Actually, I think this is how it ought to work. I find random conferences pretty worthless.

When I first started using UpToDate I thought it would only be to look up weird things. Then I looked up something I thought I knew. I was totally shocked to find that I was totally out of date. I mean really humiliated. Now we make it an office policy to look up everything. Really everything. Treatment of UTI's. Treatment of sinusitis. Current best practices for hypertension.

I just was audited by the state Medical Board to verify my CME. I looked up one six month period of UpToDate, and had 268 hrs of CME fro that period alone. All of it was related to patients I was caring for.

My only negative comment is that the UpToDate window in AC is ugly. I have to expand the window to use it, and it often does not remember my login, so I end up using Internet Explorer in a separate window and losing the documentation in that encounter that I looked something up.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands