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Podcast 203: What’s wrong with guidelines

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Sinopsis

Download the TRANSCRIPTION_JWPodcast203 We talk with Dr. Margaret McCartney of Glasgow about her essay in The BMJ. She and her three co-authors titled it “Making Evidence-Based Medicine Work for Individual Patients.” Note: We’re going to start including transcripts, and may even add transcripts to earlier podcasts. Let me know your reactions at jelia@nejm.org. BMJ essay Transcript of Podcast 203 Guest: Dr. Margaret McCartney June 2016 JOE ELIA:  You’re listening to Clinical Conversations. I’m Joe Elia. Our guest this time is Dr. Margaret McCartney a Glasgow-based general practitioner and author. She, along with three others, wrote an essay for the BMJ in mid-May entitled “Making Evidence-Based Medicine Work for Individual Patients.” [http://www.bmj.com/content/353/bmj.i2452] The essay points out a few things about the guidelines that come from the evidence-based approach. Among the observations is that guidelines too often discount the patient’s role in decision-making. There are other observations, and we