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uptodate: staying current without reading everything

a practical ‘updates’ strategy: what to monitor, how to timebox, and how to avoid information overload while remaining defensible.

The Bottom Line

  • Aim for targeted updates, not exhaustive reading.
  • Define your high-risk/high-frequency topics and review those periodically.
  • Track ‘practice-changing’ updates as a tiny routine, not a marathon.
Clinicians don’t need to read everything to be current; they need a defensible update routine. The simplest approach is to focus on your practice profile: the conditions and decisions you see often, and the decisions with high consequence when you get them wrong.
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Step 1 — Identify your ‘high-frequency’ list

Write down your top 10 recurring clinical questions. Your update routine should be anchored to what you actually see.
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Step 2 — Identify your ‘high-consequence’ list

These are the decisions where mistakes matter: escalation thresholds, safety-netting triggers, high-risk medicines, and red-flag differentials.
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Step 3 — Timebox a micro-routine

Example: 10 minutes weekly to skim what’s new for your lists. Consistency beats intensity.
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Step 4 — Keep a one-line ‘practice change log’

If something changes how you practise, capture one line (what changed, why, what you’ll do now).
Practice

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SourceWolters Kluwer: UpToDate overview
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Official Sources

Wolters Kluwer — UpToDate overview