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I finally watched the video, and I LOVE the theatrics... And the Cameos! This will get an airing at our Journal club this week. More seriously, while I completely agree that there needs to be more emphasis on shared discussion and less on directing this or that course of action, I also have to say I've been startled Dwyer discussing recent and, I think, well researched guidelines, to hear people (who I THINK would espouse support of EBM), knock the guidelines for their CONCLUSIONS, without engaging a discussion of their evidence base. Cases in point: 2013 cholesterol guidelines, and the recent USPSTF ASA guideline - both with good evidence reviews, both with (I think) appropriate discussions of shared decisions. They may not be perfect, but they seem to be about the best we can get to. (Conversely, the recent CDC opiate guideline is a particularly "good" example of over extrapolation from weak evidence to over-strong directives. Hmmm..... It seems we have (with apologies to Q) a "Continuum" of guidelines! LLAP Bill Cayley, Jr, MD MDiv [log in to unmask] [log in to unmask] Work: 715.286.2270 Pager: 715.838.7940 Home: 715.830.0932 Mobile: 715.828.4636 "I think some of the most celebrated moments in human achievement should be those times when everything is going against a person and they are down in the dumps but they simply choose to get up. That's real greatness." -- Ryan Hall > On May 3, 2016, at 17:42, Brian Alper MD <[log in to unmask]> wrote: > > Resistance is futile – they will be assimilated. > > But if that occurred, would the forced vergence (Are your eyes crossing yet?) be the end of guidelines? > > > Brian S. Alper, MD, MSPH, FAAFP > Founder of DynaMed > Vice President of Innovations and EBM Development > www.dynamed.com, health.ebsco.com > Twitter: @BrianAlperMD > > CAN’T is more often a choice than a fact … https://www.linkedin.com/pulse/cant-brian-alper > > > From: Evidence based health (EBH) [mailto:[log in to unmask]] On Behalf Of McCormack, James > Sent: Tuesday, May 03, 2016 6:14 PM > To: [log in to unmask] > Subject: Re: The End of Guidelines - a parody > > I’m more of a Trekkie :) - so I think it should be an “assimilation" of guidelines > > On May 3, 2016, at 2:33 PM, Glyn Elwyn <[log in to unmask]> wrote: > > i think you are sightly over informed ;) > > A vergence was a phenomenon of the Force that was centered around an object, place, or person. Meetra Surik was the center of a vergence. Jedi Master Qui-Gon Jinn believed that a vergence in the Force was located in Anakin Skywalker. > > > Professor Glyn Elwyn http://www.glynelwyn.com/ > [log in to unmask] Email > @glynelwyn Twitter > glynelwyn Skype > +1-603-729-6694 Cell > +1-603-653-0806 Robin Paradis Montibello Laboratory Coordinator > [log in to unmask] Calendar > > The Preference Laboratory > The Dartmouth Institute for Health Policy & Clinical Practice > Level 5 Williamson Translational Research Building > One Medical Center Drive > Lebanon NH 03756 > > > > > On Tue, May 3, 2016 at 4:34 PM, McCormack, James <[log in to unmask]> wrote: > Certainly a vergence (the simultaneous movement of both eyes in opposite directions) is what I do when I see all these guidelines. But I like the term in the context of guidelines. > > James > > On May 3, 2016, at 12:59 PM, Brian Alper MD <[log in to unmask]> wrote: > > Guidelines may be convergent or divergent. So a name for a group of guidelines (if looking for a made-up word like gaggle or new use for a word like pride) could be a vergence. > > Wouldn’t it be nice to recognize when the guidelines converge or diverge? (That’s a separate concept) > > Brian S. Alper, MD, MSPH, FAAFP > Founder of DynaMed > Vice President of Innovations and EBM Development > www.dynamed.com, health.ebsco.com > Twitter: @BrianAlperMD > > CAN’T is more often a choice than a fact … https://www.linkedin.com/pulse/cant-brian-alper > > > From: Evidence based