1. The New Smarter. Easier. Better. Presented By: 莊俊彥 Andy Chuang Elsevier Taiwan LLC Date: Aug 16, 2007

2. 2005 2006 2007

3. MD Consult is designed to help physicians answer clinical questions and stay current with new developments in medicine. Leading medical reference books (50 -> 51) Full-text journals and Clinics of North America with MEDLINE (77 -> 88) Nearly 10,000 customizable patient handouts Drug Database provided by Gold Standard The latest medical news More than 1,000 peer-reviewed practice guidelines Over 50,000 images that can be downloaded or printed Earn Free CME credit online POCKET Consult – free for your PDA

4. Best Solution! Data Resource Ease of Use Regularly Update Smarter Easier Better

5. Smarter search that understands what you’re looking for, provides content and recommendations to refine your search, and brings back better, more relevant results

6. Easier to use, with a redesigned interface that reduces clutter and makes it easier to find and read the information you need

7. Better access to the best clinical medical reference information available

8. Content is organized in 9 Categories Books Journals The Clinics Patient Education Drugs Guidelines Images News CME

9. Books Dozens of the most respected references Search within a book and scroll through the table of contents or the back of the book index Search across the entire collection simultaneously Searching uses human-made indexes as well as MD Consult’s controlled medical vocabulary and thesaurus

10. 51 Reference Books

11. Titles Reference and Textbook51 Mosby’s Year Book33 Total84 Book Resources

12. Books Search within a specific book

13. Journals Full-text articles from 88 journals and clinics Includes the Clinics of North America and Year Books Simultaneously searches the MEDLINE Bibliographic data and Table of Contents available for each full- text article

14. Journal Search Search options provide simple but flexible ways to refine searches Year Book articles are indexed to the original journal article Review articles, Cochrane Database articles, Options, and Trials are identified in search results

15. Journal PDFs Available for all Elsevier full-text journals and Clinics on MD Consult Users are able to view, download, and print the article in PDF format

16. Over 80 full-text journals and Clinics of North America Titles Overlap with 2006 JCR Journals5340 Clinics3425 Total8765 Journal Resources Note: 19 exclusive titles

17. Critical Care Medicine 2/18 Journal of Allergy and Clinical Immunology 1/16 Anesthesiology 2/22 The Lancet Infectious Diseases 1/47 Annals of Emergency Medicine 1/11 Journal of Pediatrics 4/74 The Lancet Neurology 1/146 Journal of the American Academy of Child and Adolescent Psychiatry 2/74 The Top 8 Journal Titles

18. Across 32 medical subjects 1.EMERGENCY MEDICINE 2.UROLOGY & NEPHROLOGY 3.GERIATRICS & GERONTOLOGY 4.MEDICINE, GENERAL & INTERNAL 5.CRITICAL CARE MEDICINE 6.ALLERGY 7.ANESTHESIOLOGY 8.CARDIAC & CARDIOVASCULAR SYSTEMS 9.INFECTIOUS DISEASES 10.DERMATOLOGY 11.ENDOCRINOLOGY & METABOLISM 12.GASTROENTEROLOGY & HEPATOLOGY 13.OBSTETRICS & GYNECOLOGY 14.ONCOLOGY 15.OPHTHALMOLOGY 16.EMERGENCY MEDICINE 17.HEMATOLOGY 18.IMMUNOLOGY 19.MEDICAL LABORATORY TECHNOLOGY 20.ORTHOPEDICS 21.OTORHINOLARYNGOLOGY 22.RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING 23.RHEUMATOLOGY 24.PEDIATRICS 25.CLINICAL NEUROLOGY 26.PSYCHIATRY 27.RESPIRATORY SYSTEM 28.SPORT SCIENCES 29.SURGERY 30.UROLOGY & NEPHROLOGY 31.PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 32.NUTRITION & DIETETICS Note: According to JCR report category

19. The Clinics Search across all 35 Clinics of North America simultaneously or within an individual Clinic Complete full-text article for the Clinics are available online PDFs available for all articles from 2002 to present Add-on Clinics packages available that allowing browsing of particular issues

20. The Clinics With an ‘All Sections’ search, the top 3 Clinics results appear in ‘Top Results For All Sections’. All the Clinics results are easily accessed by selecting ‘more results’ from the top results page. Narrow your Clinics search by using some of the additional search options such as clinics name or author name.

