EBM

toc This page is an accumulation of resources for staying current on the literature (and looking good in the process).

=Podcasts= These can all be found in the iTunes store podcasts section.
 * Current Literature
 * **Annals of Internal Medicine Podcast**- Summary of the current issue of Annals, typically with an interview of the author of the featured article.
 * **JAMA**- JAMA Editor's Audio Summary - Summary of the current issue's articles.
 * **Nature Medicine**- Covers a few topics of recent (mostly translational) research in each episode.
 * **NEJM This Week**- Audio Summaries - Summary of the current issue's articles.
 * **Listen to the Lancet**- Interview about the featured article of the current issue of the Lancet (Tends to have a global health and policy focus)
 * **Johns Hopkins PodMed**- Nice plain-language summary of interesting research and medical news.
 * **Clinical Conversations Podcast Feed**- From Journal Watch. Features interviews with authors of recently published major studies.
 * **POEM of the Week Podcast** - Patient Oriented Evidence that Matters; each week features a selected article and its relevance to patient care
 * Public Health
 * **Medscape Public Health and Prevention podcast**- Short talks by public health experts.
 * **The National Institutes of Health (NIH) Podcast** - Research updates from the NIH. Contains brief public service ads.
 * Medical Learning
 * **The Merck Manual of Patient Symptoms**- Each episode covers a symptom, e.g. cough, going over urgent considerations, ddx, approach to the patient, history and physical, and treatment.
 * **Texas Heart Institute Heart Sounds Series** - Each episode covers an abnormal heart sound; requires a quiet environment.
 * Discipline-specific
 * Neurology - from the American Academy of Neurology
 * ICU Rounds - Critical care podcast, also great for anesthesiology. Highly recommended.
 * (And many more - please put your favorites up here)

=Reference Management= This page gives numerous excellent resources for finding great literature, but how do you manage it all? Here are some resources:
 * Papers - SOM faculty Mike Pascoe, PhD recently taught a two-hour course at the Health Sciences Library titled "Getting Started with Papers". The talk was recorded using panopto and the video and many other resources can be viewed here.
 * Papers is like iTunes for pdfs, and can search PubMed, Google Scholar, and other sites, directly download pdfs, automatically grab all the metadata, and manage references in a paper in pretty much any format you want. It is $49 with the student discount, and worth every penny if you need to manage a lot of references or even keep an archive of good articles.
 * [|Mendeley] - A free reference management software that functions similarly to Papers, including saving pdfs and exporting citations.

=iPhone/iPod Apps= Many of these are also available for Android as well. Not in any particular order; I would get the yellow-highlighted apps first. > **1. ** **Download ** the free DynaMed app from the iTunes Store or Google Play. iOS/iTunes App Store Link: [] > Google Play Store Link: [] > **2. [|**Access**]  DynaMed from the [|library's website] . (DynaMed is under "Clinical Tools") ** > 3. **Click** on the DynaMed mobile access link at the top of the [|DynaMed] interface and enter your **University or Hospital email address**. An authentication key will be emailed to you. > 4. **Open ** the DynaMed email from your device > 5. Within **48 hours**, **tap** on the link in the email to authenticate the app. > 6. The DynaMed App opens on your device and begins the initial content download. > **Note**: It is recommended that you are on a Wi-Fi connection for the initial download of DynaMed content as well as when updates become available. > > Once on the Isabel dx web page, click on the "Mobile App" sidebar to the right to get the user login code and instructions. > 1. Launch VisualDx (preceding is our institutional link) and click "VisualDx Mobile" button at right of page. > 2. Create your personal VisualDx account as instructed. > 3. Once you have a username and password, you can download the free VisualDx Mobile app on your mobile device from the iTunes Store or from Google Play. > 4. Launch the VisualDx app from your device and sign in using the username and password you created. > App supports: [|iPhone/iPod/iPad] and [|Android].
 * ** Epocrates Essentials :** a $160 app we get for free through the school.
 * You need to use a link from blackboard to create an account. Go to: Blackboard-->UCD Communities tab-->SOM Student Affairs-->Campus Resources Folder-->Scroll to bottom of page for login information. Epocrates is also available for Android and other devices.
 * Epocrates has several other apps for applying guidelines, such as **Epocrates Cholesterol** to stratify patients' cardiovascular risk according to ATP III criteria and make recommendations for goal LDL, etc.
 * ** Micromedex **: Alternative to Epocrates; similar content to the free version of Epocrates, but a different interface. The **Micromedex Drug Information ** App is free from the iTunes store. It contains summary information. The **Drug Interactions **<span style="font-family: Arial,sans-serif; font-size: 9pt;">App is available free for our faculty, staff and students with the password Micromedex provides. You must access the Micromedex page through the library's website (if you are off campus, you will authenticate with your usual username and password) then click on mobileMicromedex in the upper left corner and continue with the directions they provide. Please see this guide for more assistance. **<span style="font-family: Arial,sans-serif;">Password expiration: ** <span class="colllinkdesc" style="font-family: Arial,sans-serif; font-size: 9pt;"> When your current Micromedex password nears expiration, the app will remind you to enter a new one. When that happens, return to the HSL [|Micromedex page] and obtain the new password. [|Help]
 * ** DynaMed :** Alternative to UpToDate, available off-campus and without network connection. <span style="font-family: Arial,sans-serif; font-size: 9pt;">Evidence-based, point of care clinical database with disease and drug information. To install to your mobile device, you must:
 * ** Isabel dx :**<span style="font-family: Arial,sans-serif; font-size: 9pt;">[|Isabel dx] is a diagnosis checklist system that is also integrated into the [|Dynamed] platform. Available for [|iOS] and [|Android.]
 * To use the mobile app, you must first visit the library's link to Isabel dx in your browser.
 * **UpToDate** : <span style="font-family: Arial,sans-serif; font-size: 9.5pt;">There is access to the app for UpToDate - see info from the library. You can also bookmark the library's link to Up To Date in your browser . You will need to access UpToDate **<span style="font-family: Arial,sans-serif;">via the web ** (and log in to your UpToDate account) at least once every ninety days to keep your UpToDate app active and working. UpToDate is a complete, easy-to-use and easy-to-understand resource. It's only available at institutions with a subscription, unless you buy your own subscription directly from them.
 * **VisualDx** : This app gives multiple images for physical exam findings and is great for derm and other visual findings.
 * ** MedScape :**A good free alternative to Epocrates and UpToDate. Also contains tables and references including anatomy, protocols, etc. Requires signing up for MedScape.
 * ** ClinicalKey **: Formerly FirstConsult/MDConsult. Contains many textbooks. Usable as a mobile website or as downloadable app. It has far fewer articles than UpToDate, but is similarly detailed.
 * To use the mobile app, you must first create a free Clinical Key personal login/password - do this by first visiting the Clinical Key link from the library's website, then click Register in the upper right. Then download the app via your phone's App store and log in using your new credentials.
 * **Diagnosaurus** : Costs $1, available for iPhone and Droid. Lists ddx for a huge number of symptoms, diseases, and systems. I suggest quickly checking this before seeing a patient with that sx to remind you what hx and PE findings to look for. Note that it is available as a freestanding app or through skyscape. Available free on Blackberry, Palm, and Windows Mobile - http://www.unboundmedicine.com/register/reg?cmd=diag&style.m=mh
 * **NEJM This Week**: Full-text access to the latest issue of NEJM, as well as the Images in Clinical Medicine archive
 * **Annals of IM**: Abstracts for the latest issue of Annals of Internal Medicine; Become a student member of American College of Physicians and input your login info to get full-text access through the app.
 * **NextBio**: Search PubMed and a few other medical databases and clinical trial registries.
 * **AHRQ ePSS**: Access to the full range of recommendations from the USPSTF. Browse guidelines or input patient demographics to see tests recommended and not recommended for that patient.
 * **MobileRSS**: (See the RSS section below)
 * ** Reeder ** : (See the RSS section below)

