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DynaMed – Overview and Topic Navigation

DynaMed is a clinical reference tool created by physicians for physicians, residents, nurse practitioners and other healthcare professionals for use at the point of care. With clinically-organized summaries for more than 3,400 topics, DynaMed provides the latest content and resources with validity, relevance and convenience, making DynaMed an indispensable resource for answering most clinical questions.

DynaMed editors monitor the content of more than 500 medical journals on a daily basis. Each article is evaluated for clinical relevance and scientific validity. The new evidence is then integrated with existing content, and overall conclusions are changed as appropriate, representing a synthesis of the best available evidence. Through this process of Systematic Literature Surveillance, the best available evidence determines the content of DynaMed.

Content Sources:

DynaMed Editors systematically monitor journals, journal review services, systematic review collections, guideline collections, drug information sources and other relevant sources.

DynaMed's Systematic Literature Surveillance process includes:

  • Cover-to-cover surveillance of highest-yield content sources
  • Targeted MEDLINE searches for systematic reviews and randomized controlled trials for high-yield journals
  • Targeted MEDLINE searches for selected subject areas (e.g., complementary therapies) across all indexed journals (approximately 5,200)
  • Comprehensive MEDLINE searches for guidelines
Levels of Evidence:

DynaMed provides easy-to-interpret Level of Evidence labels so users can quickly find and determine the quality of the best available evidence. Evidence may be labeled in one of three levels:

Level 1 - Level 1 (likely reliable) Evidence - representing research results addressing clinical outcomes and meeting an extensive set of quality criteria which minimizes bias.

Level 2 - Level 2 (mid-level) Evidence - representing research results addressing clinical outcomes, and using some method of scientific investigation, but not meeting the quality criteria to achieve level 1 evidence labeling.

Level 3 - Level 3 (lacking direct) Evidence - representing reports that are not based on scientific analysis of clinical outcomes. Examples include case series, case reports, expert opinion, and conclusions extrapolated indirectly from scientific studies.

Read More about Levels of Evidence.

Access Options:

All DynaMed subscriptions include unlimited access—both on-site and remotely—for authorized users. DynaMed is accessible via:

Web AccessDynaMed is an online hosted database that can be accessed by users from workstations located throughout a subscribing institution, as well as from anywhere internet access is available outside of the primary institutional location.

Mobile AccessDynaMed is available as a mobile application, compatible with devices such as the iPhone, iPad, iPod touch and Android Smartphone.

EMR Integration — Easy integration with all Electronic Health/Medical Records (EHR/EMR), decision support and patient record applications are available via the EBSCOhost Integration Toolkit (EIT), as well as various other integration options.

Search and Browse:

There are three ways to search for a topic from the DynaMed Start Page:

Search Topic Names and Topic Text Simultaneously
 ▶ Enter complete words or phrases in the Find field. Click the Search button.

Browse Topic Names Alphabetically
 ▶ Click a letter in the A-Z list.

Browse by Category Name
 ▶ Click the Browse Categories link.

DynaMed Search field and Browse options

Topic Summary Organization

DynaMed topic summaries are organized into standard sections to allow easy navigation.

Upon opening a topic summary, all sections are collapsed (not viewable) by default.
 ▶ To open all the sections simultaneously, use the Expand All link located above the topic summary.
 ▶ To close all sections simultaneously, use the Collapse All link.

Navigating a topic summary:

DynaMed Topic Summary

The DynaMed editorial process applies the following strict protocols:

  1. Systematically identifying the evidence
  2. Systematically selecting the best available evidence from that identified
  3. Systematically evaluating the selected evidence (critical appraisal)
  4. Objectively reporting the relevant findings and quality of the evidence
  5. Synthesizing multiple evidence reports
  6. Deriving overall conclusions and recommendations from the evidence synthesis
  7. Changing the conclusions when new evidence alters the best available evidence

Every article considered for inclusion in DynaMed is processed using this system, and the system ensures the integrity of the conclusions.