Missing the person: Are preventive medicine and clinical practice guidelines contributing to physician burnout?

At their best, CPGs save individual clinicians from having to sift through evidence. They distill research and provide a standard template for diagnosis and treatment. Embedded in CPGs, however, is the frequent assumption of homogeneity and a lack of consideration of the culture, race, gender, setti...

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Bibliographic Details
Published in:Canadian family physician 2024-05, Vol.70 (5), p.303-304
Main Author: Phillips, Susan P
Format: Article
Language:English
Subjects:
Burnout, Professional - prevention & control
Clinical practice guidelines
Humans
Medical diagnosis
Medical treatment
Physicians - psychology
Practice Guidelines as Topic
Preventive medicine
Preventive Medicine - standards
Risk factors
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Summary:At their best, CPGs save individual clinicians from having to sift through evidence. They distill research and provide a standard template for diagnosis and treatment. Embedded in CPGs, however, is the frequent assumption of homogeneity and a lack of consideration of the culture, race, gender, setting, and values of the person with the illness and of the characteristics of the participants or subjects whose data underpin research findings that inform CPGs. Medicine's increasing reliance on a top-down, standardized approach absolves and even discourages practitioners from knowing the person, and it implicitly renders time spent exploring individual context and variability wasteful. In the name of prevention, and prompted to some extent by industry's push to find new precursors of disease for profitable treatments, family physicians spend more and more patient encounter time on a search for risks of disease or risks of risks.
ISSN:0008-350X
1715-5258
1715-5258
DOI:10.46747/cfp.7005303