UpToDate requires a personal account to access its content. Please follow the instruction below to create an UpToDate account.
- Go to Shiffman Medical Library homepage.
- Click on "UpToDate" under "Resources".
- You'll need to log in with your WSU AccessID and password if you are accessing the site from off campus.
- After logging in, you will see the UpToDate log in page. Click "Register Now" to create a personal account with UpToDate. Please note this personal account is different from your WSU AccessID.
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)
You can access UpToDate with your personal account through its website or mobile app from off campus without going through the library for up to 90 days. Once prompted to re-authenticate your UpToDate account, please access UpToDate from the Shiffman Medical Library homepage to authenticate your access.
How do I re-authenticate UpToDate access?
Please note: UpToDate is only available to WSU faculty, staff, students, residents in WSU residency programs and DMC/WSU joint residency programs.