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Hi Anoop I see it from a different angle. BP is probably the most frequently measured variable apart from weight and height. If our students cannot do this accurately (we haven't trained them correctly?) there is something wrong somewhere. With my experience in teaching in Australia and Sri Lanka over the past two decades, its a real-problem that needs attention. (confirms JAMA) Second, BP measurement (and control of BP by life style and pharmacological management) is one of the few factors that we have evidence that can lower CVR and even all mortality. Hope my knowledge about clinical epidemiology is correct? I agree that the CV risk calculation is now the correct measurement. However in more than two thirds of the world population this is done using paper charts made by WHO at least decade ago. Other than total cholesterol (machine reading) all other measurements are done manually. So measuring BP is an important aspect at least for now, until artificial intelligence mechanisms will BP when you keep your finger on a GP touch pad (it will probably measure a few other variables routinely) or record in your new Apple watch more accurately than a GP apparatus! Cheers *Kumara Mendis* *Prof. of Family Medicine* Faculty of Medicine University of Kelaniya Sri Lanka Tel: +942961245 Mobile: +94776794423 Web link <http://medicine.kln.ac.lk/depts/fmed/prof-kumara-mendis.html> *Associate Professor* School of Medicine Western Sydney University Australia Web link <https://www.westernsydney.edu.au/staff_profiles/uws_profiles/associate_professor_kumara_mendis> [image: Western Sydney University] On Sat, Sep 22, 2018 at 6:47 PM Anoop Balachandran <[log in to unmask]> wrote: > High Blood pressure is a major risk factor for heart disease and stroke. > Hence termed the 'silent Killer'. 1in 3 people in US have high blood > pressure. With the new BP guidelines in 2017, an additional 31 million > people will be diagnosed to have high BP. One of the most important > measures and maybe the most easiest. > > So guess how many 159 medical students from various US medical schools got > all the steps of checking BP right in this study? About 1!! > > https://jamanetwork.com/journals/jama/fullarticle/2653029 > > Any comments? > > Anoop Balachandran > > ######################################################################## > > To unsubscribe from the EVIDENCE-BASED-HEALTH list, click the following > link: > > https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=EVIDENCE-BASED-HEALTH&A=1 > ######################################################################## To unsubscribe from the EVIDENCE-BASED-HEALTH list, click the following link: https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=EVIDENCE-BASED-HEALTH&A=1