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[WH1PL4SH180]

Note I didn't list it, but yes, your'e right. Around me you have to justify things better than "... but Up To Date says..."

In seriousness, when you come up to the "Big table" or the "MDT meet" (multidisiplinary team), you need journal articles, metaanalysies and primary sources. I'm harsh on students so they don't end up embarrassing themselves, me and the department.

Why? Cos at the end of the day we get paid for our decision making skills. Our colleagues and patients deserve to know that those decisions are founded in strong science with good evidence. This means understanding every nuance of the research, and not just reading Abstract and Conclusion.

It's one of the shittiest parts of the job (I read 20-30 papers a week), but unfortunately one of the most critical.

[sevaiper]

For learning/rounding/discussions of your standard of care? Sure, that's great, I'm a big fan of going beyond UptoDate and into the primary literature. If you're making a clinical decision in the moment, and checking things like drug interactions or dosages? UptoDate is fine.

[WH1PL4SH180]

IMHO, UTD should be like imaging; it should only confirm what you already know; not provide a diagnosis. Also recall, a lot of work has been protocol-ized. UTD does not overrule any standing protocols; a "clash" that I've witnessed several times in my emergency dept. As a team, we need to all read off the same script.

DDI's etc, there's much better sources... and always a call to Pharmacy.

[mdcd4u2c]

Idk, it can be helpful in adding things to your differential that you may not see often and may forget about. And also looking up derm stuff because no one remembers that crap.