Practice Management Book

http://www.fpnotebook.com/

Medical LiteratureAka: Patient Oriented Evidence that Matters, Disease Oriented Evidence, POEMS, DOE

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  1. General
    1. Focus reading on Peer Reviewed Journals (examples follow)
      1. Annals of Internal Medicine
      2. ACP Journal Review
      3. Journal Watch
      4. Pediatrics
      5. Green Journal (ACOG)
      6. Postgraduate Medicine
      7. American Family Physician
      8. New England Journal
      9. JAMA
    2. Approach literature in hierarchical pattern
      1. Scan Table of Contents
      2. Read Appropriate Abstracts (Small list)
      3. Read Appropriate articles (Smaller list)
    3. Always assess validity
  2. Types: Articles
    1. POEMS (Patient Oriented Evidence that Matters)
      1. Concentrate on these articles!
      2. Studies that look at illnesses
        1. Direct bearing on patient outcomes
        2. Problems common to your practice
        3. Information that will change the way you practice
    2. DOE (Disease Oriented Evidence)
      1. Understanding of pathophysiology, and pharmacology
  3. Resources: Literature Reviews and Summaries
    1. American College of Physicians Journal Club
      1. http://www.acpjc.org
      2. Subscription: 30 article reviews per issue published twice monthly
    2. Bandolier
      1. http://www.medicine.ox.ac.uk/bandolier
      2. Free: Online newsletter
    3. BMJ Evidence Centre Updates
      1. http://plus.mcmaster.ca/evidenceupdates
      2. Free: Weekly email summarizing several articles
    4. Daily POEMs Alerts
      1. http://www.essentialevidenceplus.com/product/features_dailyip.cfm
      2. Subscription: One article review emailed daily
    5. Evidence-Based Practice
      1. http://www.ebponline.net
      2. Subscription
    6. Journal Watch
      1. http://www.jwatch.org
      2. Subscription: Article reviews published in two issues monthly
  4. Resources: Medication Reviews
    1. Medical Letter
      1. http://www.medicalletter.org/
      2. Subcription: Thorough individual medication and drug class reviews
    2. Prescriber's Letter
      1. http://www.prescribersletter.com/
      2. Subscription: Paragraphs summarizing new findings with links to online in-depth reports
  5. Resources
    1. MLA Brandon/HIll Online Journal Links
      1. http://nnlm.gov/libinfo/ejournals/branhill.html
  6. Reference
    1. Shaugnessy (1997) Am Fam Physician 55(6):2155
    2. Shaugnessy (2009) Am Fam Physician 79(1):25

POEMS Syndrome (C0085404)

Definition (MSH)A multisystemic disorder characterized by a sensorimotor polyneuropathy (POLYNEUROPATHIES), organomegaly, endocrinopathy, monoclonal gammopathy, and pigmentary skin changes. Other clinical features which may be present include EDEMA; CACHEXIA; microangiopathic glomerulopathy; pulmonary hypertension (HYPERTENSION, PULMONARY); cutaneous necrosis; THROMBOCYTOSIS; and POLYCYTHEMIA. This disorder is frequently associated with osteosclerotic myeloma. (From Adams et al., Principles of Neurology, 6th ed, p1335; Rev Med Interne 1997;18(7):553-62)
ConceptsDisease or Syndrome (T047)
MSHD016878
EnglishCrow Fukase Syndrome, Crow-Fukase Syndrome, POEMS, POEMS - Polyneuropathy organomegaly endocrinopathy monoclonal and skin changes, POEMS Syndrome, Polyneuropathy organomegaly endocrinopathy monoclonal gammopathy and skin changes, Takatsuki Syndrome, Takatsuki's Syndrome
Spanishsindrome POEMS
Parent ConceptsMultiple congenital anomalies (C0000772), Paraproteinemias (C0030489), Polyneuropathy (C0152025), Endocrine System Diseases (C0014130), Neuropathy (C0442874), Monoclonal Gammapathies (C1136085)
SourcesMSH, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Does (qualifier value) (C1272751)

ConceptsFinding (T033)
EnglishAble to and does, Does
Spanishes capaz y lo realiza, lo hace, lo realiza
Parent ConceptsDoes (qualifier value) (C1272751), Ability interpretation value (C1299580), Able (C1299581)
SourcesMTH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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