End of Guidelines (Video parody by James McCormack feat. ZDoggMD + friends)

James McCormack (@medmyths, BS Medicine Podcast) does it again!

Clinical Practice Guidelines must change! This is the end of guidelines as we know them.

Yes that is me and Gilbert Welch on the same screen. For realz!

Yes that is me and Gilbert Welch on the same screen. For realz!

We need patient centred care, including discussion of the values of the patient, the harms of intervention, and alternative options. Right now we have a bunch of arbitrary target numbers for treatment that medicalize normal people. These guidelines are mired in conflict of interest as the majority of guideline-authors having egregious conflicts of interest with industry. 

It's time to fix this! I'm honoured to be a part of this effort and call for action. It was awesome fuel for my imposter syndrome being asked to be in one of James' videos alongside some of my 'preventing overdiagnosis' heroes, not to mention ZDoggMD (whose videos I have followed for ages, probably since Hard Doc Life). The video features such like-minded pals including but not limited to: Gilbert Welch, Tim Caulfield, Iona Heath, Victor Montori, Richard Lehman and yep, yours truly - "it's just common sense!"

See for yourself and share widely:

Source: https://www.youtube.com/watch?v=DHDnqQ_mCB...

BMJ Blogs: Six proposals for EBM’s future

Dr Paul Glasziou is a Professor of Evidence-Based Medicine at Bond University in Australia. He speaks and writes mainly about the translation of health research into clinical practice.

His latest contribution to the BMJ Blog is a look at the future of evidence-based medicine (EBM). As its era fades into another, it becomes apparent that there is still a huge gap between what research tells us and what doctors and patients wind up doing.

Sometimes the known evidence is biased, of poor quality, or doesn't actually have any relevance for our patient. Sometimes, we have strong evidence about what is clinically 'correct' but we have forgotten to remember that each patient is an individual, with unique goals and life circumstances. Sometimes, we get so caught up in chasing the potential benefits of something that we fail to realize it could be causing more harm than good.

Read Dr Glaszious' Six Proposals for EBM's future, as he tackles these tough issues and helps to guide us back to a place where research improves care.

Source: http://blogs.bmj.com/ce/2015/03/27/six-pro...

VIDEO: "The values of clinical practice" Campaign for doctors in training

Thanks to the Advances in Clinical Management blog run by Dr Jordi Varela (@gesclinvarela), I discovered this video (in Catalan with english subtitles) highlighting key aspects of clinical practice that need to change in order to move us toward "the right care."

Dr Varela summarizes the key points of the video as follows:

  1. Learn to listen patients and appreciate what their circumstances are.

  2. Forget about persuasion and learn the technique of motivational interviewing.

  3. Help patients to make clinical decisions for themselves.

  4. Rate the burden of treatment and learn to deprescribe whenever necessary.

  5. Take the time for clinical reasoning and adopt the Bayesian probabilistic thinking.

  6. Request tests that make sense clinically, thinking about the value they will bring.

  7. Learn to teamwork, specially when facing complex patients.

  8. Watch out for overdiagnosis when practicing prevention and share it with target people.

  9. Incorporate palliative methodology in your clinical practice and know how to have the proper conversation about the end of life with patients and their families.

  10. Know how to get the "Right Care" sources.

Some of the top sources are listed at the end of the video and in the blog post. Check it out.

Source: http://varelaclinicalmanagement.blogspot.c...