Elsevier to Offer Free Point-of-Care CME Credits From Cleveland Clinic to MD Consult, First Consult Users

Online CDS Users can Receive Free CME Credits for Self-Directed, Structured Learning Search = CME Credit

PHILADELPHIA, May 10, 2010 - Elsevier (www.elsevier.com/), a world leader in health care and
medical publishing and online solutions, today announced that the Cleveland
Clinic Center for Continuing Education (www.clevelandclinicmeded.com/)
will provide point-of-care Continuing Medical Education (CME) credit to users
of MD Consult (www.mdconsult.com/) and First Consult (
www.firstconsult.com/).

"Our dedication to providing a wide array of first-rate CME opportunities
to medical professionals throughout the world will be further advanced
through this relationship with Elsevier's MD Consult and First Consult," said
William D. Carey, M.D., Director of the Cleveland Clinic Center for
Continuing Education. "We have one of the largest and most diverse CME
programs anywhere, and we're looking forward to bringing CME credit to MD
Consult and First Consult users."

Users of First Consult, which provides instant access to information on
evaluation, diagnosis, clinical management, prognosis and prevention, and MD
Consult, a clinical reference tool utilized by more than 2000 healthcare
organizations and 95 percent of all U.S. medical schools, will earn
Point-Of-Care CME Credit as they perform searches and access relevant content
to answer patient care questions.

"The Cleveland Clinic's validated CME content will bring a truly unique,
individualized learning experience to the hundreds of thousands of MD Consult
users around the world," said Randy Charles, Managing Director, Global
Clinical Reference, Elsevier. "Within the daily workflow, as they use
clinical content to support diagnosis and treatment, physicians will be able
to click a button and receive CME accredited by one of the world's leading
healthcare institutions."

After performing a search and finding the answer in MD Consult's breadth
of clinical content, physicians can then click on "Request CME" and complete
a short form from the Cleveland Clinic Center for Continuing Education, which
is accredited at the highest level (with commendation) by the Accreditation
Council for Continuing Medical Education (ACCME)( www.accme.org/) to
provide continuing medical education for physicians. By submitting this short
form, physicians can earn 0.5 American Medical Association PRA (Physician's
Recognition Award) Category 1 Credit(s)(TM) for each search conducted through
MD Consult and First Consult.

"With point-of-care CME credits, physicians can apply for CME credit with
ease, speed, convenience and no disruption in their workflow," Charles said.
"Physicians will be pleased to know that their searches for timely,
evidence-based clinical content can now qualify for CME credit." MD Consult
subscribers perform more than 1.7 million searches per month.

Physicians are turning increasingly to the Internet for clinical
information: 86 percent of U.S. physicians now use the Internet to gather
health, medical or prescription drug information, according to a November
2009 survey commissioned by Google. A 2009 Manhattan Research survey put the
number at 89 percent, and one-third of physicians have claimed that they
changed a patient's treatment as the result of an Internet search. Instead of
relying on the unproven information available widely on the Internet,
Elsevier sees physicians gravitating more to the evidence-based clinical
content provided by online tools such as MD Consult and First Consult.

Elsevier's MD Consult delivers instant access to full-text articles from
more than 80 medical journals and Clinics, 50 medical references across a
range of specialties, clinically relevant drug information, and more than
10,000 patient handouts in English and Spanish. Elsevier's First Consult
offers an online database on patient evaluation, diagnosis, treatment, tests
and prevention, interactive access to potential diagnoses and video and
animated guidance on common medical procedures.

About Elsevier

Elsevier is a world-leading publisher of scientific, technical and
medical information products and services. The company works in partnership
with the global science and health communities to publish more than 2,000
journals, including The Lancet (www.thelancet.com) and Cell
(www.cell.com), and close to 20,000 book titles, including major
reference works from Mosby and Saunders. Elsevier's online solutions include
ScienceDirect (www.sciencedirect.com), Scopus (www.scopus.com),
Reaxys (www.reaxys.com), MD Consult (www.mdconsult.com) and
Nursing Consult (www.nursingconsult.com), which enhance the
productivity of science and health professionals, and the SciVal suite
(www.scival.com) and MEDai's Pinpoint Review (www.medai.com),
which help research and health care institutions deliver better outcomes more
cost-effectively.

A global business headquartered in Amsterdam, Elsevier (
www.elsevier.com) employs 7,000 people worldwide. The company is part
of Reed Elsevier Group PLC (www.reedelsevier.com), a world-leading
publisher and information provider, which is jointly owned by Reed Elsevier
PLC and Reed Elsevier NV. The ticker symbols are REN (Euronext Amsterdam),
REL (London Stock Exchange), RUK and ENL (New York Stock Exchange).

    Contact:

    Tom Reller,
    Vice President, Global Corporate Relations,
    Elsevier,
    +1-215-239-3508,
    T.Reller@Elsevier.com .

Contact: Tom Reller, Vice President, Global Corporate Relations, Elsevier, +1-215-239-3508, T.Reller at Elsevier.com .