PHM Focus

Schedule at a Glance

The (In)fallibility of Guidelines: How To Use Them, and How They Might Lead You Astray.

Primary Leader:
Brian Alverson


Objective 1:
Recognize how guidelines committees are formed, how content is written, and where hidden biases may exist in guidelines

Objective 2:
Discuss how to interpret guidelines, and evaluate how guidelines have affected care in the United States

Objective 3:
Analyze the rationale behind selected major recommendations set forth in the 2014 AAP Bronchiolitis Guideline in and the 2011 IDSA Pediatric Pneumonia Guideline

The audience will learn how guidelines are written. We will give a "behind the scenes" view of guideline construction and will discuss the strengths and weaknesses of not only the evidence behind the guidelines but also the design of the guidelines themselves. We will peel back some of the mystery behind how they are created, and will furthermore discuss openly, in a non-judgmental way, sources of bias that might have crept into their construction. We will come to have a more thorough understanding of the evidence behind major recommendations of these guidelines, which might inform practice and improve adherence to guideline recommendations where appropriate. By the end of the session, we will move beyond discussion such as "this is a bad guideline" and "this is a good guideline" to a more nuanced understanding of how to interpret recommendation statements, how to read the writing behind those statements, and how to apply guidelines to everyday practice.