Journal Access once you are an attending

[rushrhees]

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Sheer curiosity what do you all do for journal access after school or certain residencies when you no longer have insitutional access. Subscriptions seem pricey, do you all just pick very carefully what journal interest you the most and go with that, or are there some other group discounts out there?

 

[ldsrmdude]

If you have credentials at a hospital, you might be able to get access to their library and other resources, even if they don't employ you. That is assuming the hospital has a medical library and other such resources. You could also become adjunct faculty at a university and that might get you access. Otherwise, you pick and choose which journals are really important to you. I would guess that is part of why some attendings stop keeping up with the literature, simply because they don't have the access to it.

 

[NatCh]

I receive print JFAS regularly (and have online access) for being a Fellow of the ACFAS, and the librarian at my hospital will get me any article I request. I email her the citation and she emails back the article(s).

 

[NatCh]

I would guess that is part of why some attendings stop keeping up with the literature, simply because they don't have the access to it.

That's part of it. There are also other factors such as: ICD-10 conversion is giving everyone a headache, Meaningful Use requirements suck, Medical Home requirements suck, the x-ray machine is acting up, one employee is moving so we need to hire another, wife wants a new kitchen, daughter wants to go to France, other daughter has soccer overlapping with travel basketball, car got recalled by the manufacturer, I'm due for a colonoscopy, my lawn is dying, I need to put up Halloween decorations, a pet just died, somebody shot up my kid's school over the weekend, there's a drought, politics are tearing my circle of friends apart, a parent's health is degrading, government regulations are getting more time-consuming, I've gained 8 pounds since summer and it's not even holiday season yet, 95% of my schedule consists of the same chief complaints I've been treating for 18 years, and my tooth hurts.

I swear I'll get around to reading Medical and Economic Impact of a Free Student-Run Podiatric Medical Clinic in the current issue of JAPMA any day now.