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Keeping Current with 'The Literature'

By Cole Sloan posted 11-20-2014 05:49

  

A recurring topic amongst the residents and preceptors at the University of Arizona is the transition to autonomous practitioner.  This transition to new practitioner is rife with peaks and valleys – especially as one establishes their role on various healthcare teams.  One particular area that I have both triumphed and fallen flat is keeping current with ‘The Literature’.  ‘The Literature’ was once a nebulous, abstract and distant afterthought as I trudged through the didactic portions of pharmacy school (if ‘The Literature’ was not going to be on the next Med Chem test or NAPLEX, why should I care?).  While that attitude was tolerable during the first couple years of pharmacy school, I soon realized the need to figure out what this whole Literature thing was all about. It would be referenced by our professors, residents performing guest lectures, new and seasoned preceptors.  Now that the transition from student to resident is 17 months passed, I enjoy reflecting back on my transformation into a practitioner who readily quotes ‘The Literature’.

As I perused the idea of keeping current with the medical literature, I found several articles from the 1950’s offering tips to busy physicians who would like to keep up with the 400+ English Language medical journals in print at the time.  My desire to keep up with the literature is far from a new struggle.

All practitioners I have discussed the topic with seem to have different methods to keep current with the literature in their specialty… which brings me to the burning question – what tools do you utilize to keep current with the literature?

I’ll share with you some of my favorites – PLEASE share your methods in the comments section (or contact me directly through ASHP Connect). 

-Evidence Updates from BMJ – top notch information about new articles in your selected specialties (free!)

-Journal Watch from NEJM – similar to Evidence Updates, reviews >6 months old are free. 

-InoReader, OldReader, Feedly, et al – RSS Feeds have been a great way for me to organize various types of information into manageable sections.  I am unsure about other specialties, but Emergency Medicine has a vibrant online/social media scene and I often find great pearls and tips from various blogs, FOAMed topics (Free Open Access Medical Education) along with traditional primary literature.  Some personal favorites are ALiEM, EMCrit, The Poison Review and MANY others.

-PubMed allows users to set up recurring emails that can update you daily to monthly about new articles indexed in PubMed that meet your predefined search criteria.  I have found this very useful when I develop an in-depth talk (Continuing Education topic, Grand Rounds, Seminar, etc) and want to stay abreast of recent, relevant developments. 

-The Pharmacist’s Letter is another tool to explore (I am fortunate that my practice site provides a subscription to all pharmacists). 

-UpToDate provides a large database of clinically relevant topics, and you can sign up for emails highlighting “What’s New”. 

-eTOC (electronic table of contents) is another popular tool to keep up with individual journals.  I prefer the RSS feeds (InoReader, et al) to the eTOCs but that seems to come down to practitioner preference.  Here is the eTOC page for AJHP

Try them out and let me know what works for you.   Looking forward to learning other techniques from readers on how to stay current!  

I don’t plan to reference primary literature often in my blog posts, but couldn't resist this time:
- Flaxman N. How to keep up with medical literature. J Am Med Assoc. 1954 Apr 24;154(17):1409-10.  PMID: 13151864  
- Morton LT. Medical literature: How to keep up to date. Practitioner. 1951 Mar;166(993):281-5.  PMID: 14816230

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11-24-2014 01:10

Thanks Kelly! BMJ Evidence Updates is my favorite as well. I am embarrassed I forgot to mention Wiki Journal Club as I have contributed to some of their ED-related content. I have found it to be a great resource when discussing landmark trials that were completed before I began keeping up with the primary literature (which is most of the trials for us new practitioners). Here is the link to the free online version of Wiki Journal Club: http://www.wikijournalclub.org/wiki/Main_Page (the app is great as well).

11-22-2014 17:19

Thanks for sharing your methods of staying up to date! BMJ Evidence Updates is my favorite resource for the latest evidence. Unlike some cataloguing services, the length and frequency of their email updates are manageable, and they numerically rate relevance and newsworthiness to help identify articles that may be of interest to certain specialties. One of my preceptors recommended the app "Journal Club" for reference in citing landmark trials:
https://itunes.apple.com/us/app/journal-club-landmark-medical/id512153051?mt=8
I've found it to be helpful on rounds.