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TEST1 * Subscribe -------------------------------------------------------------------------------- * Access through your institution -------------------------------------------------------------------------------- * Log in * English English (US)中文Português * English English (US)中文Português * Log in Personal account -------------------------------------------------------------------------------- Access through your institution(Open Athens) -------------------------------------------------------------------------------- Access code Confidence when it counts * About us Overview What is BMJ Best Practice? Our History Key features Clinical tools Local guidance Earn CME/CPD points Comorbidities Manager EBM Toolkit Access anywhere Our app Integration Our Evidence approach Trusted content Updating process * Who we help Best Practice for... Clinicians Hospitals Medical librarians Medical schools Medical students Nurses Pharmacists Primary care Paramedics Telehealth * How we help Impact and effectiveness Evidence of effectiveness Global impact Customer stories * Browse clinical content Recent updates Specialties Try a free topic Patient leaflets Videos Calculators * What's new Clinical updates News Podcast * Access Log in via Personal subscription or user profile Access through your institution Access code Subscribe Free trial How do I get access? Download the app * Help FAQs How do I get access? Contact us RANKED ONE OF THE BEST CLINICAL DECISION SUPPORT TOOLS FOR HEALTH PROFESSIONALS WORLDWIDE*, BMJ BEST PRACTICE PROVIDES STEP-BY-STEP GUIDANCE ON DIAGNOSIS, TREATMENT AND PREVENTION. UPDATED DAILY USING ROBUST EVIDENCE-BASED METHODOLOGY AND EXPERT OPINION, BMJ BEST PRACTICE PROVIDES YOU WITH ACCESS TO THE VERY LATEST CLINICAL INFORMATION. Read the research EVIDENCE OF EFFECTIVENESS BMJ BEST PRACTICE IS AN EVIDENCE-BASED, CLINICAL DECISION SUPPORT TOOL THAT PROVIDES HEALTHCARE PROFESSIONALS WITH CONTINUALLY UPDATED, RELIABLE INFORMATION ON THE DIAGNOSIS, TREATMENT, AND MANAGEMENT OF MEDICAL CONDITIONS. The tool is designed to improve quality of care and patient outcomes by providing practitioners with easy access to the latest medical information. The impact of BMJ Best Practice can be seen in its widespread adoption by healthcare professionals across the world. The tool is used by healthcare professionals in more than 100 countries, and it has been shown to improve the quality of care and patient outcomes in numerous studies. Learn more about Global Impact When I’m working under pressure, and have to make decisions very quickly, BMJ Best Practice is my immediate help on hand. It’s got everything in a nutshell, it’s concise and to the point. Dr Renju Chidambaran SENIOR CLINICAL TEACHING FELLOW & MEDICAL DOCTOR CROYDON UNIVERSITY HOSPITAL WHO DOES BMJ BEST PRACTICE HELP? BMJ BEST PRACTICE IS A GENERALIST POINT OF CARE TOOL THAT IS PARTICULARLY USEFUL FOR JUNIOR DOCTORS, MULTIDISCIPLINARY TEAM MEMBERS (SUCH AS NURSES AND PHARMACISTS), SPECIALISTS WORKING OUTSIDE OF THEIR SPECIALTY, AND GPS. BMJ Best Practice also supports medical students to develop their clinical reasoning skills and prepare for clinical rotations. This means that BMJ Best Practice occupies a unique position as a Clinical Decision Support tool. Click on any profile to find out more. Medical students Clinicians Nurses Paramedics Pharmacists Librarians Medical schools Hospitals Primary care Telehealth × BMJ BEST PRACTICE FOR MEDICAL STUDENTS BMJ Best Practice supports you make the transition from education to clinical practice. Medical students around the world rely on BMJ Best Practice to: * Help them prepare for clinical practice, with the most recent, trusted information on the most-commonly occurring conditions, backed up by evidence and with links to guidelines * Give them confidence during clinical placements – remote, mobile and offline access ensures they always have the information they need, even where wi-fi is unavailable Find out more × BMJ BEST PRACTICE FOR CLINICIANS BMJ Best Practice gets you to the latest evidence-based information quickly and accurately. Structured around the clinical workflow and updated daily, BMJ Best Practice uses the latest evidence-based research, guidelines and expert opinion to offer step-by-step guidance on diagnosis, prognosis, treatment and prevention. Whether you’re with a patient or researching treatment decisions more deeply, BMJ Best Practice is your trusted, instant second opinion. Find out more × BMJ BEST PRACTICE FOR NURSES Access clinical guidelines and patient care leaflets all in one place. BMJ Best Practice is one of the world’s most trusted resources for day-to-day practice, used by multiprofessional care teams worldwide. * Search by detailed symptom or a broader clinical topic * Share information and discuss treatment options with patients using our accredited patient leaflets * Stay current and support your professional development. Record reading with automatic CME/CPD tracking to support revalidation and appraisals Find out more × BMJ BEST PRACTICE FOR PARAMEDICS BMJ Best Practice supports the multi-disciplinary approach to medicine management. Our easy-to-navigate, evidence-based information ensures practitioners will find what they need quickly and efficiently. With BMJ Best Practice you can: * Have confidence in your clinical decisions with the very latest evidence and expert opinion, updated daily, and linked to international guidelines * Share information and discuss treatment options with patients using our accredited patient leaflets. Find out more × BMJ BEST PRACTICE FOR PHARMACISTS BMJ Best Practice supports the multi-disciplinary approach to medicine management. Within each topic we have treatment algorithms which list medications for patient groups and sub patient groups. With BMJ Best Practice you can: * Have confidence in your clinical decisions with the very latest evidence and expert opinion, updated daily, and linked to international guidelines * Share information and discuss treatment options with patients using our accredited patient leaflets. Find out more × BMJ BEST PRACTICE FOR LIBRARIANS BMJ Best Practice makes it easy for librarians to support