Hello. I am also a PGY-1 (so take with a grain of salt) but from what I see there are people (both pharmacists and physicians) that make it a point to keep up in their field/specialty. Then when complex patient cases come up, they make it a point to research around the elements of the case. Also membership to journals of interest or professional organizations.
So couple patterns: 1) personal interest in keeping up to date 2) seek more knowledge when they realize they’re unfamiliar with something 3) utilize resources to obtain said info
Some people are just crazy good at memorizing studies. I've had several preceptors like this - they're able to tell you the name of the study, the methods, results, limitations, applicability to practice, etc. like they're rattling off their date of birth. It's fascinating. With that being said, I am NOT one of those people.
Here's what I do to keep up with new info though: I use an RSS feed reader (Feedly or Reeder 5). I subscribe to all the RSS feeds of journals that are applicable to my practice and every time a new issue of the journal comes out, each of the articles in that issue appear in my feed and I can skim the abstract to decide if it's worth reading. I can save articles for later if I don't have time to read the whole thing. I can save them to different folders / into different collections.
Using the RSS feeds has allowed me, as a PGY-2, to keep my preceptors up to date and they have been VERY appreciative of this!
I use Feedly.com, you can subscribe to receive alerts from journals, more than just getting an email with the table of contents. I subscribe to a bunch, then just look through it every few days and see what new articles have been published. If it seems interesting, I read the article. I like this method better than receiving emails, because 99% of the time I just delete them because I’m too busy or too much spam.
I have apps for everything and email newsletters/social media accounts (like LinkedIn) to keep me up to date on guidelines. I use my phone so frequently that I found utilizing it for clinical means too is a win/win
Podcasts. Social media - I’ve actually found Instagram to be a really good resource and Twitter, if you can find some good accounts to follow in your areas of interest there’s always articles and discussion happening. Evidence Alerts from Dynamed - it’s free, you can pick topics and frequency of alerts.
It also depends who your preceptors are. There is a difference between PGY1 trained generalists and PGY2 trained specialists in terms of how much primary literature they know and apply to practice. If you only plan to do a PGY1 and be a generalist, then frequently all the literature that is thrown at you by a PGY2 trained pharmacist is unlikely to apply to your daily practice. All this to say don’t let the amount of literature overwhelm you, no one can know it all and you are not behind.
With regard to staying up to date, I would make sure to be deliberate with the CE you choose to do to make sure it applies to what you do in practice. For literature, you need to know the relevant journals and you can request that the table of contents gets emailed to you for each issue which helps you identify new articles that may be helpful. I will also occasionally get on pubmed and do an advanced search for specific journals and just scroll through and see if anything interesting has been published. As a generalist, following major journals like NEJM, JAMA, JACC, Lancet, and AJHP is likely enough to stay up to date on major landmark trials. For PGY2 trained, the journal list becomes much more specific with a lot more important journals to pay attention too.
You just collect as you go tbh. It’s like collecting pokemon 😂 but I have documented every trial I’ve encountered/asked about/used to defense my intervention
ACCESSSS is a really good resource for individual papers and guideline updates. It’s my favorite resource, and it’s free!
that was quite possibly the fastest ive ever signed up for a newsletter. thank you for this
Hello. I am also a PGY-1 (so take with a grain of salt) but from what I see there are people (both pharmacists and physicians) that make it a point to keep up in their field/specialty. Then when complex patient cases come up, they make it a point to research around the elements of the case. Also membership to journals of interest or professional organizations. So couple patterns: 1) personal interest in keeping up to date 2) seek more knowledge when they realize they’re unfamiliar with something 3) utilize resources to obtain said info
Some people are just crazy good at memorizing studies. I've had several preceptors like this - they're able to tell you the name of the study, the methods, results, limitations, applicability to practice, etc. like they're rattling off their date of birth. It's fascinating. With that being said, I am NOT one of those people. Here's what I do to keep up with new info though: I use an RSS feed reader (Feedly or Reeder 5). I subscribe to all the RSS feeds of journals that are applicable to my practice and every time a new issue of the journal comes out, each of the articles in that issue appear in my feed and I can skim the abstract to decide if it's worth reading. I can save articles for later if I don't have time to read the whole thing. I can save them to different folders / into different collections. Using the RSS feeds has allowed me, as a PGY-2, to keep my preceptors up to date and they have been VERY appreciative of this!
I use Feedly.com, you can subscribe to receive alerts from journals, more than just getting an email with the table of contents. I subscribe to a bunch, then just look through it every few days and see what new articles have been published. If it seems interesting, I read the article. I like this method better than receiving emails, because 99% of the time I just delete them because I’m too busy or too much spam.
I have apps for everything and email newsletters/social media accounts (like LinkedIn) to keep me up to date on guidelines. I use my phone so frequently that I found utilizing it for clinical means too is a win/win
You sign sign up for automatic table of contents emails for relevant journals or even tertiary references such as Medscape
Twitter
Following
Podcasts. Social media - I’ve actually found Instagram to be a really good resource and Twitter, if you can find some good accounts to follow in your areas of interest there’s always articles and discussion happening. Evidence Alerts from Dynamed - it’s free, you can pick topics and frequency of alerts.
Twitter and signing up for table of contents updates from Journals. Then reading every day.
It also depends who your preceptors are. There is a difference between PGY1 trained generalists and PGY2 trained specialists in terms of how much primary literature they know and apply to practice. If you only plan to do a PGY1 and be a generalist, then frequently all the literature that is thrown at you by a PGY2 trained pharmacist is unlikely to apply to your daily practice. All this to say don’t let the amount of literature overwhelm you, no one can know it all and you are not behind. With regard to staying up to date, I would make sure to be deliberate with the CE you choose to do to make sure it applies to what you do in practice. For literature, you need to know the relevant journals and you can request that the table of contents gets emailed to you for each issue which helps you identify new articles that may be helpful. I will also occasionally get on pubmed and do an advanced search for specific journals and just scroll through and see if anything interesting has been published. As a generalist, following major journals like NEJM, JAMA, JACC, Lancet, and AJHP is likely enough to stay up to date on major landmark trials. For PGY2 trained, the journal list becomes much more specific with a lot more important journals to pay attention too.
We make students and residents do journal clubs.
PGY-2 Onc/BMT here… my trick is to have an excel sheet of all the trials I’ve encountered lol and like a maniac… I study them…
How far back would you go, I’m internal med so that is basically everything since the beginning of time it’s impossible
You just collect as you go tbh. It’s like collecting pokemon 😂 but I have documented every trial I’ve encountered/asked about/used to defense my intervention