The Bottom Line
- Pick the tool based on the question type: fast orientation vs deep evidence synthesis vs UK pathway wording.
- Avoid tool-hopping: decide your ‘default’ and define triggers for switching tools.
- For UK documentation, NICE/CKS-style phrasing often matters for defensibility and communication.
These tools overlap, so clinicians waste time using them interchangeably. You get faster (and safer) by mapping each tool to a specific intent and switching only when your intent changes.
1
Use BMJ Best Practice when you need speed + structure
Ideal for rapid orientation and a structured ‘what to consider next’ flow in time-pressured environments.
2
Use UpToDate when you need deeper narrative + breadth
Strong when the question is nuanced and you want a more expansive synthesis and context.
3
Use NICE/CKS when UK pathway wording matters
Useful for UK-aligned phrasing, common pathway framing, and a defensible wording style for documentation and patient communication.
4
Switch tools only on a trigger
Example triggers: uncertainty after first pass; conflicting guidance; needing UK-specific pathway wording; needing deeper evidence detail.
Practice
Test your knowledge
Apply this concept immediately with a high-yield question block from the iatroX Q-Bank.
SourceBMJ: BMJ Best Practice overview
Open Link SourceWolters Kluwer: UpToDate overview
Open Link