DynaMed vs. MD Consult, UpToDate, etc.

Summary aus medlib-l im Volltext:

******************************
We love it. I wouldn’t cancel MDC though. DynaMed doesn’t have the
textbooks. It sends you to pubmed citations (mostly) or to the EBM
guidelines (which is an extra charge) but the easy PDA access and easy
searching and less expensive than Up-to-Date. Our folks love it. Kathy
******************************
We have been trialing DynaMed and have found it very user friendly. We
don’t subscribe to MD Consult so I can’t compare that. However, we like the
information layout and the resource links that DynaMed provides. DynaMed is
extremely affordable when compared to UpToDate! It is likely that we will
subscribe to a couple of licenses rather than institution (though that
includes remote access).
******************************
I subscribe to both of these plus UpToDate.
MD Consult is limited to the publications they allow subscribers access
to – I have the CORE subscription. But, I find MDConsult invaluable and
I won’t give it up – never. The textbooks are a boon for my population
because we are scattered in different states. MDConsult can be „linked“
to PubMed and when searching in PubMed, I know immediately whether I
have fulltext access. When you consider the cost of ILL from PubMed
these days, I think you will find MDConsult economically sound (I order
lots of articles, usually needed immediately, so I could make that
business case).
I think EBSCO does a bad job of promoting DynaMed. I have asked them
numerous times for some sort of promotional material so that I could
market DynaMed better. I just don’t have the time to create brocures,
etc. Remember when vendors used to publish poster sized materials?
Some were practically art…
I like DynaMed for it’s links, the fact that EBSCO lets me host it on my
library webpage and allows access to the entire company. In other
words, EBSCO is easier to work with, and more accessible.
I also have UPtoDATE. I don’t care for it, primarily because it isn’t
real time. DynaMed is. I’m told that topics are continually updated as
the medical news warrants in DynaMed. MDConsult is easier to search
because you are searching their articles database. DynaMed isn’t
comprised of articles, but original reporting, so it’s limited to
searching on disease/disorder.
My doctors have said repeatedly – you can’t find everything you need in
one database…I need both (I will not be renewing UPTODATE for 2007).
******************************
I would be interested in a summary of comments. We had a demo yesterday
of DynaMed and the price quote was very good for my situation. I was
impressed with what I saw and particularly the unlimited access on
campus and remotely. I liked the layout of the topics and that each
topic had the same subheadings: Diagnosis, Treatment, etc. Made
informaion easy to find. I think that it would be in addition to MD
Consult.
******************************
I don’t have access to DynaMed, but was curious if you meant
MD Consult or Nursing Consult in your post. If you haven’t seen Nursing
Consult (by the same company), I’d recommend checking it out. Our
sister library tried it out, and the nursing faculty and hospital nurses
really loved it. Hope this doesn’t confuse the issue more!
******************************
We have DynaMed and like it, especially with the new interface (the old
interface was very clunky). I like that it clearly references the
citations from which the information was pulled, plus people can use it on
their PDAs.

I wouldn’t say that it was a replacement for MDC because of all the
full-text books and other resources in MDC.

We made the mistake of cancelling UpToDate at the same time we got DynaMed,
and people thought that one was a replacement for the other. They are not
equivalent. (As much as folks liked UTD, I sometimes found that it wasn’t
really all that up-to-date. People were using it like a textbook rather
than as a tool for point of use.)

If you are’re looking for other nursing resources, you might want to look
at NursingConsult (like MD Consult) too.
******************************
We compared DynaMed to UpToDate since we have the latter and we are a large
Ebsco database subscriber. Our docs prefer UpToDate, and I agree with them,
because the monographs are written comprehensively and the citations are
detailed and numerous. DynaMed does have hyperlinks embedded in their
outlines but they link to PubMed and many do not further link to full text.
That was one shortcoming which I thought Ebsco would have addressed thereby
making it potentially a much more useful source than it turned out to be.

Comparing cost – Dynamed was cheaper but less useful so we elected to stay
with UpToDate.
******************************
It’s been awhile since we looked at DynaMed. It may have changed since its
acquisition by EBSCO. I think it is more like ACP’s PIER or perhaps First
Consult, both of which summarize available evidence and provide references.
It was relatively user friendly when I saw it, but that was before it was
acquired by EBSCO.
******************************
We are in the midst of a trial of DynaMed and the physicians and our
nurses like it. Our nurse practitioners seem to particularly like it.
The physicians like the billing codes that are included. Budget times
are tight here, so I am hoping that the references to Cochrane studies
will suffice and I may not have to subscribe to Cochrane databases,
which I had on my new subscription list for this year.

We have never been able to afford the other knowledge-based at the
bedside products, so I cannot tell you if it is better than MDConsult.
It is certainly cheaper than Up to Date and it offers full access from
home, office or the hospital for the one price. We were quoted a huge
(for us) price for Up to Date and it was only at the hospital itself.
They physicians wanted access from home and office too.
Would be interested in your responses if you could summarize.
******************************
I trialed DynaMed last month & found it wanting. Many times when you click
on a link there’s no content available for the subject. Also, despite an
overhaul from EBSCO, DynaMed stil uses a tree structure to access content,
i.e. you have to drill down by clicking too many links. I was looking for
something to challenge UpToDate because it would allow remote access
(UpToDate doesn’t), but this is not it. Just my own opinion. Others may
disagree.
******************************
We have DynaMed. It’s apples and oranges compared to MD Consult.
DynaMed is more like InfoRetriever and the 5 Minute Clinical Consult.
It’s entirely evidence-based, with evidence levels linked to all the
information presented. The web interface was recently redesigned and is
much better since EBSCO purchased it. There is also a PDA interface
available to all users. DynaMed is very popular with our clinical
staff, including nurses.
I recommend it and am happy we have it. We like it enough that we
linked it from the library home page as a primary resource. I’m not
sure how much we paid for it, but I’m sure it was worth it.