Napcrg plenary i minimally disruptive medicine victor montori md
Victor Montori is Professor of Medicine at the Mayo Clinic in Rochester, Minnesota, USA. He was born and raised in Lima, Peru. He completed medical school at Universidad Peruana Cayetano Heredia in Peru, before joining the Internal Medicine Residency Program at the Mayo Clinic, where he was eventually named Chief Resident (1999–2000). Following his residency training, he began a Fellowship in Endocrinology, also at the Mayo Clinic, and obtained a master's degree in biomedical research from the Mayo Graduate School. During his training, he became interested in evidence-based medicine. He then spent two years at McMaster University in Canada, where he was a research fellow under Gordon Guyatt as a Mayo Foundation Scholar.
At the Mayo Clinic, Dr. Montori is currently a principal investigator of the Knowledge and Evaluation Research (KER) Unit,. The KER Unit uses a variety of approaches to help patients answer the question of "What's best for me and my family?". To help better understand this question and the challenges it presents Dr. Montori has gathered a multidisciplinary team of researchers. These researchers work on one of three aspects of understanding the problem. 1. What does the medical evidence say? (Systematic Reviews and Meta-analyses) 2. What do patients want? (Understanding the clinical encounter and facilitation of communication through Shared Decision Making) 3. How does this fit into patients' lives? (Minimally Disruptive Medicine). Dr. Montori has also been integral in the Patient Revolution Initiative which hopes to transform healthcare through creating conversations between patients and providers.
Working with investigators at the KER Unit Dr. Montori has been actively involved in the design, testing, dissemination and implementation of tools to facilitate shared decision making and minimally disruptive medicine.
Dr. Montori is a recognized teacher of evidence-based medicine, promoting the ideals of incorporating the best available research evidence, the patient context, and the patient values and preferences in making clinical decisions. He has been an active contributor to the Users’ Guides to the Medical Literature. His lecture on the End of Evidence-based Medicine has brought his message that the corruption of research (e.g., through stopping clinical trials earlier than planned ) and the way doctors practice today (without taking into account the values, goals, expectations, and preferences of patients) is signaling the end of evidence-based medicine, and that the solution lies in using the techniques of evidence-based medicine to (a) assess how believable are the results of scientific studies, (b) how hyped are the results, (c) and how to apply those results to patients.
In that capacity, Dr. Montori won an American Diabetes Association Clinical Research Award and has developed diabetes medication cards that can help patients with diabetes make better choices about their drugs. In addition, he has promoted the measurement of patient important outcomes in diabetes trials and a focus on cardiovascular risk reduction rather than glycemic control in the care of these patients with type 2 diabetes.
Dr. Montori also has served as director of research and education for the acclaimed SPARC Innovation Program at the Mayo Clinic, the first service R&D laboratory in healthcare. In this capacity he is said to have the ability to cross "back and forth between design and research with fluency".
Montori is recognized for promoting the practice of evidence-based medicine in endocrinology and diabetes care. He has edited two volumes on the topic and has published nearly 500 manuscripts. Montori also collaborated in the development of Minimally Disruptive Medicine and Normalization Process Theory.
In the early 90's, Montori was the keyboard player and founding member of a Peruvian band called OIM.
Shared decision making at mayo clinic dr victor montori