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BMJ Best Practice: Search and Retrieval Tactics That Save Time

Practical tactics: keyword selection, narrowing fast, avoiding rabbit holes, and building a repeatable on-shift retrieval loop.

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IMG pathwayThis guide is updated for 2026 regulations (UK/US/Aus/Can). Always verify with official bodies.

Key points

  • Your search query quality determines your speed more than the tool does.
  • Use intent-first phrasing (symptom vs diagnosis vs management vs follow-up).
  • Build a 60-second loop: question → orient → extract minimum safe plan → cross-check.
Clinicians commonly lose time by searching too broadly or too early. The fastest workflow is to decide your intent first (orientation vs confirmation vs escalation thresholds), then search with the smallest phrase that uniquely identifies the topic.
1

Tactic 1 — Search the ‘decision point’

Instead of searching the condition name, search the exact decision you’re stuck on (e.g., ‘first line’, ‘follow-up’, ‘red flags’, ‘when to refer’).
2

Tactic 2 — Avoid narrative scrolling

Extract the minimum safe plan, then stop. If you keep reading, you’re usually compensating for unclear intent.
3

Tactic 3 — Capture your own mini-checklists

Write down 3–5 ‘must not miss’ points you repeatedly look up. The goal is fewer lookups, not better lookups.
4

Tactic 4 — Set a timebox

If you haven’t found what you need in 60–90 seconds, switch tool or change your query. Don’t drift.
SourceBMJ: BMJ Best Practice overview
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BMJ — BMJ Best Practice product overview
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  • Instead of searching the condition name, search the exact decision you’re stuck on (e.g., ‘first line’, ‘follow-up’, ‘red flags’, ‘when to refer’).

    Return to this section
  • Extract the minimum safe plan, then stop. If you keep reading, you’re usually compensating for unclear intent.

    Return to this section
  • Write down 3–5 ‘must not miss’ points you repeatedly look up. The goal is fewer lookups, not better lookups.

    Return to this section
  • If you haven’t found what you need in 60–90 seconds, switch tool or change your query. Don’t drift.

    Return to this section

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