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A&Ox2 · Feb 24, 2026

Guidelines Schmidelines Part 1

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Anil Makam · A&Ox2

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Why Following Guidelines is Not Synonymous with Evidence-Based Medicine

We hosted Brad Spellberg, MD, CMO of LA General Medical Center, on February 9th. Following his Division Grand Rounds on Shorter is Better for Antibiotics, I co-led a session with Brad titled after his moniker, “Guidelines Schmidelines”.

In Part 1, I set the table by reviewing the two fundamental reasons why following guidelines is not necessarily evidence-based medicine.

Stay tuned for Part 2 by Brad on the humility of evidence and his efforts leading WikiGuidelines as a better way forward.

Read the original on aaox2.substack.com

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