=RSS Feeds= Accessible on many platforms including web browsers (Safari, Chrome), some email apps (Apple Mail), and smartphone apps (Reeder). Publishes news-streams in a standardized format. Almost all medical journals have a RSS feed - just google "//journal name// rss". Some of the major ones are listed below for your convenience.
 * **NEJM** - [|www.nejm.org/medical-rss/current-issue]
 * **JAMA** //-// [|jama.ama-assn.org/rss/recent.xml]
 * **Annals of Internal Medicine** - [|www.annals.org/rss/current.xml]
 * **The Lancet** //-// [|www.thelancet.com/rssfeed/lancet_current.xml]
 * **Archives of Internal Medicine** - []
 * **CDC MMWR** - [|www.cdc.gov/mmwr/rss/mmwr.xml]
 * **Journal Watch: First Watch** - @http://firstwatch.jwatch.org/rss/current.xml
 * **The NNT** - []

If a journal or website does not offer an RSS feed, check out Page2RSS as a way to be notified any time the content of a specific webpage changes.

There are several RSS reading services that are cross platform. One recommendation is Feedbin, which allows you to read your feeds in a web browser and on your mobile device using an app called Reeder.

=Health Sciences Library & Other Websites=
 * [|Proxy links] are used for any off campus access. If you prefer dynamic functionality to starting from the [|library's homepage], you can install the library's LibX Browser Toolbar which includes ability to right click on hyperlinks to enable proxied access.
 * **Health Sciences Library**: Evidence-based Healthcare resources: []
 * **ACP Journal Club**: (Now renamed JournalWise) a monthly appraisal of a study/trial that, rated for clinical relevance to specific fields by a panel from the American College of Physicians. Access it through the Databases page [], click **A** for **ACP** then select ACP Journal Club [].
 * **UpToDate/Clinical Tools**: Accessible from the [|library homepage] and click on Clinical Tools. UpToDate is the most comprehensive and is in plain-language. DynaMed is probably the most frequently updated clinical resource: Each article contains the most recent evidence on the topic listed at the top of the page.
 * **E-Books**: Many electronic textbooks are available from the library. You can find the whole list on this page: []
 * **BestBETs** (best evidence topics): Created by physicians at Manchester's Royal Infirmy, BestBETs lets you search a database of appraised studies, or you can go directly to the "News" tab on the left side of your screen and see the most recently submitted and appraised topics. []
 * **National Academy of Sciences**: Access full reports from National Academy Publishers online or pdf. Includes full texts of Institute of Medicine reports. [|http://www.nap.edu] IOM reports here: []

=Books=
 * //50 Studies Every Doctor Should Know//, Michael Hochman, MD - [|50studies.com]Critical appraisal of 50 landmark papers across many disciplines, with case studies relevant to each. I would highly recommend making this a part of your reading for your clinical years as these will be the studies your attendings talk about. If you can converse intelligently about the strengths and limitations, you will look great and make a positive contribution to patient care.
 * The [|Table of Contents] contains links to PubMed and is a great place to start to do your own reading

=Email Newsletters=
 * **Evidence Updates from the British Medical Journal's Evidence Centre**. Sign up for a free account here and indicate your area(s) of interest. [] On the "home" page, you can see the "hit parade"--the most read articles in your specialty in the past 30 days.
 * **CDC MMWR**: The CDC's most recent data - largely epidemiological surveillance of diseases worldwide. Subscribe here: [] (or see the RSS feed above)