Dr. Stern, now working on guidelines on the adult neck mass, emphasized that she was speaking only for herself, not representing the academy.
Even in cases where the evidence has made the optimal treatment obvious, best practices for otolaryngology care are often not followed. And not just by primary care or community physicians. A noteworthy percentage of otolaryngologists don’t follow guidelines, either, studies have found, although it is hard to get solid data on guideline adherence across the field.
Every day, I have at least 10 emails of different things that I’m supposed to review. I worry that when academies come out with guidelines mixed in the queue of all of these emails that need to be opened up, something has to give. How much are you going to read? Employed physicians have so many additional mandates within their own system to follow, it is hard to find the time to read everything. —Wendy Stern, MD