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C-I-S: Residency

GUID-R Evaluating Clinical Practice Guidelines (R010-GUID)


Description
Clinical practice are ubiquitous in medicine. However, they are not all created equal. This module explains the guideline development process and how to identify guidelines that are trustworthy.
Content
  • Welcome
  • Objectives
  • The How and What About Practice Guidelines
  • What is a Clinical Practice Guideline?
  • Who Produces Clinical Practice Guidelines?
  • Types of Clinical Practice Guidelines
  • The Guideline Development Process
  • How Guideline Development Can Go Astray
  • Guidelines from Specialty Societies
  • How Guideline Development Can Go Astray: Thyroid Screening
  • How Guideline Development Can Go Astray: Bilirubin in Newborns
  • Some Reasons Why Guidelines May Differ
  • Guidelines are a Social Exercise and Not Just Evidence-Based
  • Evaluating Clinical Practice Guidelines with G-TRUST
  • G-TRUST: The Guideline Trustworthiness, Relevance and Utility Scoring Tool
  • Assessing Relevance, Step 1: Patient-Oriented?
  • Assessing Relevance, Step 2: Clear and Actionable?
  • Assessing Relevance, Step 3: Relevant to My Setting?
  • Assessing Trustworthiness: Based on a Systematic Review?
  • Assessing Trustworthiness: Is the Evidence Graded for Quality?
  • Assessing Trustworthiness: Research Analyst?
  • Interpretation: Conflicts of Interest?
  • Effect of Conflicts of Interest on Decisions
  • Types of Conflicts of Interest
  • Interpretation: Appropriate Representation?
  • Scoring G-TRUST
  • Interpreting Recommendations from Guidelines
  • Evidence and its Interpretation
  • Understanding Evidence Grades
  • The GRADE System
  • Parsing the Wording of a Guideline: Strong vs Conditional
  • Strength of Recommendation Taxonomy (SORT)
  • Parsing the Wording of a Guideline: USPSTF
  • Wrap-up
  • Wrap-Up
  • Dave and Allen Unplugged: Mundus Vult Decipi
  • Wrap-Up and a Moment for Reflection
Completion rules
  • All units must be completed
  • Leads to a certificate with a duration: Forever
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