The Future of Medical Guidelines: Standardizing Clinical Care With the Humility of Uncertainty

2021 ◽  
Author(s):  
Brad Spellberg ◽  
William F. Wright ◽  
Terry Shaneyfelt ◽  
Robert M. Centor
2016 ◽  
Vol 26 (3) ◽  
pp. 182-188
Author(s):  
MaryKate Driscoll ◽  
Hyun Kee Chung ◽  
Manisha S Desai

Surgeons influence the introduction and development of anesthesia in many ways. Robert Emmett Farr is frequently cited as the first to describe the use of brachial plexus anesthesia in children. A surgeon based in Minneapolis, Minnesota, he passionately believed that regional anesthesia was superior to general anesthesia for many surgical procedures. He wrote extensively promoting other regional techniques, including local infiltration of local anesthetics for pyloromyotomy and harelip repairs, as well as caudal blocks for lower abdominal procedures. Anesthesia texts from the early 1900’s suggest that regional anesthesia was not popular as a reliable alternative to general anesthesia. Undeterred, Farr continued promoting his view that regional anesthesia was the future of surgery. We examine how Farr promoted regional anesthesia in children and adults, in a way changing surgical practice and improving clinical care. We also hope to highlight the other contributions to medicine made by this pioneer.


2016 ◽  
Vol 77 (02) ◽  
pp. e135-e137 ◽  
Author(s):  
Gillian M. Sandstrom ◽  
Neal Lathia ◽  
Cecilia Mascolo ◽  
Peter J. Rentfrow
Keyword(s):  

Physiotherapy ◽  
1995 ◽  
Vol 81 (4) ◽  
pp. 194-197 ◽  
Author(s):  
Mary H Bradley ◽  
Jane M Mitchell ◽  
Edward B Renvoize
Keyword(s):  

The Lancet ◽  
2018 ◽  
Vol 392 (10146) ◽  
pp. 472-473 ◽  
Author(s):  
Marc Dewey
Keyword(s):  

Author(s):  
Tara Cusack ◽  
◽  
Nicola Mountford ◽  
Minna Isomursu ◽  
Guido Giunti Garcia ◽  
...  

Typically, less than half of doctoral graduates will be employed in academia immediately after graduation, with less than 10%-15% achieving a long-term academic career. This leaves 85-90% of PhD graduates seeking employment outside the academic setting, for example in industry and government. The objective of the CHAMELEONS study (CHampioning A Multi-sectoral Education and Learning Experience to Open New pathways for doctoral Students) is to develop innovative educational interventions that shape more adaptable, entrepreneurial, and employable graduates, ready to meet the challenges of the future. Stakeholders from the connected health industry, clinical care, charities, patients, patient representatives, government, recent doctoral graduates, and academics were invited to participate in a “World Café” participatory method for collecting qualitative data. Owing to the COVID-19 health situation this took place via Zoom. Analysis of the results revealed 4 key learning objectives for doctoral graduates to: 1. Develop networking and communication skills. 2. Understand user centred research design. 3. Market research capacity and research skills. 4. Build an understanding of themselves and others. This led to the development of three bespoke doctoral modules: 1. Forging relationships: Building and Sustaining your Doctoral Network; 2. Managing the Project: Keeping on Track with an Eye to the future; Module 3: Starting your Career: Future Proofing your Career and Getting a Job. These modules are available to doctoral students across five European Universities.


2012 ◽  
Vol 40 (3) ◽  
pp. 441-451 ◽  
Author(s):  
Bernard Lo

Financial relationships between physicians and industry are widespread. Highly publicized financial relationships between physicians and industry raised disturbing questions about the trustworthiness of clinical research, practice guidelines, and clinical care decisions. Recent incidents spurred calls for stricter conflict of interest policies and led to new federal laws and NIH regulations. These stricter policies have evoked praise, concerns, and objections. Because these new federal requirements need to be interpreted and implemented, spirited discussions of conflicts of interest in medicine will continue.


2004 ◽  
Vol 32 (2) ◽  
pp. 252-266 ◽  
Author(s):  
Patricia Marshall ◽  
Barbara Koenig

As we look to the future in a world with porous borders and boundaries transgressed by technologies, an inevitable question is:Can there be a single, global bioethics? Intimately intertwined with this question is a second one: How might a global bioethics account for profound - and constantly transforming - sources of cultural difference? Can a uniform, global bioethics be relevant cross-culturally? These are not simple questions, rather, a multi-dimensional answer is required. It is important to distinguish between two meanings of bioethics: the academic discipline of bioethics as opposed to bioethics as a set of (increasingly globalized) practices governing clinical care and scientific research. There is growing evidence to support the notion of a shared global understanding of bioethics as a field of inquiry focused on the moral dimensions of science and biomedicine.


2011 ◽  
Vol 7 (4) ◽  
pp. 257-262 ◽  
Author(s):  
Stacey Shiovitz ◽  
Ashley Gay ◽  
Arden Morris ◽  
John J. Graff ◽  
Steven J. Katz ◽  
...  

The Internet is a useful tool for providing relevant clinical research to providers, but in the future could be tailored to an individual's needs, aiding synthesis and, hopefully, improving the quality of clinical care.


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