A recent article in The BMJ on the crisis in evidence based medicine (EBM) did a great job of both summarizing challenges that have developed over the past 20 years, and […]
William Cayley
William Cayley: “If you build it, they will come”
“If you build it, they will come!” So went the catchphrase of Field of Dreams, in which an Iowa farmer is inspired by voices to build a baseball diamond in […]
William Cayley: Is primary care in the US really the future?
Is primary care really the future? I’d like to say “Yes,” but I’m not so sure… (at least in the USA). There has been much talk and writing about the […]
William Cayley: Medicine—too fast, too slow, or just right?
“Slow Medicine” is getting more and more attention. The authors of several recent books have got readers thinking more and more about taking time, truly listening to the patient, focusing […]
William Cayley: Muddling “margin” and “mission.”
“There is mission without margin.” I’ve heard that sentiment time and time again, used to convey the idea that in the healthcare business, while we all agree we want to […]
William Cayley: We have met the enemy
“We have met the enemy and he is us.” (Pogo) Manica Balasegaram makes a number of excellent points in his recent post, but his conclusion that “the system is broken” […]
William Cayley: It’s not just the patient’s story that matters
Each patient’s story matters. It tells us who the patient is, and how he or she came to the present point or predicament. The story gives nuance, meaning, perspective, and […]
William Cayley: Evidence based medicine and practice change—get out front and push!
We’d hoped evidence based medicine (EBM) would improve patient oriented outcomes and clinical processes, but some fear the “EBM” movement is broken. However, it may not be just “EBM” as […]
William Cayley: Evidence based medicine—it’s time to be critical
“If it ain’t broke, don’t fix it” goes the aphorism—and so would say any who trust complacently in the exponential growth of “evidence based” this or that in medicine. Des […]
William Cayley: Doing more with less in healthcare
The newer the better—or so it seems in much of commercialized medicine. At least in “developed” or “higher income” countries, medical innovation seems inextricably tied with commercial endeavors, which often […]