cafeconleche

10+ Year Member
5+ Year Member
Mar 20, 2007
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Hi Everyone--

I'm interested in hearing how FP residents, and particularly attendings, stay current on their medical knowledge. Do you reserve time to read up on the latest research? Do you reserve time to review the data for confusing patients? When do you decide to refer? I know that the majority of patients are more or less routine in their medical problems, but even so, given the breadth of knowledge required, how do you stay up to date?

Thanks!

C
 

Doctor Grim

10+ Year Member
Apr 14, 2007
259
1
Status
Attending Physician
Hi Everyone--

I'm interested in hearing how FP residents, and particularly attendings, stay current on their medical knowledge. Do you reserve time to read up on the latest research? Do you reserve time to review the data for confusing patients? When do you decide to refer? I know that the majority of patients are more or less routine in their medical problems, but even so, given the breadth of knowledge required, how do you stay up to date?

Thanks!

C
I'm in an academic environment so I read Up to Date a lot. I also read AFP when I have time over a coffee break or during lunch time. Then I learn a lot from residents and medical students.
 

1viking

10+ Year Member
7+ Year Member
Jun 21, 2004
302
1
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Resident [Any Field]
Info POEMS to my email every morning. I read NEJM via google reader every week, same with JAMA and Pediatrics. This is all while running around the hospital from floor to floor. I need to figure out an easy way to read the Green journal because my university doesn't provide it for free. I think I might buy it because of the usefulness.

I have AFP sitting by my toilet at home, and I read an article a day :)
 
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racerx

ASA Member
15+ Year Member
Nov 16, 2001
1,039
93
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Attending Physician

Doctor Grim

10+ Year Member
Apr 14, 2007
259
1
Status
Attending Physician
AFPs are what my former attendings called "throw away journals." Well, after you read them of course. :laugh:
 

J-Rad

Moderator Emeritus
15+ Year Member
Apr 12, 2003
3,333
21
With my Children Of The Corn
Status
Attending Physician
AFP is really good. Even as a pediatrician I like the AFP, though I might quibble with a few points on pediatric related articles. For a really good Peds "throwaway" look into Contemporary Pediatrics, by far my favorite.
 

FitreDawG

10+ Year Member
Jan 9, 2007
2
0
Status
Resident [Any Field]
I stay UpToDate with UpToDate. Between patients I regularly bring up the UpToDate article about their presenting problem and just click on the summary section to skim the main points. That and AFP of course, which I am about to settle into and read about Casts.
 

cafeconleche

10+ Year Member
5+ Year Member
Mar 20, 2007
16
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Thanks for the responses! Forgive me for my ignorance, but I can't tell how you all actually feel about AFP...good, bad, or somewhere in-between? Or maybe there's some differing of opinion.
 

lowbudget

7+ Year Member
15+ Year Member
Aug 4, 2003
1,380
31
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Teaching's the best way to keep current.

AFP's my mainstay review journal. Residents like UpToDate. I like UpToDate too and use it, except I find it hard to read on a leisurely basis. Also, UpToDate's not peer reviewed. It's reviewed and edited, but sometimes their approach is based on the author's opinion. Which is fine. So long as you know that it may just be one person's approach.

I like AFP's SORT. It tells me what the bottom lines are in terms of A, B, and C level evidence.

MedPageToday's set as my homepage. I get my medical current events from here. And I'll pull the article if it's something that I think will be controversial in my practice. (There's always a link). There're many similar sites, like Medscape. But basically I'll browse through the headlines to see what the latest published trial or conference is saying. I keep up this way because my educated patients (and colleague physicians) do, either from watching the evening news or listening to NPR, which are usually captured on MedPageToday.

BTW, speaking of AFP... you should read the 1/1/09 issue of AFP. There's an article in it called "Keeping Up with Medical Literature"... you might find it very timely...
 
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Doctor Grim

10+ Year Member
Apr 14, 2007
259
1
Status
Attending Physician
The most current issue of AFP has an article on keeping up to date with weblinks to resources. Read it if you have access to it.
 
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