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4 Renal & Urology News MAY 2010 www.renalandurologynews.com FROM THE MEDICAL DIRECTOR EDITORIAL ADVISORY BOARD Guidelines: Not Just a Medical Director, Urology Medical Director, Nephrology Robert G. Uzzo, MD, FACS Kamyar Kalantar-Zadeh, MD, PhD, MPH Matter of Opinion G. Willing “Wing” Pepper Chair in Cancer Research Professor and Chairman Associate Professor of Medicine and Pediatrics, and Director, Dialysis Expansion & Epidemiology Department of Surgery Harbor-UCLA Division of Fox Chase Cancer Center Nephrology & Hypertension M edicine has been called Temple University Los Angeles BioMedical Research Institute, “an art” to describe the School of Medicine The David Geffen School Philadelphia of Medicine at UCLA humanistic aspects of care. In this regard, the unique experience Urologists Nephrologists of seasoned practitioners has been Frank R. Cerniglia Jr, MD Andrew J. Bleyer, MD, MS emphasized over didactic “cookbook” Attending Pediatric Urologist Professor of Internal Medicine/Nephrology Children’s Urology of Virginia Wake Forest University School of Medicine standards of care. Yet over the past Richmond, Va. Winston-Salem, N.C. decade many have come to realize Christopher S. Cooper, MD Suphamai Bunnapradist, MD Director, Pediatric Urology Director of Research that variations in care have led to what Department of Nephrology Children’s Hospital of Iowa the Institute of Medicine has termed Iowa City Kidney Transplant Research Center The David Geffen School of Medicine the “Quality Chasm.” Evidence-based Michael Grasso, MD at UCLA Chairman, Department of Urology medicine has emerged as a new stan- Saint Vincent’s Catholic Medical Centers Csaba P. Kovesdy, MD New York City Assistant Professor of dard to reconcile quality and value of life judgments, with evidence Clinical Internal Medicine R. John Honey, MD gained from applying scientiﬁc methods to medical decision making. University of Virginia Head, Division of Urology, Charlottesville Endourology/Kidney Stone Diseases As such, professional organizations have moved to develop best prac- St. Michael’s Hospital Chief of Nephrology Salem VA Medical Center tice guidelines. While non-binding, these guidelines seek to provide a University of Toronto Salem, Va. Stanton Honig, MD practice framework based on the best available data. As the data have Associate Clinical Professor of Surgery/Urology Edgar V. Lerma, MD, FACP, FASN, FAHA Clinical Associate Professor of Medicine strengthened, the processes of developing guidelines have become University of Connecticut Section of Nephrology School of Medicine, Urology Center more rigorous. Nonetheless, pundits perceive guidelines as inherently New Haven Department of Medicine University of Illinois at Chicago self serving and based on “opinion,” thereby unnecessarily impinging J. Stephen Jones, MD, FACS College of Medicine Chairman Chicago on the “art” of medical practice. Department of Regional Urology
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