health (EBH) [mailto:[log in to unmask]]On Behalf Of Glyn Elwyn > Sent: Tuesday, May 03, 2016 3:39 PM > To: [log in to unmask] > Subject: Re: The End of Guidelines - a parody > > Tempted to suggest 'a divergence' of guidelines - or should we be more optimistic and say 'a convergence' > > glyn > > > Professor Glyn Elwyn http://www.glynelwyn.com/ > [log in to unmask] Email > @glynelwyn Twitter > glynelwyn Skype > +1-603-729-6694 Cell > +1-603-653-0806 Robin Paradis Montibello Laboratory Coordinator > [log in to unmask] Calendar > > The Preference Laboratory > The Dartmouth Institute for Health Policy & Clinical Practice > Level 5 Williamson Translational Research Building > One Medical Center Drive > Lebanon NH 03756 > > > > On Tue, May 3, 2016 at 11:10 AM, Anthony Cummins <[log in to unmask]> wrote: > James > > Go for it! > > Anthony > > Sent from my iPhone > > Dr. Anthony Cummins MB BCh BAO MRCGP > Clinical lecturer > <image001.jpg> > RCSI Department of General Practice > Royal College of Surgeons in Ireland > Beaux Lane House, Lower Mercer Street, 2, Ireland > T: 01-402-8604 > E: [log in to unmask] W: www.rcsi.ie > RCSI DEVELOPING HEALTHCARE LEADERS > WHO MAKE A DIFFERENCE WORLDWIDE > On 3 May 2016, at 22:31, McCormack, James <[log in to unmask]> wrote: > > Anthony - that is a great idea - I may steal it - see attached image > <A confusion of.jpg> > > On May 3, 2016, at 4:23 AM, Anthony Cummins <[log in to unmask]> wrote: > > There are collective nouns specifically for lions (a pride of), geese (a gaggle of) etc but what is the collective noun for the unending collection of guidelines issuing from all and sundry? Let me venture my suggestion: a confusion of! > > Prof. Anthony Cummins > Department of Family Medicine > Perdana University > Serdang > 43400 Selangor > Malaysia > > > Sent from my iPhone > > Dr. Anthony Cummins MB BCh BAO MRCGP > Clinical lecturer > <RCSI-Logo.png> > RCSI Department of General Practice > Royal College of Surgeons in Ireland > Beaux Lane House, Lower Mercer Street, 2, Ireland > T: 01-402-8604 > E: [log in to unmask] W: www.rcsi.ie > RCSI DEVELOPING HEALTHCARE LEADERS > WHO MAKE A DIFFERENCE WORLDWIDE > On 3 May 2016, at 08:04, Evelyn Cornelissen <[log in to unmask]> wrote: > > Love it! especially the cameos by colleagues! Just tweeted it…and shared with my 86 year old Mom. Thanks! > > Peace...EC > Evelyn Cornelissen, RD, PhD > Clinical Assistant Professor > University of British Columbia > > Co-Lead Faculty for Scholarship > Post-Graduate Program > Department of Family Practice > > Site Faculty – Scholarship (Research and EBM) > Family Medicine Rural Residency Program > > Research Associate > Centre for Clinical Epidemiology and Evaluation > Vancouver Coastal Health Research Institute > > FLEX and DPAS 420 Advisor > Southern Medical Program > > Email: [log in to unmask] > > The information in this email is privileged and confidential, and is intended only for the individual(s) to whom it is addressed. Any other use, dissemination, distribution, disclosure, copy or forwarding is strictly prohibited. If you have received this email in error, please contact me immediately and delete the email received. Thank you. > > From: Evidence based health (EBH) [mailto:[log in to unmask]] On Behalf Of McCormack, James > Sent: Saturday, April 30, 2016 10:44 AM > To: [log in to unmask] > Subject: The End of Guidelines - a parody > > Hi Everyone: > > As many of you know I have fun creating educational musical parodies about "evidencey" stuff and I just released one on clinical practice guidelines using the great song, End of the Line - redone to be End of Guidelines. > > Would love it if you would check it out. > > The link to the video is here > > https://youtu.be/DHDnqQ_mCBA > > James McCormack, BSc(Pharm), Pharm D > Professor > Faculty of Pharmaceutical Sciences > UBC, Vancouver, Canada > Co-host - Best Science (BS) Medicine Podcast > > therapeuticseducation.org > > 604-603-7898 > > >