{"id":2431,"date":"2026-09-03T07:00:31","date_gmt":"2026-09-03T07:00:31","guid":{"rendered":"https:\/\/blogs.bmj.com\/spcare\/?p=2431"},"modified":"2026-09-05T20:41:48","modified_gmt":"2026-09-05T20:41:48","slug":"how-does-a-palliative-care-clinician-keep-up-with-the-evidence","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/spcare\/2026\/09\/03\/how-does-a-palliative-care-clinician-keep-up-with-the-evidence\/","title":{"rendered":"How does a palliative care clinician keep up with the evidence?"},"content":{"rendered":"<p><em><strong>Author: Dr Angus Grant<\/strong><\/em><\/p>\n<p><em>Specialty Doctor, Palliative Medicine, Aneurin Bevan University Health Board <\/em><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/08\/Headshot-1.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2428\" src=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/08\/Headshot-1-300x300.jpeg\" alt=\"\" width=\"178\" height=\"178\" srcset=\"https:\/\/blogs.bmj.com\/spcare\/files\/2026\/08\/Headshot-1-300x300.jpeg 300w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/08\/Headshot-1-1024x1024.jpeg 1024w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/08\/Headshot-1-150x150.jpeg 150w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/08\/Headshot-1-768x768.jpeg 768w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/08\/Headshot-1-640x640.jpeg 640w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/08\/Headshot-1-250x250.jpeg 250w, https:\/\/blogs.bmj.com\/spcare\/files\/2026\/08\/Headshot-1.jpeg 1537w\" sizes=\"auto, (max-width: 178px) 100vw, 178px\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400\">Palliative Care asks us to sit with uncertainty with patients every day. What I didn\u2019t expect was how much of my own professional uncertainty would come from a different source: the ever-increasing volume of literature that I planned to read but hadn\u2019t.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In my day-to-day job as a Specialty Doctor, it\u2019s often easy to sideline this work for other, more pressing clinical duties. This isn\u2019t a unique experience, with all of us clinicians juggling increasingly busy caseloads. As a result, keeping up to date with best practice often falls to the bottom of our priority list, potentially to the detriment of the care we deliver to our patients.<\/span><\/p>\n<p><span style=\"font-weight: 400\">This is a piece about that problem, and about the habits we can build in our daily practice to help solve it.\u00a0<\/span><\/p>\n<p><span style=\"text-decoration: underline\"><span style=\"font-weight: 400\">The barriers I kept running into<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400\">Despite my best intentions, keeping up with the literature was a challenge. When a moment arose to undertake reading, I ran into barriers. These included:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The volume of new evidence exceeded what I could read.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The burden of prioritising what\u2019s most important to read.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Trying to balance reading in depth vs breadth.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">These challenges, alongside a busy schedule, made keeping up to date with the literature feel unrewarding, and hence I frequently deprioritised it.<\/span><\/p>\n<p><span style=\"text-decoration: underline\"><span style=\"font-weight: 400\">Reaching the unknown unknowns<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400\">Some may argue that trying to keep up isn\u2019t necessary, with modern search engines and artificial intelligence being so efficient at providing us with answers to the questions brought to them. They will not, however, tell you what you should have brought, and help you address the gaps in your knowledge that you didn\u2019t know existed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Search is sufficient for the known unknown. It does nothing for the unknown unknown \u2014 the new trial, the changed guidance, the reframed debate that you would only encounter by reading broadly. Keeping up and looking up are two different jobs. Without a commitment to both, we may struggle to deliver the best possible evidence-based practice.\u00a0<\/span><\/p>\n<p><span style=\"text-decoration: underline\"><span style=\"font-weight: 400\">A new approach<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400\">It became clear that without a better system I would never manage to keep up with the sheer amount of literature published on a weekly basis. As such, a new approach was needed. Books such as Atomic Habits by James Clear advocate for a little and often, consistency focused approach to behavioural change.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">What does this look like when built into our own practice? For me, this looked like adjusting how I approached keeping up with the literature. It changed my approach from sporadic &#8216;as and when&#8217; cramming sessions, where little was retained, into a regular and achievable habit.<\/span><\/p>\n<p><span style=\"font-weight: 400\">My first step was identifying a set time slot each week. This helped me transform the \u2018as and when\u2019 approach into a scheduled, intentional commitment &#8211; no matter how small this starts off as. The next step was removing the barrier of \u201cwhat should I read today\u201d. Identifying a source in advance is a big-time saver, for example, committing to catching up on the newest publications from a pre-selected journal. I make use of weekly research digests, such as The Monday Clinical Brief, which provide a summary of the most recent relevant publications in palliative care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">When undertaking reading, I\u2019ve allowed myself permission to read the summary and stop. We\u2019re taught in medical school to go through articles with a fine-tooth comb, but in reality, this is not practical nor necessary most of the time. Most weeks I quickly identify the two or three truly impactful papers which will change my practice and focus on these.<\/span><\/p>\n<p><span style=\"text-decoration: underline\"><span style=\"font-weight: 400\">Top tips to sustain your new habit<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400\">Through making mistakes and improving my approach, I\u2019ve landed on some helpful tips that may help other clinicians starting from scratch in this area:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Start small and achievable. Overambitious plans are likely to be abandoned, and a consistent 15 minutes beats an hour that never happens.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Schedule your reading into a regular time slot and try to stick to it. If the goal is to fit it in when the clinical work allows, it often never happens.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sometimes, just let the summary be enough.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Make it social. A short message to a colleague about a paper can really help with retention.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Forgive the missed weeks. A habit is defined by its return after a gap, not by an unbroken streak.<\/span><\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline\"><span style=\"font-weight: 400\">Three take home messages\u00a0<\/span><\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400\"> Keeping up and looking up are different jobs. Targeted searches do nothing for the unknown unknown.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\">A small, fixed, regular reading slot is more likely to be sustained than an \u2018as and when\u2019 prolonged session that never happens.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\">Not every paper needs to be read in full. Permission to read the summary and stop can help in making your new habit achievable and sustainable.<\/span><\/li>\n<\/ol>\n<p><strong>Declarations of Interests<\/strong><br \/>\n<span style=\"font-weight: 400\">I have read and understood the BMJ Group policy on declaration of interests and declare the following interests: No competing interests <\/span><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Author: Dr Angus Grant Specialty Doctor, Palliative Medicine, Aneurin Bevan University Health Board Palliative Care asks us to sit with uncertainty with patients every day. What I didn\u2019t expect was how much of my own professional uncertainty would come from a different source: the ever-increasing volume of literature that I planned to read but hadn\u2019t.\u00a0 [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/spcare\/2026\/09\/03\/how-does-a-palliative-care-clinician-keep-up-with-the-evidence\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":525,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2855,2326],"tags":[],"class_list":["post-2431","post","type-post","status-publish","format-standard","hentry","category-palliative-care","category-palliative-drugs"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/2431","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/users\/525"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/comments?post=2431"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/2431\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/media?parent=2431"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/categories?post=2431"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/tags?post=2431"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}