As a primary care physician, I found that there is a certain gap in practical knowledge that clinical practical guidelines (CPG) seem to offer my fellow colleagues. Hence I embarked on a mission to write a book which not only simplifies pre-existing guidelines but allow physicians to learn the management of a disease by just reading one page. When I happen to discuss this (coincidentally) with an author of the bronchial asthma CPG, he vehemently challenged my idea, saying that everything has been written in the CPG. My argument however, was, my was more practical and it has incorporated everything that the CPG has described. Should I continue this endeavour, as it is tedious, by rewarding for all my primary care colleagues if they read it in the future?
You might be looking at something like EBM Guidelines.
http://www.duodecim.fi/web/duodecimpublications/ebmg
That's an interesting challenge. I admire your ambition to write a book, and I can see why a book can provide added value to just a guideline. If it summarizes several guidelines in one place. Many guidelines are way too long, a known barrier to using guidelines is that they take too long to read. So if you can summarize them on one page, and add more valuable clinical knowledge, that is probably a worthwhile endeavour. At the same time - the book format gets obsolete quickly. These days in EBM circles there is a lot of talk about hi tech solutions, mainly apps on mobile platforms. They can easy be updated and modified and are available at your physician colleagues finger tips. Maybe it would be possible to publish your book electronically in a mobile device format? Any way, good luck, this was just my spontaneous reaction to your question.
Thanks very much Susanne. Yes, creating tech solutions seems to be the way to go. It also allows a person to continuously edit information as new updates appear. Maybe I should look at it from this particular perspective than writing a book.
Rabin
Guidelines do not provide the immediate practical "what to do" at the point of care across medicine. Even if a particular guideline is written in way to provide this perfectly, then it is only done for that guideline, and how does the clinician know to find and use that guideline when facing thousands of topics?
Before you create your own solution, check out other solutions and see if you can collaborate -- so much work to do it all. EBM Guidelines was mentioned earlier. Another solution that I work with is DynaMed (dynamed.ebscohost.com) which is updated daily and systematically monitors the evidence and guidelines. You can email me at balper-at-ebsco.com (replace -at- with @)
I think, new learning methods, computerization and programming make sometimes more useful the book which not only simplifies pre-existing guidelines but allow physicians to learn the management of a disease by just reading one page. Students in medicine study very long time all anatomy, pathology, physiology, pharmacology, clinical pharmacology and in practice they need to do full management. Management is more important and it can be short reminding. I wish you successes. And hope you will share your book with us.
Dear Dr. Alper, thanks very much for your feedback. That was exactly what I had in mind, I have sent you an e-mail for a more detailed discussion.
Translation, and implementation of CPGs into a particular contexts of care is often not valued. It is work that practicing clinicians as well as patients should be involved with. Your work has much promise and exploring how your "one page" reminders could be incorporated into Clinical Support Decision tools is a great suggestion by Brian. I would also encourage you to think about how you can get data on health outcomes from your "one pages" when they are used by clinicians. It may be as simple as reminding practitioners of which diagnostic or treatment codes to record. The outcome data needs to be fed back into practice so approaches can be adjusted. I encouraged you to continue, Rabin.
I attach a diagram I made for a paper (not published).
Best Wishes,
John
It is indeed a great idea to allow the primary care physicians to learn management of a disease in a single page by utilizing pre- existing guidelines . Please do not prejudge the response of the users . There is so much of information available to primary care doctors that they are overwhelmed by the advances in management . Please have confidence in your approach & do not ask experts , who formulate guidelines & continue your endeavour ,even if it is tedious . Primary care plays an important role in management of diseases & every effort should be made to simplify management of diseases by guiding the physicians .
- Badges
- Science topic
- Similar topics
- Psychology