Presented By: Andy Chuang ???

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Presented By Andy Chuang ??? Elsevier Taiwan
LLC Date Dec 27, 2007
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Systematically Review
SUMSearch (http//sumsearch.uthscsa.edu/) TRIP
(www.tripdatabase.com) Entrez PubMed
(http//www.ncbi.nlm.nih.gov/entrez/query.fcgi) Co
chrane Database of Systematic reviews National
Guidelines Clearinghouse (www.guidelines.gov)
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1. Medical Topic including drug doses, risks
benefits - written by professional medical writer
2A. Content Editors check style, consistency,
omissions 2B Drugs Editors (PharmDs) check doses
provided by med writer and write all other drugs
info by customizing data in FC drugs dbase
10. Content Editors and Drugs Editors (PharmDs)
undertake final check prior to publication to
live site
3. Topic Editor (Attending Physician in US) edits
Medical Topic to ensure clinical relevance and
accuracy, and answers queries
FIRSTConsulteditorial workflowfor Medical
Topics
9. Evidence-Based Medicine Editors (MDs) insert
evidence references and links to guidelines
Pink box medical writer (work for hire)
4. Content Editors Drugs Editors (PharmDs)
check Topic Ed work
8. Generalist Editor (e.g. internist or family
physician) review Medical Topic to ensure
relevance to target audience
Blue box in-house check
Green box external review by Ed Board member
5. CAM Editor (complementary/alternative
medicine) review (optional)
6. Specialty Editor (e.g. cardiologist or
hematologist) reviews Medical Topic for clinical
accuracy currency, and writes Clinical Pearls
etc.
7. Content Editors Drugs Editors (PharmDs)
check Specialty Editors work
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Evidence-Based Medicine

• Evidence-based medicine (EBM) has been defined as
  'the conscientious, explicit and judicious use of
  current best evidence in making decisions about
  the care of individual patients' (Sackett DL,
  Rosenberg WMC, Gray JAM, et al. BMJ
  199631271-2).
• Look for the icon in the text
• Evidence is summarized by our team of experts,
  principally from three critically evaluated, very
  highly regarded sources
• Cochrane Systematic Reviews
• Clinical Evidence
• The National Guideline Clearinghouse
• Within the Medical Topics, the best available
  evidence and guidelines are integrated into the
  content. You can find evidence and guidelines in
  the following sections
• Diagnosis - for diagnostic guidelines
• Treatment - for guidelines relating to
  management and summaries of evidence from
  primary research articles and systematic reviews
  relevant to your treatment plan
• Prevention - for evidence and guidelines relating
  to prevention

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Level of Evidence
Resource from http//www.mdconsult.com/php/about/
82479328-4/pm_FC_EBM.html
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What is FIRSTConsult?

• FIRSTConsult is a revolutionary web and PDA-based
  clinical information system that provides
  continuously-updated, evidence-based guidance on
  the latest in patient evaluation, diagnosis, and
  management all written and designed for rapid
  access at the point of care!
• FIRSTConsult offers
• Covering Specialty 23
• Medical Topic 684
• Patient Education 360
• Procedure 70
• DDX 320
• Diagnosis 1800

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Synthesized
are synthesized under the supervision of expert
faculty
Sources of Evidence
delivered via web/PDA
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Evidence-Based Medicine

• Look for the icon in the text
• Evidence is summarized by our team of experts,
  principally from three critically evaluated, very
  highly regarded sources
• Cochrane Systematic Reviews
• Clinical Evidence
• The National Guideline Clearinghouse
• Once summarized, Evidence is only then included
  if clinically actionable
• All evidence is based on a rating system
  published by the AAFP
• Evidence and guidelines are regularly updated

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Differential Diagnosis

• Based on the patients chief complaint
• Start by choosing from over 320 signs symptoms
• Search options include
• Enter chief complaint in search box
• Scroll the list to find the complaint
• Click on A-Z to jump to the chief complaint

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Differential Diagnosis

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  tables
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• Sorted by age and prevalence
• Emergency conditions are marked in red

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Differential Diagnosis

• Clinical Benchmarks provided for each diagnosis
• Click on diagnosis to view

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Differential Diagnosis

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  boxes and click Compare

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Differential Diagnosis

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  diagnose.

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  blank field

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Medical Topics

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• Content is updated weekly

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Medical Topics

• Background Menu includes
• Cardinal features
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• Clinical presentation
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• Consider consult
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• Treatment Menu includes
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• Outcomes Menu includes
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• Consider consult
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• Resources Menu includes
• References
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• Related topics
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Procedures

• Systematic guidance on surgical and diagnostic
  procedures commonly performed
• 70 available
• Video clips or animations included with each file

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Full Text Search Feature

• Full Text Search function will take your
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  from all of the FIRSTConsult content.
• Enter search term(s) in the Full Text Search box
  on the left-hand panel
• Search terms can contain Boolean terms, such as
  AND, OR, NOT.

Header describes the details of the current search
Results include an ordered list of search hits,
the most relevant appearing first and also
provide Recommended Results
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• Thank You!