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Answering Clinical Questions at the Point of Care

Answering Clinical Questions at the Point of Care. 鄭 如雅 ccheng@uptodate.com. Outline. About UpToDate Evidence Grading How to search Q & A. About UpToDate. You don’t need more information You need the right information.

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Answering Clinical Questions at the Point of Care

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  1. Answering Clinical Questions at the Point of Care 鄭如雅ccheng@uptodate.com

  2. Outline • About UpToDate • Evidence Grading • How to search • Q & A

  3. About UpToDate You don’t need more information You need the right information

  4. Synthesize current literature and best practices, then make specific clinical recommendations

  5. UpToDate enables • Access the most current information within your specialty • Recognize the clinical manifestations of a wide variety of disorders and describe current options for diagnosis, management and therapy, including the efficacy, doses, and interactions of individual drugs • Identify optimal screening and prevention strategies

  6. Quick Facts about UpToDate • Topic reviews • Patient information • Drug Information • Guideline Written by Physicians for Physicians

  7. Quick Facts about UpToDate • 3,300+ world-renowned physician authors (international) • 7,000+ clinical topics in 13 specialties • 4,100+ unique drug entries in adult, pediatrics, international, and natural drugs (Lexi-Comp) • 70,000+ pages of text • 21,000+ graphics • 230,000+ references (Medline) • Updated every 4 months

  8. Evidence Grading

  9. Evidence Grading • UTD-GRADE

  10. How to search

  11. How to search • New search • search  display result  output • Others • Evidence grading • SUMMARY AND RECOMMENDATIONS • Drug interaction • Calculator • Movies

  12. To Access UpToDate • Please go to library homepage • Just ‘Accept’ the license agreement and you are brought to the search page, ready for your use; within a few seconds

  13. How to use UpToDate based on a Clinical Scenario • A 60-year-old man comes in for a routine exam and mentions that two months earlier he lost vision in his right eye for 10 minutes. • Send him for carotid duplex and find a 60 percent right carotid stenosis. • Given that the TIA occurred more than two months ago. • Is he an appropriate candidate for carotid endarterectomy ?

  14. Q & A

  15. Thank you for your attention

  16. Specialties • Cardiovascular Medicine • Endocrinology • Family Medicine • Gastroenterology & Hepatology • Hematology • Infectious Diseases • Internal Medicine • Nephrology • Obstetrics & Gynecology • Oncology • Pediatrics • Pulmonary Medicine • Rheumatology

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