UpToDate, DynaMed and BMJ Best Practice
Introduction
The three leading evidence-based clinical resources for use at the point of care are:
NOTE: All 3 resources are NOT FREE, but available as subscription.
UpToDate
Nearly 30 years ago, Dr Burton "Bud" Rose wanted to find way to update his first textbook "Clinical Physiology of Acid-Base and Electrolyte Disorders" (a nephrology textbook) more rapidly.
- His publisher declined to put the book into a format that was accessible by computer.
- He then did it himself and UpToDate was born.
Out of the three, UpToDate covers the largest range of topics and include Lexicomp drug monographs and drug interactions as part of the database.
- Although the information is incredibly detailed and comprehensive, it might be a pain to read through the lengthy content when you are short of time.
In partnership with the Better Evidence program at Ariadne Labs, complimentary UpToDate subscriptions are provided to qualifying clinicians and organizations.
DynaMed
Currently, DynaMed is my favourite reference because
- It offers a short yet sweet overview and recommendations at the start.
- In the management section, evidence supporting the treatment recommendations makes the recommendations to be more relatable.
- International guidelines are being compared in this clinical resource.
Different from UpToDate, the drug summary information available in DynaMed is based on Micromedex.
BMJ Best Practice
BMJ Best Practice was first launched in 2009, but is not widely used in Malaysia.
- Epocrates has partnered with the BMJ Group since 2014 to provide the BMJ Best Practice disease information in its premium Epocrates Plus feature.
- In year 2020, they launched Comorbidities tool.
Personally, I find "Emerging Treatment Section" to be very interesting.
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