21. Top Clinics Serial Titles

22. Title 2006IF 1Adolescent Medicine Clinics#N/A 2Anesthesiology Clinics of North America#N/A 3Cardiology Clinics1.433 4Clinics in Chest Medicine1.991 5Clinics in Family Practice#N/A 6Clinics in Geriatric Medicine1.129 7Clinics in Laboratory Medicine1.904 8Clinics in Liver Disease#N/A 9Clinics in Perinatology1.405 10Clinics in Sports Medicine0.832 11Critical Care Clinics1.845 12Dermatologic Clinics1.179 13 Emergency Medicine Clinics of North America 0.672 14Endocrinology and Metabolism Clinics2.845 15Gastroenterology Clinics2.019 16 Hematology/oncology Clinics of North America 1.468 17 Immunology and Allergy Clinics of North America 3.178 Title2006IF 18 Infectious Disease Clinics of North America 1.642 19Medical Clinics of North America2.054 20Neurologic Clinics1.1 21Obstetrics and Gynecology Clinics0.825 22Ophthalmology Clinics of North America#N/A 23Orthopedic Clinics of North America2.5 24Otolaryngologic Clinics of North America0.911 25Pediatric Clinics of North America1.048 26PET Clinics#N/A 27Primary Care; Clinics in Office Practice0.588 28Psychiatric Clinics of North America#N/A 29Radiologic Clinics of North America2.533 30 Rheumatic Diseases Clinics of North America 2.568 31Sleep Medicine Clinics#N/A 32Surgical Clinics of North America1.656 33Ultrasound Clinics#N/A 34Urologic Clinics of North America1.819 Clinics in MDC

23. Patient Education More than 10,000 patient education handouts that can be printed and distributed to patients are available. Most are written at a 6th- to 8th-grade reading level and are 1 to 2 pages in length. Spanish versions are available for approximately 30% of topics. Easily customizable, allowing physicians to provide additional instructions and contact information on each handout.

24. Drugs Drug Information provided by Gold Standard Includes generic and brand name drugs, investigational medications, neutraceuticals, and nutritional products. FDA Approvals and Safety Notices are added when announced by the US Food and Drug Administration or a specific drug manufacturer.

25. Drug Look-Up Allows users to search for a specific drug medication by: Name (brand or generic) Indication Contraindication Adverse reaction

26. Drugs Current Safety Notice Updates and FDA Approvals Safety Notices and FDA Approvals are written from information as it is made available by the US Food and Drug Administration or a specific drug manufacturer.

27. Test Completeness, clinical dependability, and ease-of-use of drug information databases through 100 drug information questions in 20 categories Results Completeness Scores ProductOwner Ranking 1.Clinical PharmacologyGold Standard311 2.MicromedexThomson 284 3.Lexi-CompLexi-Comp 245 4.eFactsWolters Kluwer 191 5.RX Online ePocrates 99 Conclusion Clinical Pharmacology found to be the most comprehensive and dependable drug information resource 2005 Butler University School of Pharmacy Study

28. 2006 Nova Southeastern University Evaluation of Drug Databases Objective: To evaluate seven online drug information databases according to pre-specified criteria, including range of information, completeness, ease-of-use and cost. Drug References Compared: Clinical Pharmacology, Facts and Comparisons 4.0 Online, ePocrates Online Premium, ePocrates Online Free, Lexi-Comp Online, Micromedex, and RxList.com Criteria: 158 questions 15 drug-related categories: dosage, interactions, stability, pharmacology and cost Results: Composite Scores 1.Clinical Pharmacology 2.Micromedex 3.Lexi- Comp 4.Facts and Comparisons 5.epocrates 6.RxList 7.ePocrates (free)

29. Guidelines Over 1,000 peer-reviewed clinical practice guidelines Organized by topic, specialty, and authoring organization Full-text practice guidelines are available when published in journals for which MD Consult has full- text. Guideline Updates includes brief summaries of the latest clinical practice guidelines from other sources along with a link to the full-text.

30. Medical Images Quickly search over 50,000 high-quality medical images from the renowned medical books on MD Consult. Images include photos, tables, graphs, and more. Select an image to view in full-size. Select up to 4 images to compare images side-by- side

31. News MD Consult News is updated daily. Provides concise clinical summaries on new developments from all major journals, government agencies, and medical conferences. News stories are provided by Elsevier Global Medical News and MD Consult Editorial staff. Also includes: Top Stories from Last Week In This Week’s Journals

32. CME Center Free CME offered through Clinical Cornerstone, a bi- monthly CME journal. Print the CME Test Form and return by fax or mail for ACCME Category 1 credit. Free CME credit for the first 5 conferences submitted, administered by the Cyberounds© Committee at the Albert Einstein College of Medicine, for up to 50 hours of Category 1 credit. Personal login to MD Consult required to access Cyberounds.

