January 2011 - Internet Resources Digest


Clinical Information Alerting Services

Internet Resources Digest
January 2011
American International Health Alliance
LRC project

The Internet Resources Digest (previously - Health Resources Digest) is distributed free of charge as a service of the American International Health  Alliance (AIHA). If this document is to be re-distributed or posted on another Web site, we request that it be posted in full/without alteration,  and credit is given to the AIHA as the source of the document. 

Clinical Information Alerting Services 

Clinical Evidence 

Clinical Evidence is one of the world's most authoritative medical resources  for informing treatment decisions and improving patient care. The systematic  reviews in Clinical Evidence result from a rigorous process aimed at  ensuring that they are both reliable and relevant to clinical practice. It  is neither a textbook of medicine nor a set of guidelines. It describes the  best available evidence from systematic reviews, RCTs, and observational  studies where appropriate, and if there is no good evidence it says so.  Clinical Evidence online continues to be available free to people in  developing countries as part of HINARI initiative - access from these  countries is unrestricted providing your Internet Service Provider (ISP) is  based in one of these countries. The Clinical Evidence monthly email alert  contains information about all the newest and most updated systematic  reviews. You can also get news alerts by subscribing to RSS feeds.
URL: http://clinicalevidence.bmj.com/ceweb/index.jsp 

Doctor's Guide 

DocGuide allows you to stay ahead of the latest medical news and research advances thanks to simple and powerful customization features, and the  contributions of your personal colleagues and the larger DocGuide physician community. A trusted service for physicians since 1995, DocGuide content is  sourced from over 2000 peer-reviewed journals, major medical conferences, and the world's most respected medical news organizations. DocGuide  currently provides links to a limited set of full-text articles. For these  articles you will find the link 'Free Full Text'. Physician members of  DocGuide are asked to star the articles and abstracts they view if the  information is clinically relevant. Each physician who finds the article or  abstract clinically relevant increases the number of stars for that article.  Each physician who finds that the article or abstract is not clinically  relevant decreases the number of stars for that article. If a physician does  not vote on the article, the number of stars does not change. You can  customize the sources (journals and meetings) from which you would like to  see articles, and you can customize the topics (conditions and drugs) on  which you would like to see articles and abstracts.  DocGuide subscriptions and alerts are a convenient way to stay ahead by  allowing DocGuide to come to you. On the "My Subscriptions  <http://www.docguide.com/user/mysubscriptions>" page, you can sign up for  weekly updates on the most popular articles in different specialties by  clicking on the box next to each specialty. "Colleague Alerts" are emails  that are sent to you when someone from your "My Colleagues List  <http://www.docguide.com/user/mypreferences> " posts a comment on an article  or abstract. DocGuide Daily Alerts are emails with links to the articles and  abstracts relevant to your My Topics <http://www.docguide.com/mytopics> and My Sources <http://www.docguide.com/mysources>  selections that have been published in the last 24 hours.
URL: http://www.docguide.com 

Global Family Doctor Alerts 

From the the World Organization of National Colleges,  Academies and  Academic Associations of General Practitioners/Family Physicians. The  mission of Wonca is to improve the quality of life of the peoples of the  world "by fostering and maintaining high standards of care in general  practice/family medicine by promoting personal, comprehensive and continuing  care for the individual in the context of the family and the community,  encouraging and supporting the development of academic organizations of  general practitioners/family physicians, providing a forum for exchange of  knowledge and information between member organizations of general  practitioners/family physicians, and representing the educational, research  and service provision activities of general practitioners/family physicians  before other world organizations and forums concerned with health and medical care." 

Wonca provides Disease alerts, Journal alerts, and PEARLS - "independent,  simple and easy to digest findings from key Cochrane Collaboration  Systematic Reviews, focused on the needs of primary care clinicians."  You can subscribe to the following RSS feeds: 

URL: http://www.globalfamilydoctor.com/rss.asp 

Journal Abstracts Delivered Electronically

Abstracts from Medline on the emergency medicine delivered by email. You can  limit your search by Journal name and by Keywords. 
URL: http://www.ncemi.org/ 

MD Linx Network  News and article alerts on different medical specialties. "The company  aggregates medical articles and research from more than 1,200 peer-reviewed  journals and leading news media on a daily basis. Physician editors sort  this content into 35 medical specialty sites, 36 patient sites, and more  than 800 subspecialty sections, all available online. Users can choose to  view this information online or subscribe to our daily newsletters. " This  service is sponsored  by pharmaceutical industry.
URL: http://www.mdlinx.com/ 

