Intended for healthcare professionals


Information “Nuggets” are not easy to find quickly

BMJ 1998; 316 doi: (Published 30 May 1998) Cite this as: BMJ 1998;316:1676
  1. Nimmi Naidoo, General practitioner
  1. Nuffield Health Centre, Witney, Oxfordshire OX8 7HQ

    EDITOR—An essential ingredient in the practice of evidence based medicine is the evidence, but where can it be found? My recent experience using Medline and Embase suggests that these databases are not the place for a busy general practitioner to seek evidence with which to answer clinical questions. Only 40%-46% of a physician's clinical questions can be answered using Medline, 1 2 and many of the citations retrieved in a Medline search are irrelevant.3 Evaluated databases such as the Cochrane database and Best Evidence are more helpful to me than the raw, undigested research that is available from Medline, but even they are not concise enough to use easily to answer a particular clinical question.

    Slawson and Shaughnessy suggested that doctors are seeking “patient oriented evidence that matters (POEM).”4 When faced with a clinical question I would like information NUGGETS. I want information Now, Up to date, Grounded in Good Evidence, There (on my desk), and Specific to the problem. Where can I find a system that will deliver information NUGGETS?


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