All Branch Topic (ABT) Uptodate

Discussion in 'Military Medicine' started by Perrotfish, Jan 11, 2017.

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  1. Perrotfish

    Perrotfish Has an MD in Horribleness 10+ Year Member

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    So yet another of the thousand cuts: Navy just sent out an email that they won't be paying for up-to-date anymore.

    If they are going to make me buy all of my own CME and all of my own clinical resources, they could at least pay me my pay so that I have the money to do that. Pretty soon I will be buying my own office supplies too
     
    Last edited: Jan 11, 2017
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  3. Shikima

    Shikima 10+ Year Member

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    Chinese torture; death by a thousand cuts.
     
  4. WernickeDO

    WernickeDO Mending tents 5+ Year Member

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    If the Army adopts this it's going to be a problem for us GMOs. I suppose the solution would be more consults.
     
  5. SirGecko

    SirGecko Go Navy 7+ Year Member

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    I've only heard this news through the grapevine so far but I have to say its pretty dang disappointing. As an isolated GMO uptodate has been pretty essential. I heard they might be switching to some other similar product but I'm not sure which one. I've always used uptodate because it was the one I got for free from the Navy so I don't have any real experience with other products in the same vein. I guess the contract was going to go up in cost by a lot or something? Anyone have any idea about what to expect for a replacement (if any)?
     
  6. Perrotfish

    Perrotfish Has an MD in Horribleness 10+ Year Member

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    Dynamed. A quick test drive shows it to be poorly written, difficult to search, and on at least one very common condition factually inaccurate.

    Any GMO who gives the slightest **** about his patients will need to suck it up and buy up-to-date (and I will too). It's $500 for an account, which sucks.
     
  7. Gastrapathy

    Gastrapathy no longer apathetic Lifetime Donor 10+ Year Member

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    If you are a GMO, get your command to buy the desktop version and install it on a command computer. I was a GMO before there was widespread access to UTD and my command bought it for me. Took s little arm twisting but not that much.

    If you're in a hospital, sorry this sucks.
     
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  8. dr zaius

    dr zaius 7+ Year Member

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    They are replacing uptodate here as well, despite loud protests from actual clinicians.
     
  9. tweaked17

    tweaked17 10+ Year Member

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    I'm still waiting to see my BCP, which apparently has to be processed before I can start seeing ISP. I'm planning on selling office supplies on eBay to make up the difference until then..

    I do believe you can get CME through DynaMed, though I'm admittedly unfamiliar with how, because... WHO USES DYNAMED!?
     
  10. narcusprince

    narcusprince Rough Rider 10+ Year Member

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    Perrot come to the dark side. Your starting to embrace the suck that is the navy. I get free uptodate through my moonlighting gig: )
     
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  11. Perrotfish

    Perrotfish Has an MD in Horribleness 10+ Year Member

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    I hope everyone is emailing their specialty leaders about this. It probably won't help but you never know.
     
    Last edited: Jan 11, 2017
  12. TurtleDO2012

    TurtleDO2012 7+ Year Member

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    DynaMed isn't that bad. It's actually easier to read than up to date because it is in bullet format And more to the point. It also links to articles for reference for additional reading much easier than UpToDate ever did to see their source. Most of the sources are PubMed articles, specialty guidelines, or AAFP depending on topic. DynaMed plus adds photos.
     
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  13. pgg

    pgg Laugh at me, will they? SDN Moderator 10+ Year Member

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    This is a good answer. A few hundred bucks out of the unit funds is usually easy to get, and as a GMO you have a direct line to the CO.

    My GMO command bought all kinds of things for us. I left with a bunch of textbooks for residency, too.
     
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  14. Perrotfish

    Perrotfish Has an MD in Horribleness 10+ Year Member

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    Per the specialty leader a 'large working group' has found Dynamed to be a superior product. All I could find out about the 'large working group' is that it definitely includes librarians.

    Does anyone know if any actual, working doctors were involved in making this crap decision?
     
  15. narcusprince

    narcusprince Rough Rider 10+ Year Member

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    Let me sum it up. Specialty leader: Suck it Perrot we are going with dynamed Perrot: Sir yes sir!
     
  16. Perrotfish

    Perrotfish Has an MD in Horribleness 10+ Year Member

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    You are welcome to tell your specialty leader to go F- himself, if you think that will improve your situation. I would personally prefer not to spend the last year of my obligation in Diego Garcia.
     
  17. narcusprince

    narcusprince Rough Rider 10+ Year Member

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    Perrot actually I hoped you would stick around and be the change the navy needs. I wanted to be but after I got a taste of the outside all I want is out!
     
  18. Perrotfish

    Perrotfish Has an MD in Horribleness 10+ Year Member

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    898 days to go
     
    j4pac, WernickeDO and narcusprince like this.
  19. WernickeDO

    WernickeDO Mending tents 5+ Year Member

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    534 for me. Be strong, amigos.
     
