DynaMed vs. UpToDate Remote access to a clinical decision support tool is available through DynaMed.  Produced by a physician for use at the point-of-care, DynaMed has clinical summaries for about 3,000 topics, which are updated daily and organized by 12 categories:  General Information (including ICD-9 codes), Causes and Risks, Complications, History, Physical, Diagnosis, Prognosis, Treatment, Prevention and Screening, References, Patient Information, and Acknowledgements.  The information in each category is displayed in descending order by level of evidence.  Evidence summaries focus on patient-oriented outcomes and absolute risks (NNT).   See www.dynamicmedical.com for more information.  Following is a brief comparison of the DynaMed and UpToDate databases accessible to the UMMSM: Feature DynaMed UpToDate Remote Access Yes Not available PDA Access* Yes UMMSM Wireless Network Clinical Focus General Medicine Internal Medicine and subspec Number of Topics 3,000 7,000 Evidence Reporting Evidence levels for all info Evidence levels for 17% of topics Frequency Daily 3 times yearly Drug Compendium No Yes Graphics No Yes   *See http://www.ebscohost.com/dynamed/technical.php