Robert S. Hayward

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What do these scenarios have in common? Among other things, they are all opportunities to make explicit and systematic use of the best available evidence when teaching and practicing clinical medicine. In other words, they are moments of opportunity for evidence-based medicine (1, 2). Many readers of ACP Journal Club are already recognizing and capitalizing(More)
PURPOSE To develop a conceptual tool for the systematic development of cancer treatment practice guidelines. MATERIALS AND METHODS The guidelines development tool, the Practice Guidelines Development Cycle, was derived from observing an evidence-based practice guidelines initiative at a comprehensive cancer center in Ontario, Canada, and from a literature(More)
OBJECTIVE To assess Canadian physicians' confidence in, attitudes about and preferences regarding clinical practice guidelines. DESIGN Cross-sectional, self-administered mailed survey. PARTICIPANTS Stratified random sample of 3000 Canadian physicians; 1878 (62.6%) responded. SETTING Canada. OUTCOME MEASURES Physicians' use of various information(More)
OBJECTIVE To assess internists' familiarity with, confidence in, and attitudes about practice guidelines issued by various organizations. DESIGN Cross-sectional, self-administered survey. PARTICIPANTS Questionnaires were mailed to a stratified random sample of 2600 members of the American College of Physicians (ACP) in 1992. Of the 2513 internists who(More)
—An indicated demand for sunfish (Lepomis spp.) as a food fish remains untested because of continuing inability to efficiently rear these fishes to required large sizes ($227 g; 0.5 lbs). A recent study involving parallel, indoor rearing of two sunfishes under favorable conditions showed that bluegills Lepomis macrochirus possessed markedly higher growth(More)
OBJECTIVE To determine Australian general practitioners' (GPs') views about and recall of clinical practice guidelines. DESIGN Self-administered questionnaire survey. SUBJECTS Randomly selected Australian GPs. RESULTS 286 of 373 GPs returned questionnaires (77% response rate). GPs' recall of each of nine guidelines ranged from 52% to 94%; 49%(More)