Sarah's Baby 1u: Meet Sarah and Pat

Using UNMC's Online Resources to Address Clinical Questions

by Cindy Schmidt, M.D., M.L.S.

published December 2015, Revised July 2019

Warning:

If you are using Internet Explorer, please STOP now! Open another internet browser (we recommend Firefox) and go to --

http://library1.unmc.edu/gots/tutorial/sb1u

-- and continue working on the tutorial in the new browser.

Instructions:

1. If the screen is flickering and jerking, try right-clicking on the light grey bar in the screen header and selecting the "refresh" or "reload" option from the menu that appears.

2.  Use the Arrow icons below this instruction panel to go forwards and backwards in the tutorial.

Avoid working ahead of the instructions. Deal only with the information on one panel before clicking the "forward" arrow to move to the next.

3.  You do NOT have to complete this tutorial miniseries  in one sitting.

• When you leave the tutorial temporarily, note the tutorial episode number and "chapter" that you are completing.
• When you later return to the tutorial, you can skip forward to the needed "chapter" of the tutorial by clicking the tutorial's menu icon-

-- and selecting the needed 'chapter.'

4. To see or save the contents of this tutorial in a single document, click the "single-page view" link at the top of this panel.

5.  There are two surveys and one quiz that accompany this tutorial. 

Surveys -- The surveys help us readjust the tutorials for future students. You'll take a pre-tutorial survey in a few minutes.  You will complete a post-tutorial survey and the quiz (see below) after finishing all the tutorial episodes.

Quiz -- The quiz verifies that you've finished this tutorial.  The questions in the Canvas quiz are identical to the questions in the body of this tutorial.  Simply record the correct answers to the questions in the tutorial and enter them in the Canvas quiz when you've finished all the tutorial episodes.

Overall Aim

This tutorial uses a clinical case, the case of Sarah Pilger, a pregnant adolescent with a somewhat complicated pregnancy, to introduce you to the information resources that are available at UNMC.

We hope that this tutorial will help you learn to find needed resources, and the relevant information within those resources, quickly. Only read all of the information retrieved if you find it fascinating and have lots of free time!

Specific Objectives

The specific objectives of the tutorial series are listed below:

1. After being presented with a learning issue, students will identify an information resource likely to be useful from among 6 frequently used resources -- ProceduresConsult, Online journals/Ebooks finder, AccessMedicine, UpToDate, MedlinePlus, PubMed with GetIt!@UNMC buttons.

2. After identifying a resource appropriate for their learning issue, students will use the library’s website to navigate to the needed resource, conduct a search in the resource, and identify needed information.

3. Students will conduct keyword and MeSH-based searches of PubMed. The constructed searches will make appropriate use of operators (AND, OR, NOT), asterisks*, parentheses (), quotation marks "", and article type filters.

4. Students will be aware of the methods that can be used to contact librarians when they are faced with resource or access questions, need search training, or want a librarian's help with a literature search.

Sarah

For the purpose of this tutorial, you'll need to pretend it's Monday, September 16, 2019 and that you are the ultrasonographer performing a patient's first prenatal ultrasound.

The ultrasound order form tells you that Sarah Pilger, is a 16 year-old female. The date of her last menstrual period (LMP) is listed as approximately March 30, 2019, suggesting a gestational age of 24-25 weeks. The reason cited for the ultrasound examination is confirmation of fetal gestational age in the face of an irregular menstrual history.

When you call Sarah out of the waiting room you find that she is an obese, white teenager. She is accompanied by her mother, who introduces herself as Pat Pilger. Sarah and Pat are excited about seeing the baby.

Learning Issues

What are some of the things you need to learn to become the professional ultrasonographer who can meet this patient's needs?

Learning Issues

Perhaps some of the following are among your learning issues?

#1. How is a second trimester ultrasound examination performed?

#2 What measurements are most important for establishing gestational age around the 24th-25th week of pregnancy?

#3 Does obesity affect the way prenatal ultrasonography should be performed?

You will use library resources to address these and other learning issues in future 'episodes' of this tutorial mini-series.

It's Time to Complete the Pre-Tutorial Survey

Before moving to episode 2 in this tutorial series, return to Canvas and complete the "Pre-tutorial survey."

When working on the survey questions, please, do not labor over the questions or consult any resource for help. Just give us your best response based on your current knowledge.

We expect most students to spend less than 7 minutes answering the pre-tutorial survey questions.

When you've finished the "Pre-tutorial survey" you can move on to episode 2 of the tutorial series.