The BMJ Publishing Group and the Health Information Research Unit at McMaster University are pleased to announce a new, advanced information service to support clinical practitioners to keep up to date and to find current best evidence for practice. The service, bmjupdates+ (http://bmjupdates.com), has this goal: toprovide clinical practitioners with the best new evidence concerning important advances in health care, exactly tailored to their interests.

For a typical clinician, aiming to keep up with the most important “need to know” studies and reviews, bmjupdates⁺ uses a 2 step process (see figure below) to shrink about 50 000 articles per year in >100 clinical journals to the most important 1–2 articles per month, a “noise reduction” of …