Most of these resources are free or require a brief registration.Guidelines
National Guideline Clearinghouse - a free resource for evidence-based clinical practice guidelines. It cannot be more authorative than this, just look at the address - guideline.gov (.gov stands for government)
Free Online Books
Harrison's Online - limits access to 10 users at one time
Merck Best Practice of Medicine
Merck Manual of Diagnosis and Therapy
University of Iowa Family Practice Handbook
eMedicine
Free Journals
AFP - Journal of the American Academy of Family Physicians
BMJ - British Medical Journal You need a subscription for NEJM, JAMA, Annals and Lancet. AMA and ACP provide access to JAMA and ACP for their members and SVCH has an institution password for NEJM - just ask your colleagues about it.
Paid (but worth paying for) Journals
NEJM
JAMA (free after 1 year)
Annals (free after 1 year)
Lancet
How to find time to read all these journals?
It's easier to do your reading in small pieces. There is an old African saying asking how you should eat an elephant. And the answer is...in small pieces. "The journey of a thousand miles begins with a single step." (Lao Tse)
In this spirit you can try reading the newest edition of the journal on the day it is published online. This means that on Wednesdays you will spare 30 min for NEJM and JAMA, and the same amount of time on Fridays for BMJ and Lancet. This should keep you pretty much up-to-date with medical literature on both sides of the Atlantic ocean (and the world).
Portals
Medscape (probably the best)
You can get access to a lot of books by registering to MD Consult or Merck Medicus
Medical images and figures are very helpful when reviewing for exams. There are three books, richly illustrated, which are freely available after registration:
Braunwald's Atlas of Internal Medicine proves that medicine is a visual science and seeing is remembering. To access choose "Professional development" from the menu at the top (Merck Medicus, free after registration). Braunwald's Atlas is a part of a bigger project called Images.MD with 50, 000 images ($ 250 per year). Click to see the tour.
Goldman: Cecil Textbook of Medicine, 22nd ed., 2004
Kumar: Robbins and Cotran: Pathologic Basis of Disease, 7th ed., 2005
These two books are available from MD Consult, you need to be registered for the links above to work.
A Practical Guide to Clinical Medicine by UCSD School of Medicine
More Resources from UCSF website
There is very useful collection of different clinical resources on Louisiana State University website:
Outpatient Management Manual
12-lead ECG
Critical Appraisal Worksheet for Scientific Articles - a nicely designed algorithm
Intern-in-the-Middle-of-the-Night Series - a mini-handbook
Atlas of Gastrointestinal Endoscopy - featuring 959 endoscopic images -David M. Martin, M.D.
Medical Blogs
The best starting point is Medlogs.com. A few of the blogs are listed below:
Kevin MD.com - his post about the DTC ad for Topamax and the 2 pages of fine print was interesting
Bioethics Discussion Blog by Dr. Bernstein
Journal Club.org
University of Minnesota - U Think
Morning Report Recaps
More Links:
Quicklinks: pimp notes, medical animations and mnemonics. ScienceRoll, 03/2007.
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