Moderator ventana Posted March 22, 2019 Moderator Share Posted March 22, 2019 This is not meant to be self edifying... Have a new patient - 45yr old male, hx of Hodkins lymphoma many years ago - something like 15 I am not overly familiar with this, and read uptodate on it - (I know what I don't know) Says that they are at increased risk for colon CA and should have colonoscopy early I talked to him, explained - NO ONE not his PCP or Onc doc had ever mentioned this to him, so off to colonoscopy he goes - turns out precancerous polyps seen and removed... PCP is not about knowing it all, PCP is about reading, educating, and communicating to the patient what you have learned - it is not degree specific (to Boarded Doc's had NEVER mentioned this to him.....) Link to comment Share on other sites More sharing options...
sas5814 Posted March 22, 2019 Share Posted March 22, 2019 I know what I don't know.... I may have that tattooed on my forearm. It was always the first thing I told students. Link to comment Share on other sites More sharing options...
ArmyPA Posted March 22, 2019 Share Posted March 22, 2019 I generally get all of my 2 years worth of CME from uptodate every month or so...not sure if thats good or bad... Link to comment Share on other sites More sharing options...
sas5814 Posted March 22, 2019 Share Posted March 22, 2019 I was stunned when I found out I was getting CME for looking stuff up. I checked one day after one of my colleagues told me and BOOM 68 hours of cat I. very nice... Link to comment Share on other sites More sharing options...
fishbum Posted March 23, 2019 Share Posted March 23, 2019 On 3/22/2019 at 11:04 AM, ArmyPA said: I generally get all of my 2 years worth of CME from uptodate every month or so...not sure if thats good or bad... I've joked that there should be an uptodate logo in place of the university seal on my diploma. Link to comment Share on other sites More sharing options...
Reality Check 2 Posted March 24, 2019 Share Posted March 24, 2019 My patients are always pleasantly surprised and complimentary when I tell them or show them the UpToDate or CDC or whatever research I have done on their condition. I had to look up Alpha1Antitrypsin to see the genetics and I print patient education material from UpToDate daily. I find things I haven't seen in years or names for conditions that I may have never seen. Medicine is about learning and never not learning, advancing and improving. Continual learning is a hallmark of the PA profession in my opinion. We work in so many fields and I have seen over the years that those attracted to the profession are by and large learners and seekers. Keep up the good work!!! Link to comment Share on other sites More sharing options...
mgriffiths Posted March 24, 2019 Share Posted March 24, 2019 Use UpToDate (UTD) every day! Old job provided it for everybody apart from their CME. New job does not include UTD, but negotiated to have it paid for separate from my CME...magically they are now implementing that system wide for all PCP. Can definitely become a crutch and slow you down if you rely on it for every med/dose/etc., but otherwise it is almost a requirement in my mind. Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 25, 2019 Author Moderator Share Posted March 25, 2019 12 hours ago, mgriffiths said: Use UpToDate (UTD) every day! Old job provided it for everybody apart from their CME. New job does not include UTD, but negotiated to have it paid for separate from my CME...magically they are now implementing that system wide for all PCP. Can definitely become a crutch and slow you down if you rely on it for every med/dose/etc., but otherwise it is almost a requirement in my mind. funny you bring this up early in my career I wanted to no get meds and doses confused so I looked EVERYTHING up mid career things are mostly right there, but at times I start to doubt if I am still current with the latest guidelines (recently bought Sanford Guide (larger print) to just make sure I was on track) But back to the point - I start reading in UTD and find it amazing in two regards - one how much a provider needs to know (and I am nothing special) and two how much more is out there to know, and yes I could easily see it being a crutch...... but I am busy enough I am lucky to get 10min to read it overall a GREAT resource!! Link to comment Share on other sites More sharing options...
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