Guidelines--for the obedience of fools and the guidance of wise men?

  title={Guidelines--for the obedience of fools and the guidance of wise men?},
  author={John R. Hampton},
  journal={Clinical medicine},
  volume={3 3},
  • J. Hampton
  • Published 1 May 2003
  • Medicine
  • Clinical medicine
Guidelines for medical management are now part of medical life. A fool--loosely defined as someone who does not know much about a particular area of medicine--will do well to follow guidelines when treating patients, but a wise man (again, loosely defined as someone who does know about the disease in question) might do better not to follow them slavishly. The problem is that the evidence on which guidelines are based is seldom very good. Clinical trials have a variety of problems which often… 

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