33. Print Ability to print any text page Allows users to view what will be printed Print right from the preview page

34. Global Search Home page quick search box lets you search all sections simultaneously Select a content area from the drop down list, and search only one area Select the ‘Search Multiple Areas’ link and select multiple areas to search

35. Recommended Results Our top search queries provide “Recommended Results” pages Recommended Results are organized by how physicians look for information to answer their medical questions The standard search results are still available under ‘Top Results from ‘All Sections’ tab

36. Top Search Results Summary page displays the most relevant top 3 search results in all sections Number of results in each content area is displayed Use the link in the orange bar or the ‘more results’ link results section to jump directly to all the search results for that section

37. Refine Your Search Some search results display suggestions to help you refine your search Some types of searches such as diagnosis’, treatment’s, etc.; have been classified and offer refinements that are specific for the topic or disease Selecting a refinement adds the term to your query and generates a new search

38. Searching Books Search all books simultaneously Search results for books are listed by number of occurrences After selecting a book, the results within the book are displayed

39. Searching Journals/MEDLINE Enter phrase(s) in the search box Date range defaults to the last 3 years Use additional search options to narrow your search Author Name Journal Name Date Range or Date Article Type Subject Age

40. Searching Journals/MEDLINE Search results include: Citation Notation of specific types of articles Year Books Review Cochrane Review Opinions Trials Presence of full-text or abstract PDF if available Find similar articles Generates a new search based on MeSH identifiers

41. Searching Patient Education Enter phrase(s) in the search box Results are sorted by relevancy Availability of Spanish Version and images are indicated

42. Searching Drug Information Enter search term in the search box Both the drug names and indications are searched Search can be limited to Drug Names, Indications, or Contraindications Search results include the number of hits Any search results found in Safety Notice and FDA Approvals are available under a separate tab

43. Searching Guidelines Enter phrase(s) in the search box Use additional search options to narrow your search Author Name Journal Name Date Range or Date Article Type Subject Age Search results include: Citation Presence of full-text or abstract Find similar articles link

44. Searching News Enter phrase(s) in the search box Select sort order Relevance Newest to Oldest Search results include: Article title Date

45. Searching Search FIRST Consult content from within MD Consult First Consult provides the latest in evaluation and diagnosis, management options, patient education and disease prevention * This feature is only available for those who subscribe to FIRST Consult

46. Searching FIRST Consult within MD Consult Clicking on the search result will take you to the appropriate location in the FIRST Consult content * This feature is only available for those who subscribe to FIRST Consult

47. My Folder Personal filing tool Save and organize information Save searches for easy reuse Set Search Alerts Access folders from any computer

48. Add to Folder Bookmark information to My Folder Easy to access for future use Title the bookmark any way you choose

49. My Folder Search Alerts Click on magnifying glass to set search alert Setup daily, weekly or monthly email notification Email can include: New results with summary New results without summary All results with summary All results without summary Folder link to new results Folder link to all results

50. News Customization Select the specialty areas of interest to you News stories in these areas will appear first

51. Email to Colleague From any of the content, you can email a colleague a link with a personalized note * The colleague must be a subscriber to access the article/information

52. Log Off Located in the upper right corner Click once you have finished your time on the service MD Consult will automatically log users off after 15 minutes of inactivity

53. Coming Soon RSS Feed for News Allow customers to access news headlines from outside MD Consult Improvements to Journal / Book searching APIs Journal / Clinic searching via ISSN Improvements to book full text searching Available Aug 12 Available soon

54. RSS feed in an RSS reader

55. Updated Content List http://eresourcesonline.com/resources

56. Benefits of MD Consult Convenience - 24-hour access to medical content and news. Pocket Consult provides medical information and news to your PDA. Trusted resources - Accessing information from peer-reviewed medical resources. Efficiency – Faster searching, no junk hits. Search one or all of the references. Be more productive – The content on MD Consult helps you do your job better and faster. Higher quality of care – This is due to the depth and quality of the content on MDC. Confidence – Used by over 1,700 healthcare organizations worldwide and over 90% of U.S. medical schools.

57. Thank You!