2. www.eMedicine.comwww.eMedicine.com Insert Presenter Name eMedicine.com, Project Founded, 1997 eMedicine.com,

3. Why eMedicine?

4. Innovative solutions … to some very important problems to some very important problems

5. Outdated Medical Textbooks New editions take 2 to 5 years to produce Publishers update every 4 to 10 years Outdated Medical Textbooks New editions take 2 to 5 years to produce Publishers update every 4 to 10 years Physicians: The Problem

6. Physicians do not have easy access to latest information on new therapies and techniques Physicians in rural areas often cannot leave to attend medical conferences Physicians in less developed countries often cannot afford US textbooks Physicians do not have easy access to latest information on new therapies and techniques Physicians in rural areas often cannot leave to attend medical conferences Physicians in less developed countries often cannot afford US textbooks

7. Physicians: The Problem Physicians do not have easy access or miss local Grand Round lectures Physicians often miss instructional demonstrations of new procedures and products Physicians do not have easy access or miss local Grand Round lectures Physicians often miss instructional demonstrations of new procedures and products

8.  Limited access to information commonly used by health professionals  45% of all searches ask health-related questions  Most people seek disease-specific information  50% seek information at the physician level  Number one complaint in regards to the Internet is lack of quality of the information found  Limited access to information commonly used by health professionals  45% of all searches ask health-related questions  Most people seek disease-specific information  50% seek information at the physician level  Number one complaint in regards to the Internet is lack of quality of the information found General Public : The Problem

9. Educating physicians on new products is expensive and time-consuming Pharmaceutical Companies: The Problem

10. Free online medical textbooks constantly updated and peer reviewed Audio and Video in text Archived library of Grand Round lectures Search system - type in symptoms and get DDX Email comments linking the physician universe Medical definitions for the public Direct links to MEDLINE Direct links of products discussed in the text to demonstrations Free online medical textbooks constantly updated and peer reviewed Audio and Video in text Archived library of Grand Round lectures Search system - type in symptoms and get DDX Email comments linking the physician universe Medical definitions for the public Direct links to MEDLINE Direct links of products discussed in the text to demonstrations How does the eMedicine project solve these problems?

11. Development I Format II New Publishing Technology II Recruiting authors and editors III Editorial process IV Updating and Improving V Publishing Results VI Distribution Development I Format II New Publishing Technology II Recruiting authors and editors III Editorial process IV Updating and Improving V Publishing Results VI Distribution How does eMedicine do it...

12. Special Format Easy for the author Easy for the editor Easy to update Easy for the reader Special Format Easy for the author Easy for the editor Easy to update Easy for the reader eMedicine.com

13. Innovative New Publishing Technology eMedicine.com

14.  GPS permits thousands of authors and editors to work on a text simultaneously  GPS cuts development time from years to months GPS allows authors and editors to update text from any computer with Internet access  GPS permits thousands of authors and editors to work on a text simultaneously  GPS cuts development time from years to months GPS allows authors and editors to update text from any computer with Internet access eMedicine.com

15.  GPS authoring grid allows authors to have quick and easy access to writing chapters  GPS editing grid allows editors to control the work flow of the entire project  GPS authoring grid allows authors to have quick and easy access to writing chapters  GPS editing grid allows editors to control the work flow of the entire project eMedicine.com

18. Recruitment Process Editors In Chief recruit Managing Editors who recruit Medical Editors who recruit Authors Editors In Chief recruit Managing Editors who recruit Medical Editors who recruit Authors eMedicine.com

19.  Recruiting Success  10,000 authors and editors for 60 online textbooks Minimal time commitment as each author and editor are only assigned a few chapters Almost 1,000 academic institutions represented in the project  Recruiting Success  10,000 authors and editors for 60 online textbooks Minimal time commitment as each author and editor are only assigned a few chapters Almost 1,000 academic institutions represented in the project eMedicine.com

20. Editorial Process Improve editing quality, 5 levels peer review 85% Residency Directors, Department Chairs, or Research Directors Editorial Process Improve editing quality, 5 levels peer review 85% Residency Directors, Department Chairs, or Research Directors eMedicine.com

21. Updating and Improving Email comments and suggestions from readers from all over the world Easy update system Honorarium tied to regular updates by authors and editors Updating and Improving Email comments and suggestions from readers from all over the world Easy update system Honorarium tied to regular updates by authors and editors eMedicine.com

22. Publishing Results eMedicine.com

24. Emergency Medicine - 685 chapters/8,000 pages Neurology - 450 Dermatology - 400 Ophthalmology - 350 ENT - 450 Plastics - 250 Pediatrics - 1000 Medicine -1000 General Surgery - 200 Ob/Gyn - 200 Psychiatry - 150 Emergency Medicine - 685 chapters/8,000 pages Neurology - 450 Dermatology - 400 Ophthalmology - 350 ENT - 450 Plastics - 250 Pediatrics - 1000 Medicine -1000 General Surgery - 200 Ob/Gyn - 200 Psychiatry - 150 Sports - 200 PMR - 300 Radiology - 1000 Orthopedic - 400 Anesthesiology - 400 Vet Medicine - 3000 Nonprescription Treatment Guidelines - 200 Wilderness Medicine -100 AAEM: Consumer Emergencies - 500 Sports - 200 PMR - 300 Radiology - 1000 Orthopedic - 400 Anesthesiology - 400 Vet Medicine - 3000 Nonprescription Treatment Guidelines - 200 Wilderness Medicine -100 AAEM: Consumer Emergencies - 500 eMedicine.com