Medscape Best Evidence 

Medscape from WebMD offers specialists, primary care physicians, and other  health professionals the Web's most robust and integrated medical  information and educational tools. After a simple, 1-time, free  registration, Medscape from WebMD automatically delivers to you a  personalized specialty site that best fits your registration profile.  Specialty-focused newsletters (free registration with Medscape required): 

  • Medscape Daily News
  • MedPulse (weekly) - Latest medical news and feature stories - customized by specialty
  • Best Evidence (weekly) - Clinical journal articles ranked by McMaster University's online rating of evidence to support evidence-based clinical practice - customized by specialty
  • Breaking Conference News - Important developments and news from the show floor of medical conferences

URL: http://www.medscape.com/public/about 

PeerView Institute

"The PeerView Institute is an organization that helps physicians quickly  identify science that is Need-to-Know. The 290,000 physician members of the  PeerView Institute achieve this goal by using the NTK Science Scoring System  <http://www.peerview-institute.org/ntk/ntk.nsf/html/ntkintit.html?open...  nt&id=48DDE4A73E09A969852568880078C249> SM and NTK Watch  <http://www.peerview-institute.org/ntk/ntk.nsf/signup?openform&id=48DD...  09A969852568880078C249>  daily email newsletter. These tools enable  physicians to rapidly access the most relevant, Need-To-Know information  from the myriad medical publications in circulation today." 

NTK Watch is a free daily e-mail newsletter, containing:

  • The latest medical literature from over 2,000 peer-reviewed  journals;
  • A customizable Monitored Therapies tracker, allowing you to closely  follow science about the therapies you prescribe most often, and;
  • NTK Scored Science - the most important clinical content, as  determined by your peers

URL: http://www.peerview-institute.org/ntk/ntk.nsf/html/index.html 

Physician's First Watch

Physician's First Watch <http://firstwatch.jwatch.org> is your free daily dose of the handful of medical news stories and announcements you need to know about - delivered to your inbox each weekday morning. You can also  subscribe to Free weekly e-mails on key research and guidelines in 13  specialties, and free monthly e-mails with the latest on 20 topics from  across those 13 specialties. From the publishers of The New England Journal of Medicine.


"MedStream is a collection of dynamic medical information channels that keep  you up-to-date on a broad range of journal articles, medical news and  research studies. You'll have all of this information conveniently  aggregated and delivered directly to your mobile device or desktop PC.  With MedStream, you'll always be current on diseases, drugs and drug  interactions, product information and recalls, research news, journal  articles, government health agency announcements, and more.  All of the information in MedStream becomes part of your overall Skyscape  service, automatically "SmartLinking" with information from all other  Skyscape resources on your mobile device. With this powerful cross-linking  you can quickly and easily access any related disease and diagnostic topics  across your entire mobile reference library to support clinical  decision-making at the point of care. Skyscape's MedStream software is  available for free. 

Free MedStream subscriptions

  • MedWatch - Safety Information and Adverse Event Reporting Program for drugs and other medical products regulated by the U.S. Food and Drug  Administration.
  • CDC Spotlights - Updates from the Centers for Disease Control (CDC)  with the latest information on potentially rapidly-spreading infectious  diseases.
  • Preventing Chronic Disease - A peer-reviewed electronic journal  established to share study results and practical experience on chronic  disease prevention and health promotion.
  • MEDLINE - MEDLINE search service offers you the ability to easily  search the extensive and up-to-date PubMed/MEDLINE database from the  National Library of Medicine and store that valuable content right on your  PDA. PubMed/MEDLINE contains bibliographic citations and author abstracts  from more than 6000 biomedical journals published in the United States and  70 other countries.

