What medical resource do you use? UpToDate, eMedicine, PIER, Epocrates, etc

[tooty]

I like UpToDate to supplement my lecture notes and small group research but haven't really used much of the other sources. What do you guys think the online medical information sites you use?

[estairella]

UpToDate > all else.

 

I have Epocrates on my Iphone because I got the free 1-year subscription for a full version.

 

eMedicine is an okay backup if you don't have access to UpToDate.

 

/my two cents

[Ollie]

UpToDate and that's about it.

 

Once you're in practice you get to claim CME credits for it! I did a locum in an office that did not have computers, except one laptop they used for submitting billing. Thankfully they did have wifi, so I brought in my laptop. I am useless doctor without UpToDate.

[tooty]

I am useless doctor without UpToDate.

 

lol .

[apache]

!UpToDate!

[Annemd]

Like everyone else, UpToDate! It's the best online medical ressource.

 

I use the free version of Epocrate to look at Rx doses when I'm with a patient or not close to a computer.

[dashley]

I really like MDConsult the best.. It tells you why you order the tests you would and explains things really well... then up to date of course

[moo]

Uptodate, of course. BCMA pays for it as well.

 

Get all my M2 credits on it as well.

[RyanMaverick]

I've used both UpToDate and MDConsult and liked them both above any other resource I've found. I find MDConsult easier to find exactly what I'm looking for, but the information in UpToDate to be a bit better.

[ploughboy]

UpToDate, like everybody else. If I'm not in a rush, I rely heavily on the textbooks available through cma.ca. I have colleagues who swear by Pepid, and I'm a big fan of listening to EMRap on long car trips.

[thebouque]

Funny how nobody mentionned accessmedicine. Otherwise uptodate is good, but I find review articles in the NEJM very helpful.

[leviathan]

UpToDate, like everybody else. If I'm not in a rush, I rely heavily on the textbooks available through cma.ca. I have colleagues who swear by Pepid, and I'm a big fan of listening to EMRap on long car trips.

Do you shell out the exorbant $$$ that they charge on EM-RAP? Or do you get funding through your residency for CME?

[ploughboy]

Do you shell out the exorbant $$$ that they charge on EM-RAP? Or do you get funding through your residency for CME?

 

Free with ACEP/EMRA membership!

 

(which is not free, but is quite reasonable)

[Pantaloons]

Uptodate: I'm also a huge fan.

 

eMedicine is not bad, but UptoDate has those great "Approach to..." articles and a better web layout.

 

I've heard that Dynamed has a great smart phone app; I've used their website once and it seemed good for clerkship.

[Mei_Mei_girl]

UpToDate is my new love - go student discount deal!

[Darla]

I use UpToDate as the gold standard I compare all other resources to. I did a review for my librarian.... http://surrealmeds.blogspot.com/2010/05/point-of-care-references.html

[Lactic Folly]

Has anyone tried a decision support site like Isabel? Instead of needing to have some idea of your diagnosis when looking up conditions in UpToDate, you can start by entering patient demographics and clinical features, and the site will give you a list of possible diagnoses. I have not tried it myself but like the idea.

 

http://www.isabelhealthcare.com/home/product_overview/products1

[estairella]

Has anyone tried a decision support site like Isabel? Instead of needing to have some idea of your diagnosis when looking up conditions in UpToDate, you can start by entering patient demographics and clinical features, and the site will give you a list of possible diagnoses. I have not tried it myself but like the idea.

 

http://www.isabelhealthcare.com/home/product_overview/products1

 

This is their User Guide:

http://www.isabelhealthcare.com/pdf/User_Guide_Pro_0308_2010_HJ.pdf

 

You can only put in very basic symptoms, you can't put in pertinent negatives, you can't put in duration, severity, etc. etc.... The only real benefit is that it automatically takes patient demographics into account...

 

I could see it being useful if you have some very abnormal combination of signs, symptoms & lab results that don't fit together and you don't know where to start.. but for most things, I'd stick with UpToDate.

 

(Plus this tool is pretty useless for co-morbidities because that'll just confuse it since it's trying to find the best fit one diagnosis)

[case_sensitive]

uptodate and pier are particularly good for clinical learning

[ermedstudent]

uptodate is great for looking up items when you have a lot of time, but i was referred to pepid by one of my colleagues and i can't live without it! seriously, it's almost as important to me as my left leg. i get a huge discount though emra for it - 50% or something like that. definitely worth it.

[szewka]

don't forget medtube website, great materials from different specialities

[Julie]

UptoDate and Pepid, about equally, daily. I also recently discovered the EMRap and find them quite entertaining on my way to & from the hospital!

[incepted]

With all these great online information and tools so easily accessible, it really begs the question does it in some take away from us really knowing the material?

[Mei_Mei_girl]

With all these great online information and tools so easily accessible, it really begs the question does it in some take away from us really knowing the material?

 

good point - but there is also no way someone could know EVERYTHING in medicine and each time you look something up you learn more and more

[ploughboy]

With all these great online information and tools so easily accessible, it really begs the question does it in some take away from us really knowing the material?

 

IMHO no, because the stuff that we really need to know gets drilled into the brain through constant repetition, whether via pimping from staff or reading online resources. It's really nice to have all the other stuff handy in an auxiliary brain, though.

 

 

 

PS - It doesn't beg the question. It raises the question.