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Edward G. Miner Library

Nurse Practitioner Student Guide: Clinical Tools

A guide to library resources and clinical tools.

Clinical Guidelines

What is a guideline? 

A “Clinical Practice Guideline” (CPG) has been defined in a very structured manner by the Institute of Medicine as a “systematically developed statement to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.”

“Evidence-based” implies that the document or recommendation has been created using an unbiased and transparent process of systematically reviewing, appraising, and using the best clinical research findings of the highest value to aid in the delivery of optimum clinical care to patients.

(From Defining Clinical Practice Guidelines by Waters.) 

The US Preventive Services Task Force  

The United States Preventive Services Task Force (USPSTF) is part of the Agency for Healthcare Research & Quality (

The USPSTF is an independent panel of experts in primary care and prevention who:
  • Systematically review the evidence for effectiveness of various preventive services
  • Evaluate the benefits of individual services based on age, gender, and risk factors for disease
  • Make recommendations about which preventive services should be routinely incorporated into primary medical care for specific populations
  • NOTE: These recommendations are for asymptomatic patients only

ePSS is the app the assists clinicians to quickly search the USPSTF recommendations.

ePSS is available on Android, iPad, iPhone, Windows, and the Web. 

Finding Clinical Answers

Access Medicine

A collection of textbooks and other tools. 

  • DeGowin's Diagnostic Evaluation
  • GoodMan & Gillman's The Pharmacologic Basis of Therapeutics
  • Hurst's The Heart
  • Schwartz' Principles of Surgery
  • Tintinalli's Emergency Medicine
  • Williams Hematology
  • Harrison's.
  • Other books cover: biostatistics, pathology, gross anatomy, physiology, histology, biochemistry, epidemiology, health policy, and more.
  • Differential diagnoses tool


A very large collection of books, journals, and other resources from Elsevier. Includes:

  • Books: Medical and surgical reference books and textbooks
  • Journals: Over 600 journals 
  • Procedures Consults: 
  • First Consul: over 850 point-of-care clinical monographs
  • Drug monographs
  • Patient education materials
  • Clinical Trial information from
  • Practice Guidelines
  • MEDLINE citations
  • Images, medical & surgical videos



Comprehensive clinical support tool accessible through the app on the the web

Register for an UpToDate account on a computer connected to the URMC network or VPN. 

Download the free app from your usual app store and log in with the UpToDate user name and password created during the registration process.

UpToDate requires that you verify your affiliation with URMC or Highland Hospital by logging in to UpToDate from a computer connected to the URMC network at least once every 90 days.  The mobile app will notify you when you need to verify your affiliation.