29. Multimedia Content

30. Revolutionary Site Features  Up-to-date textbooks with audio and video  MEDLINE searches pre-programmed for each chapter  References linked to abstracts  Differential Diagnosis Creator Revolutionary Site Features  Up-to-date textbooks with audio and video  MEDLINE searches pre-programmed for each chapter  References linked to abstracts  Differential Diagnosis Creator eMedicine.com

31. Revolutionary Site Features  Sequential Search Engine that links each medical word to a medical definition, related websites, MEDLINE, and the entire Internet  Tools such as calculation programs that help in daily practice  Journal Update service that automatically emails new abstracts and chapter updates  Archived library of Grand Round Lectures Revolutionary Site Features  Sequential Search Engine that links each medical word to a medical definition, related websites, MEDLINE, and the entire Internet  Tools such as calculation programs that help in daily practice  Journal Update service that automatically emails new abstracts and chapter updates  Archived library of Grand Round Lectures eMedicine.com

32.  eMedicine Medical Education Portal  eMedicine for physicians - texts & tools to assist daily practice  pMedicine for public - lay texts & medical texts with definitions  getCME - a free search system that contains a library of of continuing education courses  Health Jobs - a free listing for professional job opportunities  Health News - for daily breaking medical news  eMedicine Medical Education Portal  eMedicine for physicians - texts & tools to assist daily practice  pMedicine for public - lay texts & medical texts with definitions  getCME - a free search system that contains a library of of continuing education courses  Health Jobs - a free listing for professional job opportunities  Health News - for daily breaking medical news eMedicine.com

33. FREE INTERNATIONAL DISTRIBUTION –3 million uses to date and growth of 25% per month –44 million projected uses in 2000 at current growth rate 84% health care professionals 48% physicians –Average user time 22 minutes (Web MD, 12; Dr.Koop, 4; InteliHealth, 5; Mediconsult, 20) *Media Metrix –Usage doubles every 4-6 months

34. eMedicine.com

38. Number of Websites Linked to this Site Winner: eMedicine

39.  Users This Week  200 major medical centers in the US  70 US Medical Schools  US State Medical Schools in 38 out of 50 states  30 International Medical Schools  Users This Week  200 major medical centers in the US  70 US Medical Schools  US State Medical Schools in 38 out of 50 states  30 International Medical Schools eMedicine.com

40. What did they read?  Ovarian Cysts - 1,683  Cellulitis - 794  Inflammatory Disease - 730  Tendonitis - 575  Fasciitis - 574 What did they read?  Ovarian Cysts - 1,683  Cellulitis - 794  Inflammatory Disease - 730  Tendonitis - 575  Fasciitis - 574 eMedicine.com

41. The U.S. Military The University of London Harvard University Un. of Florida Texas Medical Center Mayo Clinic Un. of Minnesota Un. of Iowa Kaiser Ohio State University The U.S. Military The University of London Harvard University Un. of Florida Texas Medical Center Mayo Clinic Un. of Minnesota Un. of Iowa Kaiser Ohio State University Stanford University Un. of Michigan Duke University Un. of Pennsylvania Un. of California SF Columbia Un. of New Mexico Yale Medical Un. of South Carolina Thomas Jefferson University Stanford University Un. of Michigan Duke University Un. of Pennsylvania Un. of California SF Columbia Un. of New Mexico Yale Medical Un. of South Carolina Thomas Jefferson University Who Were The Top 20?

42. 1999 Site Use Word of mouth by almost 10,000 Authors and Editors representing 1,000 Medical institutions. 10 million hits/month 300,000 user sessions/month 1999 Site Use Word of mouth by almost 10,000 Authors and Editors representing 1,000 Medical institutions. 10 million hits/month 300,000 user sessions/month eMedicine.com

43. Federal government will link eMedicine to 20-40 Million users of MEDLINE Letters to 7,500 medical institutions and 17,000 libraries allowing free use Federal government will link eMedicine to 20-40 Million users of MEDLINE Letters to 7,500 medical institutions and 17,000 libraries allowing free use eMedicine.com Offering free links to AMA, AMSA, and 300 other medical societies home pages Link with World Health Organization and other international charities Offering free links to AMA, AMSA, and 300 other medical societies home pages Link with World Health Organization and other international charities 2000 Site Use

44. Major corporate and affiliate sponsors currently include Allergan, Chiron, GlaxoWellcome, Boehringer-Ingelheim, Eastman Kodak, Genentech, Roche, and T-Systems. Encouraging support by pharmaceutical companies will allow this project to remain free for national and international use. Major corporate and affiliate sponsors currently include Allergan, Chiron, GlaxoWellcome, Boehringer-Ingelheim, Eastman Kodak, Genentech, Roche, and T-Systems. Encouraging support by pharmaceutical companies will allow this project to remain free for national and international use. eMedicine.com

45. QUESTIONS