is a physician specializing in diabetes care at the Mayo Clinic in Rochester, Minnesota. He conducts research in the Knowledge and Evaluation Research Unit at Mayo Clinic, and is a member of both the National Advisory Council for Healthcare Research and Quality to the U.S. Department of Health and Human Services and the steering committee of the International Patient Decision Aids Standards Collaboration. Dr Montori is a keynote speaker at the forthcoming
On Saturday November 22 2014, I will have the privilege to speak with the North American Primary Care Research Group plenary gathered in New York City, on Minimally Disruptive Medicine.
What will I try to accomplish? Beyond the stated objectives, I am hoping to promote among participants a new lens of looking at how we might organize and deliver care for patients with multiple chronic conditions. At the heart of my presentation will be the need to be careful and kind when caring for and about our patients, particularly those likely to be overwhelmed by multiple chronic conditions.
Careful care reminds us of our commitment to patients in terms of technically correct and safe care. For patients with multimorbidity, this means that we must understand how multimorbidity affects the efficacy and safety of routine interventions. Major uncertainty exists in this exercise, uncertainty that should lead us to only conditional recommendations, the kind that require us to engage patients in collaborative deliberation. This uncertainty gives clinicians permission to to care for each patient, rather than to attain targets.
Kind care requires us to the see the patient in their rich context ...continue reading