC earlier• Adding Full-text to volume 1, issue 1• Current year paid for subscriptions, previous

years free of charge• All available in print & online• Reference links included• CiteTrack alerting service, author and citations• Ability to search across all journals via HighWire

November 2006

November 2006

BMJ Specialist Journals• Gut• Heart• Journal of Clinical Pathology • Journal of Medical Ethics • Journal of Medical Genetics• Journal of Neurology, Neurosurgery and Psychiatry• Postgraduate Medical Journal• Quality and Safety in Health Care• Sexually Transmitted Infections• Thorax• Archives of Disease in Childhood • Annals of the Rheumatic Diseases• BJO: British Journal of Ophthalmology• British Journal of Sports Medicine• Emergency Medicine Journal• Evidence-Based Medicine• Evidence-Based Mental Health• Evidence-Based Nursing• Occupational and Environmental Medicine• Journal of Epidemiology and Community Health• Injury Prevention• Tobacco Control

Evidence Based

PublicHealth

Specialist

November 2006

•Knowledge Products…

November 2006

Knowledge Products

• Clinical Evidence• BMJ Learning• Best Treatments (Not available in INLM)

• Evidence Based to support decision making• Patient and Doctor information from the same

source• Point of care information to reduce information

overload• Content fits into workflow & needs of clinicians

and patients

November 2006

Advantages of using BMJ Knowledge products

• Encouraging best practice by preventing overuse and misuse of treatments

• Increasing the quality of care for patients• Allows shared decisions by offering the same

source of information for doctors and patients• Quality information from a rigorous search and

appraisal process• Trusted based on an internationally recognised

evidence-based editorial process• Clinically lead information rather than research

lead

November 2006

•Clinical Evidence…

November 2006

Clinical Evidence

• A compendium of the best available research & evidence findings on common and important clinical questions (systematic reviews)

• Originally in print now also online & PDA• Covers over 500 topics and over 2000 treatments• These topics are the most important & common

conditions seen in primary and hospital care• Describes the questions, summary and background

of a condition then benefits & harms of preventative and therapeutic interventions

• Emphasis on the outcome for patients• Findings based on expert knowledge & evidence

collected from detailed research using Cochrane Library, Medline, Embase and evidence based journals

• Contributors, advisors and editors are all specialist expert clinicians

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

How is Clinical Evidence put together ?

• Select Topics: common conditions– Review data on consultation rates, morbidity, mortality– Advice and suggestions from clinicians and patient groups

• Topic Planning: select the questions– Relevance to actual practice– Detailed and systematic appraisal of material– Quality check of EBM material and guidelines

• Search & appraise literature: systematic reviews and RCT’s– Where no evidence: observational studies– Done by in-house specialists & contributions from external

clinical specialists• Summarise the evidence: peer review and edit

– Peer reviewed by at least 2 expert clinicians– Edited and compared with original papers– Consistancy and quality measures also monitored

• Feedback, error corrections and user responses

November 2006

BMJ Clinical Evidence on PDA

• Complete Clinical Evidence content on PDA

• Updates available on synchronization• Browse, search and bookmarks for quick

navigation• Tables and charts included• Personal & site licenses available• Discounts when purchased with

www.clinicalevidence.com online

November 2006

BMJ Clinical Evidence on PDA

November 2006

•BMJ Best Treatments…

November 2006

BMJ Best Treatments

• Database for doctors & patients to use evidence to decide on a certain treatment

• To inform and initiate a dialogue between doctors and patients at a level a Patient can understand

• Written for patients in an easy to use and clear format• Covers the top conditions, which treatments work, the

drugs that may be used and any possible side effects• Advice on operations and tests• Helps patients balance benefits and risks of treatments• Leads to informed joint decisions between patients and

doctors• Unbiased and up to date and links to reference articles

and studies

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

Patient Handout

November 2006

•BMJ Learning…

November 2006

BMJ Learning

• CME or learning tool for professionals in primary and hospital care

• Hospital Doctors, GP’s, Nurses, other clinical staff, practice managers, and receptionists

• Assess needs, plan then take online learning modules, courses and interactive case studies and tests (300 modules)

• Quick up to date facts on evidence based conditions• Record your progress and create certificates online• Read, reflect and correspond with other users online• Integrate learning into your appraisal system to continue

professional & personal development • Constantly updated with new or withdrawn drugs• New case studies added weekly also from user

suggestions

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

November 2006

BMJ Learning Plan

November 2006

BMJ Learning appraisal

November 2006

BMJ Learning Certificates

November 2006

•New Projects

November 2006

New Projects

November 2006

New Projects

November 2006

Comorbidities

For purchasers For doctors For patients

• Increasing incidence of chronic disease in an aging population

• Many patients living with more than one condition

• Unscheduled hospital admissions

• High healthcare spending

• Guidelines and studies that usually deal with individual conditions separately

• Difficulty identifying optimal care plans

• Obstacles to finding good research evidence about comorbidities

• Drug interactions that may lead to adverse events

• Care fragmented between specialists

• Polypharmacy leading to poor adherence and side effects

• Self-care designed for individual conditions

• Quality of life, values and preferences possibly not taken into account

• When a patient has one or more conditions…

November 2006

Evidence-based recommendations for patients with comorbidities

• diabetes• heart failure• asthma• COPD• coronary artery disease• hypertension• lipid disorders

November 2006

Flexible care plans

Doctor

Coach/case manager

Patient

November 2006

Contact Us

• Any access problemPlease inform us via the below emailsupport@iingroups.com

• Any training issuesPlease contact us via the below emailtraining@iingroups.com

November 2006

www.bmjgroup.bmj.comwww.bmjgroup.bmj.com

November 2006

–Any technical difficulties support@iingroups.com

–Any training issuestraining@iingroups.com