tag:blogger.com,1999:blog-11326364.post8215626627524323912..comments2024-03-27T03:58:43.402-04:00Comments on <center>CasesBlog - Medical and Health Blog</center>: UpToDate is the most read medical reference tool - how did Harrison's, Cecil's, etc. manage to lose that war?Unknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-11326364.post-35139410310808073302011-12-11T10:44:18.775-05:002011-12-11T10:44:18.775-05:00You are absolutely right. The search of the electr...You are absolutely right. The search of the electronic version of the classic books is bringing new life to them.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-11326364.post-25860171449353449872011-12-10T01:10:32.072-05:002011-12-10T01:10:32.072-05:00Harrison's (with e-updates) is searchable thro...Harrison's (with e-updates) is searchable through the very user friendly AccessMedicine. I used it frequently (along with many other resources) during my preclinical years in a problem-based learning curriculum. I used it somewhat less during the clinical years as I had less time to read. <br /><br />During my Medicine internship, I was surprised to find I could apply many basics I learned from Harrison's 3-4 years after I had read & discussed the material with classmates. While UpToDate is more instructive, it didn't help me improve my clinical reasoning skills as well as Harrison's, Robbins, & other electronically searchable specialty-specific texts did. <br /><br />I'm not opposed to using UpToDate to quickly find answers, but I think UTD's explanations are too efficient to promote deep consideration of mechanisms and thought processes that underlie treatment. For many younger or less thoughtful physicians, the net gain may be knowing what to do this time without learning how to approach a similar-yet-different case next time.PGYxhttps://www.blogger.com/profile/04326999545370162455noreply@blogger.comtag:blogger.com,1999:blog-11326364.post-22098532105311301982011-12-09T22:52:23.768-05:002011-12-09T22:52:23.768-05:00UpToDate is actually quite expensive. If anything,...UpToDate is actually quite expensive. If anything, the cost of it would have brought the adoption down rather than increase it. UpToDate is so expensive that medical librarians are often against paying for it because purchasing the service for a medium-size hospital often means cutting a lot of other medical journals from a an ever shrinking library budget. Doctors love UpToDate because it saves time and it's down to the point so they keep pushing for it. Doctors usually prevail over medical librarians in purchasing decisions because they provide the revenue for the hospitals.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-11326364.post-25727315218103599142011-12-09T09:31:08.529-05:002011-12-09T09:31:08.529-05:00I think the cost of up to date had much to do with...I think the cost of up to date had much to do with it.johnspencerhttp://theshowandgotraining.comnoreply@blogger.comtag:blogger.com,1999:blog-11326364.post-50291592138894902342011-12-09T08:53:37.102-05:002011-12-09T08:53:37.102-05:00For genetics and other medical science, Wikipedia ...For genetics and other medical science, Wikipedia might come in at #1, if docs would admit it.Elaine Schattner, MDhttp://www.medicallessons.netnoreply@blogger.com