1. Presented By: 程世仁 Date:2010

2. MD Consult is designed to help physicians answer clinical questions and stay current with new developments in medicine.  Over 80 full-text journals and Clinics of North America with MEDLINE  Over 50 leading medical reference books  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  POCKET Consult – free for your PDA

3. MD Consult 操作

4. 瀏覽十大主題 First Consult Books Journals The Clinics Patient Education Drugs Guidelines Images News CME

5. MD Consult 操作 主題搜尋

6. 國家衛生研究院網站上

7. 林口長庚醫院實証醫學研究中心

8. Case PICO 對於 慢性蕁麻疹 (chronic urticaria) ， Xyzal 與 Allegra 的那一種治療效果比較好呢？ PUrticaria I Xyzal (Ceterizine, 驅異樂膜衣錠 ) C Allegra (Fexofenadine, 艾來錠 ) O Which one is better? Hypothyroidism Atopic Dermatitis Nephrolithiasis Urinary Incontinence

9. Ask P: children/adults (with dental caries) I: chewing gum with xylitol C: chewing gum without xylitol O: incidence of dental decay Type of Question: therapy Keyword: Dental caries xylitol

10. 背景問題 vs 前景問題 Background question ( 背景問題 ) 有關某種疾病的基本知識 A question root (who, when, what, where, why, how...) Foreground question ( 前景問題 ) 有關病人處置的特殊問題（ PICO 格式）

11. 問題與臨床經驗

12. 實證資源 First Consult Guidelines Medical Topics 期刊資源 Core Journals (53) & MEDLINE 經典教科書 Books (51), Clinics (36) … Patient education (10,000+), Drugs, Images (50,000+), News, CME, PDA …