Drugs
uptodate.com, requires login but most hospitals and academic institutions have access
One time I had a doctor literally look through uptodate while talking to me.... His excuse was I "should see the doctor's version of wikipedia since I want to be a doctor myself" so I would guess a lot of doctors use it.
Yup, on my obgyn rotation and the doc will frequently open uptodate to make sure that his "harder" cases are getting the right treatment. Think harder as in someone who has multiple miscarriages and they want progesterone. Well, the doc pulls up uptodate and is like "nah, the studies they link don't show any real positives toward administering it"
Haha I don’t think that’s what UpToDate is for
Dunno what to say then haha
UpToDate. It's worth a subscription. I think I pay something like $16/mo. Some schools/hospitals give it to you for free too. It's also great for general medical information besides drugs.
I honestly feel you could take a person off the street and teach them how to use UpToDate for every patient encounter and within a year they would be a competent primary care physician.
uptodate really is gold. Plus you have all the links for studies. Another one that is a little less accessible but is good is cohchrane. Besides that it is specialty specific journals that have summary statements for ebm.
fixed that for you.
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I've met some very competent NP's who function better than some FP's --- so UpToDate works in either case!
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Isn't it, though?
I use it all the time in real time in my visits to double check dosing and occasionally to help w differential if I’m faced w something I’ve never seen before.
Okay, I guess I should cut that doctor some slack, he was a family medicine DO and I was asking him a pretty specific question about immunology
Maybe, not for me personally... If it's a particularly "complex" case, then I do a literature search. Up to date gives great overall information on conditions but like wikipedia it doesn't always delve into all the specifics needed. Depends how complex
Oh sure, but I usually hit Wikipedia/U2D on the way to the lit search. Gives me the skeleton I'll be framing my specific questions within.
It really is best for us primary care types. Generally speaking, if uptodate doesn't go into enough detail on something then I shouldn't be managing it anyway. Subspecialists don't really have that option.
