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F1000 Medicine is now free to explore!
Faculty of 1000 Medicine is now freely available for clinicians, medics, scientists and journalists to browse and search! Also free is our sister service, Faculty of 1000 Biology.
Designed to make sense of the vast and growing body of scholarly literature in the fields of medicine and biology, our award-winning F1000 services comprise over 4,500 of the world's most distinguished and respected clinicians and researchers who highlight recent key articles and provide their opinion on why these articles are important to the community.
By making browsing and searching our content freely available, we at F1000 are offering you the opportunity to get a flavour of the cutting-edge articles that make a difference to clinicians in their everyday practice and biomedical scientists in their research, saving you invaluable time by highlighting their significance.
Read more or take a free trial.
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600 evaluations that change clinical practice
Good news for clinicians! There are now more than 600 evaluations of articles that change clinical practice on our website. These articles feature explicit recommendations to indicate how an article can immediately affect clinical practice.
An excellent example is this evaluation by Bradley Kropp of the Urology Faculty:
Changes Clinical Practice: "Before an urologist operates on a kidney for decreased function, they need to take time out of their busy clinical practice to confirm their results with the nuclear radiologist. On occasion, redrawing the figures can have a dramatic effect on the numbers and potentially save a child from an unnecessary operation, so this double-check should be undertaken with every patient."
Kropp says "It is important to remember that just because a test with a long fancy name ? can generate a 'hard' number from a computer, it does not mean that this number is fact. Medical computers and other scientific software are exposed to the same limitation that every medical decision is subject to and that is the 'human element'? It is hard to program in the sense of sight, touch, taste, and smell and these are all important senses that can contribute to making a great medical decision."
He sums up by saying "As a clinical scientist, I have the advantage of performing science in the laboratory and practicing the 'art' of medicine in the clinical setting. A true artist does not paint by the numbers; therefore, a true urologic surgeon should also not operate by numbers."
You can search for articles that change practice by ticking the 'articles that Change Clinical Practice' box in Advanced Search.
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We've improved our email alerts
If you're already signed up to receive 'My F1000M Alerts' then you may have noticed that we've now included some additional features.
To give you a taste of what the article is about, the improved 'My F1000M Alert' now displays the first line of the article's evaluation [1] or changes clinical practice recommendation [2]. It also lists which sub-specialties the article falls under.
'My F1000M Alerts' can also be tailored to suit your needs. You can specify your favourite specialties so that you are only alerted to articles that matter to you [3], change how often you receive your alerts [4], as well as the number of articles in each alert. You can also access different areas of the website from within the alert.
If you haven't set up an email alert already, why not take a few minutes to do so now?
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Debate around key articles: the first replies to dissents and author responses
March has been an exciting time for us here at F1000 Medicine. We already allow Faculty Member to submit dissents of evaluations, as well as encouraging authors to respond to the evaluations of their articles. This month, we have published our first Faculty replies to both a dissent and an author response.
Allowing Faculty Members to reply to dissents and author responses is yet another great way of enlivening discussion and encouraging debate around key articles within the medical community.
Read our first reply to an author response -- Todd Bull of the Respiratory Disorders Faculty responds to BG Stevinson et al.:
Read our first reply to a dissent -- Michael Strupp responds to a dissent made by Stefan Hegemann, both of the Neurological Disorders Faculty:
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Rheumatoid arthritis often misdiagnosed
In February, Annelies Boonen recommended an article that brings into question the ability of general practitioners to correctly diagnose rheumatoid arthritis {1}. The article shows that a large proportion of patients in this study were initially misdiagnosed with rheumatoid arthritis and that only 27% of patients were referred to a rheumatologist. Of the patients referred, only 17% of the patients received confirmation by a rheumatologist of a diagnosis of rheumatoid arthritis.
Boonen is concerned as "the results appear worrying with regard to diagnostic ability and referral practice in first-line health care." Boonen believes that "rheumatologists should actively contribute to improve the diagnostic ability of general practitioners for rheumatological conditions and develop recommendations or guidelines for referral."
The attention that this article has received from other websites clearly demonstrates its importance to medicine. Ultimately, the diagnostic techniques of general practitioners and the medical resources available to them constantly need to be updated to ensure patients are always receiving the highest quality of medical care.
1. Feldman et al., Arthritis Rheum 2007, 57:1419-1425 [PMID:18050182]
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An article that changes clinical practice - without an increased healthcare cost
Last month, Bradley Kropp of the Urology Faculty highlighted an article which was convincing enough to cause him to change his clinical practice.
This is an outstanding evaluation of a clinical trial in which Kropp recommends, "...patients should be given a piece of gum after surgery to help stimulate early return of bowel function. This is simple enough to do; therefore, I will start doing this immediately in my patients undergoing reconstructive surgery."
He continues, "This study highlights how something as simple as gum chewing could improve the medical care that is delivered to our patients. In today's high-tech, molecular-driven scientific world, it is nice to come across an article that can be implemented immediately into our practices without increased healthcare cost."
"Just think how much a pack of gum would cost today if the pharmaceutical industry would have come across this information first."
This evaluation is the essence what we are about; it is a true opinion-piece written with a passion for the topic.
Read the rest of Kropp's outstanding evaluation here.
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'Email a friend' improved
In addition to all the other changes on our site, we've recently updated our 'send this page by email' tool so that you can now save your most frequently used email addresses! When personally logged onto the site, the next time you email an article to a friend, you can save your regular recipient email address(es) for future use by checking the box next to "Save this email to my recipients list".
Then, the next time you 'email a friend'; you will be presented with the option of choosing one or more of the recipients you have mailed in the past. You can save lists of addresses too - if you choose more than one set of recipients and check 'save', then all of these recipients will become a single new entry in the recent recipients list next time - so why not use this tool to send F1000M entries to your lab or journal club? The site will save up to a maximum of five of your recent recipients/lists of recipients, with new entries replacing the oldest ones.Save to del.icio.us | Email this
Author response: encouraging debate
We are pleased to announce yet another exciting new feature on our website: author response.
When an article has been evaluated by a Faculty Member and published on our website, the authors of the article are notified by email. They then have a chance to comment if they feel that certain aspects of their article have been overlooked and/or respond to any criticisms made.
Take this evaluation by Anastassios Koumbourlis, for example. Koumbourlis felt that Hansen et al. had done an "excellent job" on their article and had provided enough evidence to change clinical practice in the area of spirometry; however, he also thought that they had overemphasised the importance of a particular area. In their response, published underneath Koumbourlis's evaluation, the authors, Hansen, Sun and Wasserman, discuss their reasons for this.
Author response is another great way to enliven discussion and encourage debate around key articles. We currently have a number of author responses waiting to be published in the near future, so keep an eye out for these.