A theoretical underpin

7 08 2009

How things become part of routines

Carl May and others have developed a theory that explains how complex interventions get to be part of the routine work of complex systems.

While initially motivated by the need to implement tele-medicine in the established health systems, this theory, called the Normalization Process Theory, is robust enough that we can use NPT to illuminate our  understanding of the processes that hinder or promote the normalization of treatment programs in the daily routines of patients.

To learn more about NPT you can visit here.





The research team puts it out there

7 08 2009

We have an exciting group of researchers coming together to contribute the evidence base for minimally disruptive medicine.

The kick-off publication will be coming out in the BMJ soon.  The authors of that publication are Carl MayFrances Mair, and Victor Montori, and you can learn more about them and their work in their own websites by clicking on their names.

Carl Mayvmmmair





MDM discussed at EBM mecca

7 08 2009

Coinciding with the June 2009 How to Teach Evidence-based Clinical Practice workshop at McMaster University, Victor Montori was invited to present Medical Grand Rounds.

His presentation Patient Disobedience challenged EBM to consider its application to patients with multiple medical conditions and poor treatment adherence, and introduced the concepts of FIT and Minimally Disruptive Medicine.

The slide show (without performance) is available here.