Bismillah, alhamdulillah: the usual number of agendas in the consulting room are two: the doctor’s and the patient’s. But having listened to this podcast a third one has popped up which dictates its own agenda – and that is the system’s agenda. The panel discuss how they feel evidence medicine has become broken and how the quality framework started with an attempt to simplify complexity and increase standards in care but seems to have led to a more complex system with increased rigidity that undermines the basic ethos of medicine. It is nicely titled ‘Guidelines not Tramlines’ an allusion to the predefined track that the system forces both doctor and patient down.

Guidelines Not Tramlines
The BMJ Podcast
Duration: 21:42
Published: Fri, 27 May 2016 15:18:47 +0000

Julian Treadwell, Neal Maskrey and Richard Lehman join us in the studio to argue that new models of evidence synthesis and shared decision making are needed to accelerate a move from guideline driven …

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