Maria on the dominance of UpToDate. Dependence on this resource starts early in medical school, and many physicians can’t practice without it. They’re indispensable and they know it:
UpToDate is not a free resource. Word on the street is that within the past year, the company that manages UpToDate has increased their prices by 500%! Thus, any institution that would like to make UpToDate available to staff now must pay a fee that is over half a million dollars.
The folks at UpToDate know how much housestaff rely upon this program. Darn it.