URL: http://www.skyscape.com/estore/productdetail.aspx?productid=924 

Journal articles about alert services 

Strayer SM, Shaughnessy AF, Yew KS, Stephens MB, Slawson DC. Updating  clinical knowledge: An evaluation of current information alerting services.  Int J Med Inform. Volume 79, Issue 12, December 2010, Pages 824-831 
"Clinicians are overwhelmed by the sheer magnitude of new clinical  information that is available on a daily basis. Despite the availability of  information tools for finding this information and for updating clinical  knowledge, no study has examined the quality of current information alerting  services. We developed a 7-item checklist based on the principles of  evidence-based medicine and assessed content validity with experts and face  validity with practicing clinicians and clinician researchers. A list of  clinical information updating tools (push tools) was generated in a  systematic fashion and the checklist was used to rate the quality of these  tools by two independent raters. Prior to rating all instruments, the raters  were trained to achieve good agreement (>80%) by applying the checklist to  two sets of three randomly selected tools. Eighteen tools were identified  using our systematic search. The average quality of these tools was 2.72  (range 0-7). Only two tools met all suggested criteria for quality". Free  access through HINARI. 
URL: http://dx.doi.org/10.1016/j.ijmedinf.2010.08.004 

Tanna GV, Sood MMSchiff JSchwartz DNaimark DM.  Do E-mail Alerts of New Research Increase Knowledge Translation? A "Nephrology Now" Randomized Control Trial.  Acad Med. 2011 Jan;86(1):132-138. 
"As the volume of medical literature increases exponentially, maintaining  current clinical practice is becoming more difficult. Multiple,  Internet-based journal clubs and alert services have recently emerged. The  purpose of this study is to determine whether the use of the e-mail alert  service, Nephrology Now, increases knowledge translation regarding current  nephrology literature. Nephrology Now is a nonprofit, monthly e-mail alert  service that highlights clinically relevant articles in nephrology. In  2007-2008, the authors randomized 1,683 subscribers into two different  groups receiving select intervention articles, and then they used an online  survey to assess both groups on their familiarity with the articles and  their acquisition of knowledge...An e-mail alert service of new literature  improved a component of knowledge translation-familiarity-but not knowledge  acquisition in a large, randomized, international population." Free access  through HINARI. 
URL:  http://journals.lww.com/academicmedicine/pages/articleviewer.aspx?yea...  issue=01000&article=00037&type=abstract 

Grad RM, Pluye P, Mercer JMarlow B, Beauchamp ME, Shulha MJohnson-Lafleur J, Wood-Dauphinee S. Impact of research-based synopses delivered as daily e-mail: a  prospective observational study. J Am Med Inform Assoc. 2008 Mar-Apr;15(2):240-5  "We conducted a prospective observational study to (1) determine usage and  construct validity of a method to gauge the cognitive impact of information  derived from daily e-mail, and (2) describe self-reported impacts of  research-based synopses (InfoPOEMs) delivered as e-mail. Ratings of  InfoPOEMs using an Impact assessment scale provided (a) data on usage of the  impact assessment method, (b) reports of impact by InfoPOEM and by doctor  and (c) data for analysis of construct validity of the scale. PARTICIPANTS  were family physicians or general practitioners who rated at least five  InfoPOEMs delivered on e-mail. For each InfoPOEM rated, 0.1 continuing  education credit was awarded by the College of Family Physicians of Canada.  Use of the impact assessment scale linked to a daily InfoPOEM was sustained  during the 150-day study period. 1,007 participants submitted 61,493 reports  of 'cognitive impact' by rating on average 61 InfoPOEMs (range 5-111). 'I  learned something new' was most frequently reported. 'I was frustrated as  there was not enough information or nothing useful' was the most frequently  reported negative type of impact. The proportion of reports of 'No Impact'  varied substantially across individual InfoPOEMs. Impact patterns suggested  an 8 or 9-factor solution. Our Impact assessment method facilitates  knowledge transfer by promoting two-way exchange between providers of health  information and family doctors. Providers of health information can use this  method to better understand the impact of research-based synopses.  Sustaining current practice and increasing knowledge about new developments  in medicine are important outcomes arising from research-based synopses  delivered as e-mail, in addition to practice change."  Free full-text.
URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2274788/?tool=pubmed 

Related AIHA links: 

Health Resources Digest, July 2007 - Medical Podcasts

Health Resources Digest, November 2008 - Medical News and Alerts

Internet Resources Digest Forthcoming Topics [Provisional] 

  • EBM Journal Clubs
  • PDAs for Clinical Use
  • Social Media for Health Care 

If you have a suggestion for a Digest topic, or would like to contribute  information about Internet resources, then please contact ibra[at]zadar.net 

Compiled by Irina Ibraghimova, PhD
Library and Information Management Specialist
HealthConnect  International

Back issues of the Health Resources Digest for 2001-2009 are archived at