Here is a long video of the presentation to the community in Rochester Minnesota related to Minimally Disruptive Medicine.
MDM BLOG
See the Mayo Clinic news blog account of our paper in the BMJ with a video interview with Victor Montori.
That video is also below
The article is out! You can review it here.
The BMJ frontmatter says:
A man being treated for heart failure rejects the offer to attend a specialist clinic because in the previous two years he has made 54 visits to similar clinics for consultant appointments, diagnostic tests, and treatment. According to the authors of this analysis paper, this case and others highlight the need for minimally disruptive medicine that seeks to tailor treatment regimens to the realities of patients’ daily lives.
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.
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 May, Frances Mair, and Victor Montori, and you can learn more about them and their work in their own websites by clicking on their names.
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.
Minimally Disruptive Medicine 