{"id":2926,"date":"2021-12-28T19:01:45","date_gmt":"2021-12-28T19:01:45","guid":{"rendered":"https:\/\/www.balance-menopause.com\/?post_type=menopauselibrary&#038;p=2926"},"modified":"2023-10-26T14:36:54","modified_gmt":"2023-10-26T13:36:54","slug":"the-benefits-and-pitfalls-of-evidence-based-medicine-with-jonathan-underhill","status":"publish","type":"menopauselibrary","link":"https:\/\/www.balance-menopause.com\/menopause-library\/the-benefits-and-pitfalls-of-evidence-based-medicine-with-jonathan-underhill\/","title":{"rendered":"The benefits and pitfalls of evidence based medicine with Jonathan Underhill"},"content":{"rendered":"\n<iframe loading=\"lazy\" title=\"132 - The benefits and pitfalls of evidence based medicine with Jonathan Underhill\" allowtransparency=\"true\" height=\"150\" width=\"100%\" style=\"border: none; min-width: min(100%, 430px);\" scrolling=\"no\" data-name=\"pb-iframe-player\" src=\"https:\/\/www.podbean.com\/player-v2\/?from=embed&amp;i=iwntm-116112b-pb&amp;share=1&amp;download=1&amp;skin=f6f6f6&amp;btn-skin=1b1b1b&amp;size=150\"><\/iframe>\n\n\n\n<p>Pharmacist, Jonathan Underhill is a consultant clinical advisor for the Medicines Optimisations team at the National Institute for Health and Care Excellence (NICE). His work is focussed on evidence-based medicine but, as he explains, this is more than simply telling people what to do. One of the particular focuses of Jonathan\u2019s work is the process known as \u2018shared decision making\u2019 between the clinician and the patient and he\u2019s interested in how you involve a person in choices and decisions about their own healthcare.<\/p>\n\n\n\n<p>Jonathan outlines some of the reasons NICE was originally set up \u2013 to reduce uncertainty and variation in prescribing \u2013 and with Louise, he evaluates whether this has been the outcome 6 years down the line, after the release of the NICE guidelines on menopause diagnosis and management.<\/p>\n\n\n\n<p>Jonathan\u2019s tips for shared decision making as a patient:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>It\u2019s OK to ask questions.<\/li>\n\n\n\n<li>If you need it, take someone with you that you trust who can listen and advocate for you<\/li>\n<\/ol>\n\n\n\n<p>And for healthcare professionals:<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>David Haslam\u2019s (former Chair of NICE) consultation skills advice for doctors were basically \u2018shut up and listen, show empathy, and know something\u2019. If you can do these 4 things well it will make a big difference<\/li>\n\n\n\n<li>Practice your conversation skills as a clinician. You&nbsp;<em>can<\/em>&nbsp;learn to communicate better with your patients.<\/li>\n<\/ol>\n\n\n\n<p>The NICE guidelines on menopause can be read in full&nbsp;<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng23\/chapter\/Recommendations\">here<\/a>&nbsp;and more about shared decision making can be found&nbsp;<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng197\">here<\/a>.<\/p>\n\n\n\n<p>If you are a healthcare professional, you can find 4 hours of free online learning in shared decision making from NICE and Keele University <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng197\/resources\/shared-decision-making-learning-package-9142488109\" target=\"_blank\" rel=\"noreferrer noopener\">here<\/a>.<\/p>\n\n\n\n<p><a href=\"http:\/\/balance-menopause.com\/type\/podcast\" target=\"_blank\" rel=\"noreferrer noopener\">Listen to more podcasts.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pharmacist, Jonathan Underhill is a consultant clinical advisor for the Medicines Optimisations [&hellip;]<\/p>\n","protected":false},"featured_media":6706,"template":"","subject":[32,102],"content-type":[17],"library-format":[14],"library-author":[],"class_list":["post-2926","menopauselibrary","type-menopauselibrary","status-publish","has-post-thumbnail","hentry","subject-education","subject-menopause-in-media","content-type-podcast","library-format-listen"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.balance-menopause.com\/wp-json\/wp\/v2\/menopauselibrary\/2926","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.balance-menopause.com\/wp-json\/wp\/v2\/menopauselibrary"}],"about":[{"href":"https:\/\/www.balance-menopause.com\/wp-json\/wp\/v2\/types\/menopauselibrary"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.balance-menopause.com\/wp-json\/wp\/v2\/media\/6706"}],"wp:attachment":[{"href":"https:\/\/www.balance-menopause.com\/wp-json\/wp\/v2\/media?parent=2926"}],"wp:term":[{"taxonomy":"subject","embeddable":true,"href":"https:\/\/www.balance-menopause.com\/wp-json\/wp\/v2\/subject?post=2926"},{"taxonomy":"content-type","embeddable":true,"href":"https:\/\/www.balance-menopause.com\/wp-json\/wp\/v2\/content-type?post=2926"},{"taxonomy":"library-format","embeddable":true,"href":"https:\/\/www.balance-menopause.com\/wp-json\/wp\/v2\/library-format?post=2926"},{"taxonomy":"library-author","embeddable":true,"href":"https:\/\/www.balance-menopause.com\/wp-json\/wp\/v2\/library-author?post=2926"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}