Presented By: Andy Chuang
Elsevier Taiwan LLC
Date: Aug 21, 2007
FIRSTConsult
FIRSTConsult OverviewDifferential DiagnosisMedical TopicsProceduresPatient EducationFull Text Search FeatureWork with MD ConsultFIRSTConsult HandheldBenefits of FIRSTConsult
Systematically Review
SUMSearch (http://sumsearch.uthscsa.edu/)
TRIP (www.tripdatabase.com)
Entrez PubMed (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi)
Cochrane Database of Systematic reviews
National Guidelines Clearinghouse (www.guidelines.gov)
FIRSTConsult:editorial workflowfor Medical Topics
10. Content Editors and Drugs Editors (PharmD’s) undertake final check prior to publication to live site
1. Medical Topic – including drug doses, risks & benefits - written by professional medical writer
3. Topic Editor (Attending Physician in US) edits Medical Topic to ensure clinical relevance and accuracy, and answers queries
4. Content Editors & Drugs Editors (PharmD’s) check Topic Ed work
2A. Content Editors check style, consistency, omissions
2B Drugs Editors (PharmD’s) check doses provided by med writer and write all other drugs info by customizing data in FC drugs dbase
9. Evidence-Based Medicine Editors (MD’s) insert evidence references and links to guidelines
8. Generalist Editor (e.g. internist or family physician) review Medical Topic to ensure relevance to target audience
6. Specialty Editor (e.g. cardiologist or hematologist) reviews Medical Topic for clinical accuracy & currency, and writes Clinical Pearls etc.
5. CAM Editor (complementary/alternative medicine) review (optional)
7. Content Editors & Drugs Editors (PharmD’s) check Specialty Editor’s work
Pink box = medical writer (work for hire)
Blue box = in-house check
Green box = external review by Ed Board member
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 1996;312:71-2).
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
Level of Evidence
Resource from: http://www.mdconsult.com/php/about/82479328-4/pm_FC_EBM.html
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: 23Medical Topic: 684Patient Education: 360Procedure: 70DDX: 320Diagnosis: 1800
Synthesized
…are synthesized under the supervision of expert
faculty…Cochrane Database
National Guidelines
Clearinghouse
Clinical Evidence (ACP/BMJ)
MD Consult
Consensus Statements
ReferenceTexts and
Peer-ReviewedArticles
Editorial Advisory BoardLeaders and well-known authors in IM, FP, Peds Ob-gyn, emergency and specialty medicine.
Clinical ReviewersPracticing clinicians and regional experts.
Medical WritersAssist in categorizing information and creating a consistency of style from diverse sources
Sources of Evidence… …delivered via web/PDA
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
Evidence Glossary
Includes definitions for:
Case-control study Clinical cohort studyCross-sectional study Meta-analysisRandomized controlled trial Retrospective study Systematic review Uncontrolled study
Differential Diagnosis
Based on the patient’s chief complaint
Start by choosing from over 320 signs & symptoms
Search options include:Enter chief complaint in search boxScroll the list to find the complaintClick on A-Z to jump to the chief complaint
Differential Diagnosis
Work from the chief complaint to the diagnostic tables
Over 1,800 possible diagnoses available
Sorted by age and prevalence
Emergency conditions are marked in red *
Differential Diagnosis
Clinical Benchmarks provided for each diagnosis
Click on diagnosis to view
Differential Diagnosis
To compare multiple disorders, select the check boxes and click ‘Compare’
Differential Diagnosis
Show all of the characteristics for this diagnose.
Medical Topics
684 medical topics
Browse by alphabetical on A-Z or search in the up blank field
Medical Topics
Use left site navigation to access in-depth information
3-9 subcategories in each menu
Content is updated weekly
Medical Topics
Background Menu includes:Cardinal features Causes Epidemiology Codes
Diagnosis Menu includes:Clinical presentation Differential diagnosis Clinical pearlsConsider consultWorkup
Diagnostic decisionQuestions to askExaminationTests
Treatment Menu includes:Immediate actionTherapeutic optionsSummary of therapiesMedications and other therapies [EBM]Summary of evidence Clinical pearlsFollow-up
Outcomes Menu includes:PrognosisClinical complicationsConsider consult
Prevention Menu includes:Primary preventionModifiable risk factorsSecondary preventionScreeningGuidelines
Resources Menu includes:ReferencesGuidelinesAssociationsPatient and caregiver informationRelated topicsContributors
Procedures
Systematic guidance on surgical and diagnostic procedures commonly performed
70 available
Video clips or animations included with each file
Full Text Search Feature
Full Text Search function will take your keywords and present ranked, targeted results, 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
Work with MD Consult
An automatic MD Consult search will be generated using the term you have linked from when you click this icon
Totally integrated to MD Consult
Thank You!