1. Urszula Nowicka Training Specialist EBSCO Information Service unowicka@ebsco.com Phone: (+48) 505 333 058

2. Agenda 1. What is DynaMed Plus? 2. DynaMed Plus - new features 3. Live demo

3. MISSION Committed to improving patient care by providing the most CURRENT CLINICAL EVIDENCE TO CLINICIANS so they can make the best decisions for their patients.

4. …Not a textbook A TOOL Created by physicians who are EXPERTS in their respective fields who provide OBJECTIVE ANALYSIS of the evidence & recommendations in an easily digestible format with access anytime, anywhere from any device or system

5. Specialties Covered in DynaMed Plus Allergy Cardiology Critical Care Dermatology Emergency Medicine Endocrinology Gastroenterology Hematology Infectious Diseases Nephrology Neurology Obstetrics & Gynecology Oncology Orthopedics & Sports Medicine Pediatrics Primary Care Psychiatry Pulmonary Medicine Rheumatology Surgery Vascular Medicine

6. DynaMed Plus EVIDENCE-BASED METHODOLOGY Every day process in DynaMed Plus

7. It doesn’t tell me what to do

8. OVERVIEWS AND RECOMMENDATIONS Section provides clinicians with accurate overviews for highly relevant topics and evidence-based recommendations for action.

9. Overviews and Recommendations at the top with various areas of coverage: background, evaluation and management.

10. DynaMed Plus offers many examples of strong and weak recommendations Clicking on a link provides the user with levels of evidence and guidelines behind each recommendation DynaMed Plus offers many examples of strong and weak recommendations Clicking on a link provides the user with levels of evidence and guidelines behind each recommendation

11. DynaMed Plus provides links to the levels of evidence

12. Levels of Evidence DynaMed provides easy-to-interpret Level of Evidence labels so users can quickly find and determine the quality of the best available evidence. Evidence may be labeled in one of three levels: Level 1 (likely reliable) Evidence - representing research results addressing clinical outcomes and meeting an extensive set of quality criteria which minimizes bias. Level 2 (mid-level) Evidence - representing research results addressing clinical outcomes, and using some method of scientific investigation, but not meeting the quality criteria to achieve level 1 evidence labeling. Level 3 (lacking direct) Evidence - representing reports that are not based on scientific analysis of clinical outcomes. Examples include case series, case reports, expert opinion, and conclusions extrapolated indirectly from scientific studies.

13. Lack of expert reviewers

14. LEADERSHIP BRIAN S. ALPER, MD, MSPH, FAAFP Founder of DynaMed, VP of EBM Research & Development, Policy and Content Quality, EBSCO Information Services, Clinical Research Assistant Professor Department of Family and Community Medicine, University of Missouri School of Medicine Columbia, MO SHEILA BOND, MD Deputy Editor of Infectious Disease, Clinical Instructor in Medicine Harvard Medical School Boston, MA ALAN EHRLICH, MD Executive Deputy Editor Assistant Clinical Professor in Family Medicine, University of Massachusetts Medical School Worcester, MA KEVIN LOUGHLIN, MD, MBA, MA(HON) Deputy Editor of Oncology and Hematology, Senior Surgeon Brigham & Women's Hospital Professor of Surgery, Harvard Medical School, Boston, MA PETER OETTGEN, MD, FACC Deputy Editor of Cardiology Director of Preventative Cardiology, Beth Israel Deaconess Medical Center, Associate Professor Harvard Medical School Boston, MA Editorial

15. FULLY INTEGRATED EXPERTS An extensive network of physicians Experts in their particular fields Select the best and most appropriate evidence Confirm the clinical applicability of content Peer-review topics Expert reviewer approved

16. There are no images

18. DynaMed Plus includes more than 4,000 images with more than 2000 from ACP. Images are searchable as well as embedded in relevant topics Selecting an image provides the user a larger view

19. It’s hard to get an answer quickly

20. employs a brand-new, semantically-powered search engine, improving discoverability and speed-to-answer Precise Search Results Search

21. MICROMEDEX DRUG CONTENT

22. DynaMed Plus Full Text Linking

23. Graphics & Images Access thousands of graphics and images Precise Search Results Get precise search results every time Overviews & Recommendations Read concise overviews and detailed recommendations Specialty Content DynaMed Plus includes robust specialty content Expert Reviewers Deputy Editors are supported by an extensive network of clinical experts Mobile App The mobile app is complimentary with every subscription, at no extra cost Drug Content Drug content to help with diagnosis with Micromedex® Clinical Knowledge Suite SUMMARY OF the FEATURES

24. We have a leukemia patient with low neutrophil with the fever reaching 39.2 °C. We know that antibiotics treatment must be started. Otherwise, there’s a high risk of mortality from sepsis. We call specialist since we don’t know which antibiotics to use. It’s decided that an aminoglycoside + antipseudomonal beta-lactam to be used. However, the patient’s lab records show a level of 3.7 mg/dl serum creatinine. Case

25. The questions are: Is it right to use aminoglycoside? Is it possible to treat this patient with a single antibiotics?

26. Easy and quick search with DynaMed Plus Search “monotherapy” in “febrile neutropenia”

27. LIVE DEMO

28. DynaMed Plus Mobile Application Download the free DynaMed Plus app from iTunes or Google Play

29. Log into DynaMed Plus from your institution or home and click on the Get the DynaMed Plus Mobile App

30. Enter the email adress to send yourself the authentication link. Open the email from your mobile device and tap the authentication link to authenticate the app.

31. The DynaMed Plus App opens on your device and begins the initial content download.

32. THANK YOU Urszula Nowicka Training Specialist EBSCO Information Service unowicka@ebsco.com Phone: (+48) 505 333 058