CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved. 3 rd Annual Future Physicians of America June 2008

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 2 Survey Background Survey includes 925 medical students that use Epocrates software –4 th year:49% –3 rd year: 40% –2 nd year: 8% –1 st year: 3% Survey completed in May 2008 Students randomly selected to participate

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 3 Why did you choose to enter the medical profession? 23% 6% 19% 52% Future physicians interested in science and medicine, want to help people *Respondents allowed to select up to 3; excludes ‘other’ 7%

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 4 What are your greatest concerns about becoming a practicing physician? *Respondents allowed to select up to 2; includes responses above 5% Students’ concerns about paying off school loans growing

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 5 Majority of students would still choose medicine as a career Knowing what you do now, would you still choose a career in medicine? Key factors in specialty selection: -Work/life balance -Intellectually stimulating -Appropriate level of patient interaction

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 6 What are your career goals? *Respondents allowed to select all that apply; Excludes “other” 7% Over 60% of students aspire to be a practice-based physician 2/3rds of physicians are practice-based (NAMCS 2007)

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 7 44% of students expect to make $100k or less; inconsistent with current salary avg Approximately how much do you expect your annual income to be in five years? 97% of physician specialties compensated >$150,000 by 3 rd year in practice (2006 salary survey, Allied Physicians, Inc.)

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 8 Majority of students feel unprepared for the business of medicine How well do you feel medical school prepared you to take on the business side of managing or belonging to a practice? *n=981; excludes respondents who expressed an opinion

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 9 When you need information to help you solve a clinical question, where is the first place you are most likely to turn? Students more likely to use electronic reference than ask peer or teacher question *Excludes “other” 2%

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 10 How do you feel if your patient requests a second opinion? Majority of students support 2 nd opinion For 30% of patients who seek second opinions for elective surgery, the second doctors disagree with the first (New York Times, Feb. ’08)

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 11 Do you have a gender preference when selecting your personal physician? 30% of students prefer treatment by a same gender physician Would you seek medical care or advice from your peers?

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 12 Medical students often work long hours; what methods have you used to stay alert or awake? Caffeine, exercise and naps; students’ remedy for long work hours *Respondents may select all that apply; excludes other 9%

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 13 If you were to compare yourself to a TV physician personality, which of the following would you select? Medical students see humor in themselves; 30% compare to “Scrubs” TV character - Dr. John Carter (ER) - Drs. Meredith Grey and Izzy Stevens (Grey’s Anatomy) - Dr. Elliot Reed (Scrubs) Other TV personalities students identify with:

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 14 Nearly 60% of students spend spare time on Facebook Which of the following social/news networks do you spend time on? Please estimate how much time you spend on these sites per week *Respondents asked to select all that apply *(n=755)

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 15 Why did you choose your medical school?* *Respondents asked to select up to 2; excludes answers below 4% and “other” Location remains top priority; reputation maintains importance in school selection

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 16 What’s the Grade? Overall: B Subject Grade Clinical training Quality of education Career guidance Integration of medicine and technology Medical School Report Card Clinical training most improved (B in 2006)

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 17 60% of students feel EMR availability is very important to future practice choice Have you had experience with an EMR system during your rotations? How important is it to have an EMR at the place you would choose to practice?

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 18 Less than 20% see EMR adoption in the next few years The government is driving towards 100% adoption of electronic medical records. When do you see the full adoption of electronic medical records occurring? Consistent with 2007, over 70% see full EMR adoption occurring within the next 5-10 years

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 19 92% of medical students plan to vote in the ’08 election What political party do you affiliate yourself with? *Other includes Green and Libertarian parties

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 20 Over 60% of students believe health care reform would reduce their income How do you believe health care system reform would change your future income level as a physician? Do you believe there will be serious health care reform within the next five years?

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 21 Over the next 5 years, how do you believe the U.S. healthcare system will change? Nearly 40% of students give the healthcare system poor marks (D or F) How would you rate the U.S. healthcare system? Healthcare grades on the decline since 2006 (29% D or F) Fewer believe system will worsen compared to 2006 (42%)

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 22 Majority of students feel patients should be concerned about PCP shortages To what degree do you believe patients should be concerned about the predicted shortage of PCPs? 50% of patient visits annually are made to primary care physicians (CDC 2006)

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 23 Nearly 30% of students underestimate the average length of patient visits What do you think is the appropriate length of a routine patient visit? Average physician spends 13 minutes with each patient (NEJM 2001)

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 24 Physicians gaining influence over students opinion of pharma What influences have contributed to your opinion of the pharmaceutical industry? *respondents may select up to 2

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 25 87% believe disease awareness campaigns lead to early disease detection Do you agree or disagree that disease awareness campaigns lead to early disease detection? Do you agree or disagree that the use of celebrities for disease awareness campaigns is beneficial to society?

CONFIDENTIAL AND PROPRIETARY © 2008 Epocrates, Inc. All rights reserved.Slide | 26 Bob Dole most memorable as Viagra pitchman 1.Viagra (Bob Dole) 2.Lipitor (Dr. Jarvik) 3.Cialis (couple in the bath tubs) 4.Boniva (Sally Fields) 1.Erectile dysfunction 2.Insomnia 3.Depression 4.Herpes Brand name Disease Which is the first pharmaceutical TV ad for a drug or disease that comes to mind?