NOTE: Full access to PIER is an ACP Member benefit. However, ACP is providing non-Members access to PIER modules related to each In the Clinic issue for the entire month of publication. Information about the benefits of ACP Membership, which includes access to PIER and Annals, is available here.
PIER (http://pier.acponline.org) is a compendium of 435 modules of evidence-based clinical guidance presented electronically in a unique telegraphic format designed for rapid access to clinical information at the point of care by physicians and other health care providers. PIER is richly linked to the College's extensive body of clinical content and to other high quality material useful to practice. A comprehensive drug database in included in PIER. PIER rates its guidance by strength of recommendation based upon the underlying evidence and each literature citation by evidence level. It draws upon evidence of all levels, from randomized controlled trials through consensus and expert opinion, but identifies what level applies to what piece of evidence. All content in PIER is rigorously peer reviewed and continually updated.