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UpToDate is practical for answering questions about management issues, and it contributes to patient based learning. Finally, although UpToDate can be used for general orientation to a topic, people trying to learn more about basic biology, physiology, or anatomy might want to look elsewhere. In addition, the lack of explicit criteria by which the authors support their conclusions may occasionally (in my experience, rarely) lead to a situation where part of the evidence is omitted or an existing controversy ignored. UpToDate was the most commonly used information database among these trainees.Īs I have previously stated, the resource is not yet entirely comprehensive because some areas are still being developed. On a scale ranging from 1 (easy to use), through 3 (so-so), to 5 (difficult to use), UpToDate was assigned a “1” by all 10 trainees (Best Evidence mean score 1.8, Cochrane 3.8). One prognostic topic was not covered (prognosis of acute stroke), and the neurology section is still incomplete.ġ0 clinical trainees working on a clinical teaching unit in Hamilton, Ontario, Canada, were asked to grade the user friendliness of a variety of evidence resources. For 9 of the 10 topics (6 related to treatment and 3 to diagnosis), UpToDate cards reviewed the data from the studies we expected to find (abstracts for most of these studies were available, but relevant Cochrane reviews were not always identified).
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To explore the extent to which this process leads to inclusion of valid evidence, I conducted a short review in which a colleague not familiar with UpToDate identified 10 clinical questions for which good quality evidence is available. New CD-ROMs are sent out at 4 month intervals. This process includes reviewing and incorporating information from >100 clinical journals (including ACP Journal Club and Evidence-Based Medicine).
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A team of in house physician editors work with the authors and section editors to update continuously the entire CD-ROM. Internal and external reviewers-experts in the relevant field-subsequently review the cards. They are also asked, in general terms, to note the quality of the evidence, to provide a specific clinical recommendation, and to identify areas of controversy or limited evidence.
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All three of the following medical reference tools work on iOS(iPhone), Android, Windows Phone, and Blackberry.Explicit criteria for seeking and appraising evidence are not described, but contributing authors are asked to include descriptions of the most important relevant studies and a brief review of quantitative data. Another great thing about these apps is they are substantially cheaper than UpToDate. There are three great UpToDate alternatives that physicians should consider - some even offer functionality that is better than UpToDate.
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So what if you want offline access, but don’t want, or can’t afford, an individual subscription? Only individual subscribers (for an additional fee) can get UpToDate Mobile Complete which truly permits offline access. However, those apps require a cellular or wireless connection to work. Click Yes to update and restart system update. Step 2: Click the Next button on the Welcome window to Get new updates or click the Get new updates link on the menu located on the left of the window.
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If your medical center has an institutional subscription, you can get access to UpToDate Anywhere on your iPhone, Android or Windows Phone devices for free. Click the Start button > All Programs > Lenovo Care, and run Update Your System. In 2013 that changed with the introduction of UpToDate Anywhere. Unless you were an individual subscriber, like myself, you couldn’t enjoy UpToDate on your mobile device as a native app. Until recently, it was difficult and and expensive to use the mobile version of UpToDate on your device. It became my go to app on my Palm Pilot and every Smart Device I have owned since. I have been using it since I first was exposed to it during my Family Medicine residency. Nearly every academic medical center in the United States uses UpToDate. Founded in 1992 by Dr Burton Rose, UpToDate has grown into a juggernaut. UpToDate is now one of the oldest and most respected sources of medical information. For many of us, especially my residents and fellows, UpToDate is the medical application of choice for answering clinical questions.