Tag Archives: UpToDate

UpToDate Goes Anywhere… and Everywhere!

utd

The UVM Libraries/FAHC-licensed UpToDate goes anywhere and everywhere!

This new version, called UpToDate Anywhere, allows full access to UpToDate at UVM, Fletcher Allen Health Care, all FAHC practice sites… and from anywhere with an Internet connection.

To take advantage of UpToDate Anywhere, users must first register an individual account from within the UVM or FAHC networks. These networks include accessing UpToDate:

  • while at UVM;
  • while at FAHC;
  • remotely with EZ Proxy or VPN;
  • through FAHC’s Remote Access Gateway;
  • on the UVM wireless network;
  • or on FAHC’s employee wireless network (NOT the FAHC guest wireless network).

With this account, UpToDate can then be accessed anywhere just by logging in with the registered user name and password. The account also enables users to accrue CME credits for reading UpToDate articles, and to download an UpToDate app to a mobile device.

Directions for downloading and installing the iPhone/iPad/iPod Touch and Android versions of the mobile app are available at http://danaguides.uvm.edu/mobile. A more detailed description of UpToDate Anywhere can be found here: http://danaguides.uvm.edu/uptodate.

As usual, if you have any questions or concerns, please do not hesitate to contact the Library at 802-656-2201 or danaref@uvm.edu.

UpToDate: New Licensing to Include Off-Site Access

A new license and contract  with UpToDate includes access for UVM medical students and faculty on campus or offsite.  UVM Dana Library and Fletcher Allen are partners in the contract. Access for UVM students and faculty, including faculty at affiliated sites, requires a UVM NetID. Click on UptoDate at the Dana Library website and you will be asked for your NetID. Additional off-campus access through COMET is anticipated at a later date.

Contact Dana Medical Library Director, Marianne Burke with any questions or concerns.

Point-of-Care Information Sources Scrutinized

Attention UpToDate and DynaMed users!

The use of online information resources for answering patient-related questions is playing an increasingly important role in the daily practice of clinicians. In fact, the names of these e-resources have become part of most health care providers’ vernacular. Who hasn’t heard of UpToDate, FirstConsult, DynaMed, eMedicine or Clin eguide to name a few?

The overall aim of these resources is to synthesize all available evidence for major clinical topics. Some basic features shared by these clinical point-of-care tools include:

  • Synthesis of current evidence for diagnosis, interventions, and therapy;
  • Designed for rapid consultation at point of patient care;
  • Evidence-based and frequently updated with links to relevant literature;
  • Drug information, ICD coding, patient information, PDA application, and provision for links to electronic health records.

A recent article from BMJ (1) published the results of its findings on the evaluation of five point-of-care information summaries. The study group looked specifically at the speed of updating evidence relevant to medical practice. The article’s conclusion cited DynaMed as the clear leader in updating speed among the field of five information summary tools.

This journal article raised questions among publishers, guideline developers, researchers, and especially clinicians about the quality and timeliness of point-of-care tools: What is the “need for speed”? How quick is too quick? What are the best approaches (priority, time, other?) for inclusion of topics? Is there now a need for an expert panel to set standards for the development of these clinical decision support tools?

This growing list of questions addressing the quality of decision support tools will be the focus at the Evidence 2012 conference, co-hosted by the BMJ Evidence Centre and the Centre for Evidence Based Medicine (CEBM) at the University of Oxford.

Time has certainly come to address and assess the relevance and validity of these point-of-care information resources, particularly in terms of quality of content and comprehensiveness. Along with patron input, Dana Medical Library pays close attention to these studies when assessing point of care resources. We will continue to feature such studies in our newsletters and on our home page.

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1. Banzi, R., Cinquini, M., Liberati, A., Moschetti, I., Pecoraro, V., Tagliabue, L., & Moja, L. (2011). Speed of updating online evidence based point of care summaries: prospective cohort analysis. BMJ, 343, d5856.

Nancy Bianchi, MLS

Top Ten UpToDate Topics Searched at UVM and FAHC

Of all topics searched in UpToDate at UVM and Fletcher Allen, drug information is consistently the most frequent. In descending order, the following topics are most popular:

Infectious Diseases
Gastroenterology & Hepatology
Pediatrics
Hematology
Nephrology & Hypertension
Neurology
OB/GYN & Women’s Health
Endocrinology & Diabetes
Adult Primary Care & Internal Medicine.

Usage tends to be highest in October and December, and one can easily see how topics have seasonal highs and lows. In the summer months, for example, there were over 200 “hits” on Lyme Disease and Tick Bites. Other popular topics are: Dog and Cat Bites, Low Back Pain In Adults, and Differential Diagnosis of Abdominal Pain In Adults.

Most physicians agree that UpToDate is a great tool for finding clinical information, but did you know that its use is widespread amongst pharmacists, nurses, and medical students in addition to physicians? After attending and resident physicians, nurses and medical students are the heaviest users of this popular clinical tool.

The chart below provides a snapshot of usage by UVM and FAHC health care professionals in the last twelve months.


UpToDate in Hospital Medicine

UpToDate has always addressed clinical issues relating to inpatient care. Topics dedicated to these issues appear throughout the program. However, with the continued development of Hospital Medicine as a specialty, over 700 of these topics have also been added to a newly created section in UpToDate, with its own table of contents and a separate category in the “What’s New” section.