healthcare professionals in their clinical practice and research. Our easy-to-navigate, evidence-based information ensures users will find what they need quickly and efficiently. With BMJ Best Practice you can: * Provide continuous access to the latest clinical information * Support evidence-based medicine * Facilitate training and education * Improve information literacy * Promote patient education Find out more × BMJ BEST PRACTICE FOR MEDICAL SCHOOLS BMJ Best Practice supports your students as they make the transition from education to clinical practice. Teaching hospitals and medical schools around the world rely on BMJ Best Practice to: * Help prepare their students for clinical practice, with the most recent, trusted information on the most-commonly occurring conditions, backed up by evidence and with links to guidelines * Give students confidence during clinical placements – remote, mobile and offline access ensures they always have the information they need, even where wi-fi is unavailable Find out more × BMJ BEST PRACTICE FOR HOSPITALS Providing high quality care in a cost-efficient way remains the greatest challenge for hospitals and healthcare systems around the world. BMJ Best Practice helps healthcare institutions ensure better, safer care by providing their multiprofessional teams with fast access to the latest information to support their clinical decisions. Best Practice is proud to work with many of the world’s most highly-regarded medical institutions including leading institutional medical schools, international ministries of health, public and private hospitals and large health networks. Find out more × BMJ BEST PRACTICE FOR PRIMARY CARE In a time-pressured environment like primary care, fast and accurate diagnosis and decision making is vital. With extensive coverage of the most commonly-occuring conditions, Best Practice can be relied on to answer your clinical questions. * Support your doctors with the very latest evidence and expert opinion, updated daily, and linked to international guidelines * Help your doctors discuss treatment options with patients. Best Practice has over 400 patient leaflets that have been reviewed by our Patient Panel Find out more × BMJ BEST PRACTICE FOR TELEHEALTH Pairing BMJ Best Practice with your Telehealth services will facilitate patient-clinician engagement. Our easy-to-navigate, evidence-based information ensures practitioners will find what they need quickly and efficiently during the online consultation. * BMJ Best Practice is relevant to doctors, nurses and other frontline health workers in your medical call centres. * BMJ Best Practice can be integrated into your clinical system or electronic health record. Find out more BMJ Best Practice covers a wide range of clinical conditions and their related symptoms – try it for yourself below. Search CAN YOU DIAGNOSE THIS PATIENT? A 66-year-old man presents with shortness of breath and a cough for the past 2 days. He is bringing up green sputum. He has a history of COPD and type 2 diabetes. He takes inhalers and metformin. On examination, he appears thin and in respiratory distress, especially after walking to the examination room. Lung examination reveals a barrel chest and poor air entry bilaterally, with inspiratory and expiratory wheezing. Heart and abdominal examination are normal. He is also dehydrated. * What is the most likely diagnosis? * What treatment would you start? * How would you adjust his treatment in light of the diabetes? To find the answers to these and other important questions, click on the link below and add diabetes as a comorbidity. Check my diagnosis These topics should also be helpful. * Acute exacerbation of chronic obstructive pulmonary disease * Asthma in adults * Bronchiectasis THE HIGHEST RANKING* CDS APP Access clinical information anywhere, even offline, with our award-winning app. Whether you’re on the ward, at home, or studying, the BMJ Best Practice app gives you trusted decision support information in an instant. The app is provided for free to those who have a personal subscription to BMJ Best Practice or have access provided by their institution. * As of 24 July 2023 Learn more about our app It’s no understatement to say that this app (and the website) is responsible for getting me through medical school. Nowhere else can you get such succinct and relevant summaries and treatment algorithms. BMJ Best Practice app user LISTEN TO OUR PODCAST THE BMJ BEST PRACTICE PODCAST PUBLISHES INTERVIEWS WITH CLINICAL EXPERTS. THESE ARE AIMED AT HEALTHCARE PROFESSIONALS AND STUDENTS WITH AN INTEREST IN KEEPING UP TO DATE WITH THE LATEST SCIENTIFIC DEVELOPMENTS, EVIDENCE-BASED MEDICINE AND GUIDELINES. We publish new episodes on a regular basis – check back here for the latest update, or subscribe to our feed so you never miss an episode! 26/07/2023 Endometriosis: an update on diagnosis and management Endometriosis is a chronic inflammatory condition defined by endometrial stroma and glands found outside of the uterine cavity. The most common sites affected are the pelvic peritoneum and ovaries. May present incidentally in asymptomatic women, or more commonly in women of reproductive age who complain of chronic pelvic pain and/or sub-fertility. M. Jonathon Solnik, Professor of Obstetrics, Gynaecology and Medical Imaging by Cross-Appointment, Temerty School of Medicine at the University of Toronto, gives us an overview of diagnosis and management of the condition. For more on endometriosis, click on the link below to visit our BMJ Best Practice topic. Visit our topic Competing interests: MJS is an author of a number of references cited in the Best Practice topic. He acts as a consultant for AbbVie (manufacturer of depot leuprolide and elagolix), Medtronic, Felix Health and Olympus. TRY IT TODAY International ministries of health, leading public and private hospitals, and large health networks around the world use BMJ Best Practice to provide the latest clinical information to support healthcare professionals to make faster and more accurate diagnoses and provide effective holistic treatment. And better outcomes for patients. Follow the link below to get started. 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