Putting Guidelines for Chronic Kidney Disease Into Practice - Consultant Live

During my career, I have been on both sides of the clinical fence. From 1980 until 1992, I was a practicing nephrologist; from 1992 on, I have been a primary care physician (PCP). It should come as no surprise to the readers of CONSULTANT that I have found primary care practice to be much more demanding. The volume of medical information has ballooned as time--and reimbursement--for patient care has diminished. There seem to be evidence-based guidelines for almost all aspects of medicine. The dilemma is how to incorporate these recommendations consistently into daily practice.