Pearls4Peers (P4P): A “Learning by Sharing” Resource Dedicated to Hospital Medicine

Dear Peers,

Why might you need Pearls4Peers? The simple answer is easy access to many concise well-referenced answers to clinical questions that come up during the care of our patients.  Sure, there may be other online resources that most of the time provide what you are looking for but how much time do you have and are they open-access and free without any advertisements? With over 250 pearls and counting, sign up so that you can catch each new pearl “Fresh from Oceans of Knowledge!”

As an internist who is also trained in infectious diseases and has been in practice for over 25 years, I became interested in studying curbside consultations years ago because they provide a real life glimpse of what many physicians really want to know without having to deal with information overload from textbooks and online resources.  My attempt at addressing this need led to publication of couple of articles (JAMA 1996;275:145-7, and Clinical Infectious Diseases 1996;22:303-7), and a book (Mosby’s Curbside Clinician, 1998) on the same subject.

You might say that P4P is only a natural digital age extension of my continued belief that informally-asked clinical questions raised during the care of today’s patients continue to have great educational value, particularly when answered in a clear and concise manner.

With thousands of  visitors from over 140 countries, I look forward to making this open-access free educational website even more useful and fun!

As this project is truly a work in progress, your comments and suggestions on how it can serve you better are always welcome.

If still interested, get started right away by clicking on the  icon in the right upper corner of this page.  Please search by topics or key words.  If you like what you see, please sign up to be notified with each new post (scroll down to the bottom of the column after clicking on the icon in the right upper corner of any page).

You can also download the P4P app on your android free of charge or advertisements at!

Apple iOS app is on the way!


Farrin A. Manian, MD, MPH, FACP, FIDSA,                                                              Core educator faculty
Department of Medicine,
Massachusetts General Hospital,
Boston, MA
Sept, 2019

Disclosures: The listed questions and answers are solely the responsibility of the author and do not necessarily represent the official views of Massachusetts General Hospital, Harvard Catalyst, Harvard University, its affiliate academic healthcare centers, or its contributors. Although every effort has been made to provide accurate information, the author is far from being perfect. The reader is urged to verify the content of the material with other sources as deemed appropriate and exercise clinical judgment in the interpretation and application of the information provided herein. No responsibility for an adverse outcome or guarantees for a favorable clinical result is assumed by the author. Thank you!

3 thoughts on “Pearls4Peers (P4P): A “Learning by Sharing” Resource Dedicated to Hospital Medicine

  1. Dan Gebremedhin says:

    For someone like me who has limited clinical time, this is a great way to continue learning virtually

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