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Effective Health Care Program

Addressing Tensions When Conventional Wisdom, Clinical Policy/Practice, and Evidence-Based Care Collide (Session I)

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This conference took place on September 13, 2012, in Rockville, Maryland. Presenters and discussants examined, using examples from their professional experiences, where evidence and conventional wisdom collide and what has been learned that can inform communication strategies for the translation, dissemination and integration of evidence in support of clinical decisionmaking.

This first session addresses addressing tensions when conventional wisdom, clinical policy/practice, and evidence-based care collide.


When Evidence-Based Recommendations Collide With Conventional Wisdom: Lessons in Communication Learned by the U.S. Preventive Services Task Force

Virginia A. Moyer, M.D., M.P.H., Presenter
Baylor College of Medicine, Houston, Texas

Addressing Tensions When Conventional Wisdom, Clinical Practice and Evidence Collide: Prostate Cancer Screening Guidelines

Durado D. Brooks, M.D., M.P.H., Presenter
American Cancer Society, Atlanta, Georgia

Communicating Information About Overuse to Consumers

John S. Santa, M.D., M.P.H., Presenter
Consumer Reports Health Ratings Center, Yonkers, New York

When Conventional Wisdom, Clinical Policy/Practice, and Evidence Collide

Steven H. Woolf, M.D., M.P.H., Discussant
Virginia Commonwealth University, Richmond, Virginia

*These presentations are available in a streaming video format. An open captions viewing option is also available. For help viewing these proceedings, please visit the Viewers, Players, and Plug-ins page.


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Durado D. Brooks, M.D., M.P.H., has served as the Director of Prostate and Colorectal Cancers at the American Cancer Society since 2000. In this role, he is involved in creating and implementing strategies to improve the prevention and early detection of prostate and colorectal cancer and is engaged in a number of the society’s health disparities-reduction efforts.

After graduating from the Ohio State University and the Wright State University School of Medicine, Dr. Brooks practiced primary care internal medicine in community health centers, initially in Ohio and later in Dallas, TX, where he now resides. Before joining the American Cancer Society, he was awarded a Commonwealth Fund/Harvard University Fellowship and earned his M.P.H. degree at the Harvard School of Public Health.

Virginia A. Moyer, M.D., M.P.H., is a professor of pediatrics and the Chief of Academic General Pediatrics at Baylor College of Medicine and Texas Children’s Hospital in Houston. Dr. Moyer is a federally funded patient safety researcher whose focus is clinical epidemiology and the use of diagnostic tests in clinical care. She is the current Chair of the U.S. Preventive Services Task Force and a member of the Evidence-Based Medicine Working Group, the American Academy of Pediatrics Steering Committee on Quality Improvement and Management, and the International Advisory Board for the Cochrane Collaboration Child Health Field.

Dr. Moyer is the author of more than 80 scientific articles and book chapters and is the Editor-in-Chief of the book Evidence Based Pediatrics and Child Health. She is the Deputy Editor of Pediatrics and an associate editor of Evidence-Based Child Health: A Cochrane Journal. She received the Leonard Tow Humanism in Medicine Award from the University of Texas in 2004 and was inducted into the University of Texas Academy of Health Science Education in 2006.

Dr. Moyer graduated from Baylor College of Medicine in 1977 and trained in pediatrics at the Children’s National Medical Center in Washington, DC. She later obtained her M.P.H. degree from the University of Texas School of Public Health in Houston.

John S. Santa, M.D., M.P.H., is the Director of the Consumer Reports Health Ratings Center. The Ratings Center focuses on explicit methods for evaluating and comparing health services, products, institutions, and practitioners. Since joining the staff of Consumer Reports, he has represented consumers in multiple venues across the health care industry. He has previously worked in leadership positions for hospitals, physician groups, and health insurers.

From 2000 to 2003, Dr. Santa served as the administrator of the Office of Oregon Health Policy and Research. He helped organize and implement an evidence-based approach to prescription drug purchasing that eventually came to be known as the Drug Effectiveness Review Project. He practiced primary care internal medicine from 1976 to 1992 and from 2003 to 2008, most recently at the Portland Veterans Affairs Medical Center.

Steven H. Woolf, M.D., M.P.H., is a professor in the Department of Family Medicine and the Department of Epidemiology and Community Health at Virginia Commonwealth University in Richmond. He also is the Director of the Center on Human Needs at the university. A clinical epidemiologist, Dr. Woolf is board certified in family medicine and in preventive medicine and public health.

Dr. Woolf has focused his research on evidence-based medicine and the development of evidence-based clinical practice guidelines, with a special focus on preventive medicine, cancer screening, quality improvement, and social justice. He was published more than 150 articles and is the author of the book Health Promotion and Disease Prevention in Clinical Practice. Dr. Woolf currently is an associate editor of the American Journal of Preventive Medicine and a past North American editor of the British Medical Journal. He also edited the first two editions of the Guide to Clinical Preventive Services.

From 1987 to 2002, Dr. Woolf served as science advisor to, and then as a member of, the U.S. Preventive Services Task Force. He has consulted widely on health policy issues with government agencies and professional organizations in the United States and in Europe. In 2001, was elected to the Institute of Medicine in the United States.