To find out more or share your own success stories, contactLalitha Bhagavatheeswaran
Programme Manager, BMJ Global Health Initiatives
“BMJ Best Practice has helped me to practice in line with evidence-based guidelines. I now rely on the information it provides and refer to it all the time.”
Dr Igor Zastavnyy, Ambulatory of Family Medicine, Ukraine
Before accessing the evidence-based guidelines in BMJ Best Practice, my practice was very different. In the past I have mainly referred to local guidelines, however, they are not always updated. Some are over 10 years old and do not reflect the latest evidence-based guidance.
Keeping up with the guidelines is a big challenge. There are over 50 that I need to refer to in my clinical practice and many are very long. It takes me about a half day to a day to learn one guideline thoroughly and I will look at them monthly to refresh my knowledge.
Due to these limitations, I make decisions daily that are not fully in line with our local guidelines.
BMJ Best Practice has helped me to practice in line with evidence-based guidelines. I now rely on the information it provides and refer to it all the time.”
BMJ Best Practice is very quick and efficient to refer to in a patient consultation as I can simply login and get the guidance I need. I especially like the patient leaflets and have translated some of them to give to my patients.
Since accessing BMJ Best Practice, I have applied the new knowledge in my clinical practice on a number of occasions.
For example, I am now treating chronic heart failure according to the evidence-based recommendations outlined in BMJ Best Practice. I am also using digoxin less as it doesn’t improve longevity and I am also now using beta blockers appropriately. In patients with type 2 diabetes, I now understand step-by-step treatment, how to use drugs appropriately and when to add new drugs.
And in chronic obstructive pulmonary disease, I have changed how I make the diagnosis according to the BMJ Best Practice.
I now use peak flow measurement and spirometry in diagnosis. In addition, I like the simplicity of the content on cardiology. I can easily find the step-by-step guidance I need and put it straight into practice.
Recently, I saw a young patient with rheumatoid arthritis. She had visited other clinics and was receiving treatment with methotrexate but it wasn’t helping her pain. She had seen a few different doctors who had all continued the same treatment.
According to the guidelines on the BMJ Best Practice, I saw that I could try combination therapy for her. I have started this and her condition is now much improved.”
“I think doctors throughout Ukraine could benefit from access to BMJ Best Practice. I would like to see more of the BMJ Best Practice topics translated into Ukrainian so they would be more accessible for all doctors.”