Medical Principles
By Dr. Ronald Killam M.D.
May 20, 2014
Category: Standards of Care

     In the Medical Profession, standards of care, are evidenced based.  That is to say, treatment strategies that produce the most favorable outcome, are derived from controlled studies, directly comparing the results of alternative treatments.  We don’t use treatments or medications because they sound good, or are the latest fashion, or in the sample closet, but because we have proven that is the most appropriate treatment. Guidelines have been developed, from a consensus of data, and published by entities like:  The Joint National Committee on the diagnose and treatment of hypertension (JNC IIV), American Diabetes Association (ADA), American Thoracic Society, American Cancer Society, American College of Cardiology, etc.  These guidelines are updated regularly based on new data.  Physicians are required to engage in a minimum number of hours of continuing medical education annually, in addition to their own studying, to ensure that the current standards of care are being provided.

     In the hospital, treatment requires informed consent.  In the office, the same principle applies.Your Primary Care Provider (PCP), should explain your disease process in a way that you can understand, and describe how the medications you take work to treat the problem.  Before you start any new treatment or medication, you should know why you are taking it, how it works, expectedbenefit, potential risks and side effects, and cost.  Studies have shown that informed patients who really understand why they are taking their medication, then consent and even partner in the choice of medication, are far more likely to be compliant.  Your PCP should also inform you regarding the current standards of preventative health maintenance so you can consent to the appropriate screening.

    At Doc on the Bay Clinic we are dedicated to providing the highest standard of care.  You may have to wait a little longer, but when you leave you will know what’s wrong with you medically, and  what we are going to do about it.  We will make sure you understand your disease and what causes it, from simple hypertension and diabetes to more complex issues like heart failure.  You will understand how your medications and treatments work and how they will benefit you.  And you will feel confident in your medical treatment.