  20. 155HE

    155HE 5+ Year Member

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    Haha. 4218 here. :-/
     
  21. Slevin

    Slevin 7+ Year Member

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    4015... it'll be over before I know
     
  22. psychbender

    psychbender Cynical Member 10+ Year Member

    167 for me, but only 92 until my last clinical day (booyah, outprocessing and terminal leave).

    Sent from my SM-T700 using SDN mobile
     
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  23. pgg

    pgg Laugh at me, will they? SDN Moderator 10+ Year Member

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    I'm out, sorta ... 167 until I go back. :)

    Not counting the day I have to meet up with the ROTC guys to get weighed and pedal out 88 calories on a stationary bike.
     
  24. narcusprince

    narcusprince Rough Rider 10+ Year Member

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    88 lol I have to do 140+
     
  25. pgg

    pgg Laugh at me, will they? SDN Moderator 10+ Year Member

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    It's a total scam, being a tall skinny guy their math works out ridiculously in my favor.

    The worst part of the bike is getting one that isn't in front of a TV.
     
  26. j4pac

    j4pac PM&R resident 10+ Year Member

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    Can you still get uptodate through AMEDD?

    Pulling uptodate is asking for poor patient outcomes. I got practically all of my CMEs through uptodate...and I would regularly read over 200 articles a year. My life would have been very different without uptodate.
     
  27. Perrotfish

    Perrotfish Has an MD in Horribleness 10+ Year Member

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    I don't think its asking for poor patient outcomes. Its asking for $500/year. The military is just forcing doctors to buy the tools they need to do their jobs with their own paychecks. First it was CME and now its uptodate. They do it to the infantry all the time, and they make 1/4th of what we do, so I guess we really have no reason to be surprised.
     
  28. pgg

    pgg Laugh at me, will they? SDN Moderator 10+ Year Member

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    It used to be that any AD physician could get institutional access to just about everything through the USUHS LRC. I think uptodate was part of that. A bunch of pay services were included.

    Is that not the case any more? I used to have a login but haven't needed it for years.
     
  29. Cooperd0g

    Cooperd0g Something witty goes here. 5+ Year Member

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    I believe it is limited to USUHS grads.
     
  30. pgg

    pgg Laugh at me, will they? SDN Moderator 10+ Year Member

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    Lame.

    Plan B, get yourself a faculty appointment at USUHS. Should be easy ... if you're at a facility that has residents.
     
  31. psychbender

    psychbender Cynical Member 10+ Year Member

    Or, get the login info from someone who went to USUHS. I think I actually have a former classmate's login somewhere...
     
  32. DrMetal

    DrMetal To shred or not shred? Lifetime Donor 7+ Year Member

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    You only have U2D access via USUHS lrc for 2-3 years after graduation.

    Im still getting U2D via Nmcsd...is this a navy wide change?


    Sent from my iPhone using SDN mobile
     
  33. narcusprince

    narcusprince Rough Rider 10+ Year Member

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    I use my classmates login to look up adult movies!
     
  34. Fluffhead87

    Fluffhead87 CA-1 5+ Year Member

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    I've been looking up the wrong keywords on uptodate
     
  35. Perrotfish

    Perrotfish Has an MD in Horribleness 10+ Year Member

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    The contract is up February second. There is a torrent of physician complaints and its a relatively low cost change, so there is still some chance they will reverse this decision, but if they don't that is when you'll lose access.
     
  36. Slevin

    Slevin 7+ Year Member

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    Is uptodate going away DOD wide?
     
    Last edited: Jan 18, 2017
  37. Gastrapathy

    Gastrapathy no longer apathetic Lifetime Donor 10+ Year Member

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    I got an email based on an old navy utd account that navy access was going away so I should claim cme now. It also said that I was not allowed to use army or af access (though the fact that they warned me suggests they can't police that). I hadn't used the account in over 2 years.
     
  38. SirGecko

    SirGecko Go Navy 7+ Year Member

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    So I just was notified that there is a contract extension of 6 months on the UTD account. I think its Navy wide and not just for my command? Anyone else hear this?
     
  39. Fluffhead87

    Fluffhead87 CA-1 5+ Year Member

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    I heard this morning 6 months UpToDate (temp extension?) and 6 months dynamed (trial run?)
     
  40. 155HE

    155HE 5+ Year Member

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    Yes
     
  41. Gastrapathy

    Gastrapathy no longer apathetic Lifetime Donor 10+ Year Member

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    Be sure everyone you know crushes dynamed when the surveys come (unless it actually doesn't suck, which I have no way of knowing because I've never looked at it but I bet it does)
     
  42. Setih

    Setih

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    Look up very common presentations like sickle cell crisis in Dynamed. No useful results. Then try something more specific, acute chest syndrome. Dynamed thinks you are trying to rule out ACS.

    Dynamed is truly the inferior product. Whoever made the decision to not renew uptodate and thought to make a survey to justify cutting this resource out, clearly does not use either product.

    At least it got extended to August.
     

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