RE: Doctors Can Google The Same Subject But Look For Different Things
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What struck me about this excellent post is who things keep being referred back to the WHO. Is there no room for disagreement with their standard practises and what if a doctor were to disagree? What is the path for a reassessment of the guidelines. What would happen if you went against the procedures your 'association aheres to' ?
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There is but you have to have a lot of compelling research to back up your claim. The practice of medicine today is more about empirical evidence based practice. If no research supports the algorithm then it's a wobbly way to manage a case. One can put their name on the line but medico-legal instances would lean on to the credible body of consensus.
Updates on the guidelines happen yearly some are just minor alterations in how format a report that makes it clear for everyone what you're talking about and it's not just your institution that gets it.
For example, "Endometrial Cancer, Endometrioid Type, x cm widest tumor dimension, FIGO Grade X" would be the current way to declare on the histopath report. While the previous way (just a hypothetical example) "Endometrioid type, endometrial cancer." The old format doesn't mention the tumor dimension and FIGO grading but was added on the new because it had bearing on the outcome, like how big is the tumor would affect the staging and teh FIGO grade is in relevance to how the OB-Gyne Specialists could use that as basis for their treatment plan. These are minor changes but the major ones usually happen around every 2 to 3 years as a lot of stuff has been happening and those include reclassification of Diseases to new categories as revealed by research.
It depends how one is sanctioned by their respective associations, there are several associations for each medical specialty and the laws also include how the international society for that association and local society are weighed. Ours just happens to remove one's name on the member list but they are still free to practice as a physician. They just don't get the perks of being part of the association if they are that bad.
Ahhhh OK, in the UK, we see 'struck off' after a medical mis-practise case but in this case, they most certainly cannot practise medicine in the UK.
There seems to be a lot of bureaucracy which I guess is necessary to a degree but making changes seems to be a very slow and laborious process.
Thank you for the insight and have a great weekend :-)
As much as I hate the bureaucracy of it all, it makes sense and everything is given due process. Likewise, enjoy the weekend too :>