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Current Opinion in Rheumatology:
doi: 10.1097/BOR.0b013e328335eee3
Crystal deposition diseases: Edited by John Sundy

A roadmap for education to improve the quality of care in gout

Ogdie, Alexis R; Hoch, Susan; Dunham, Jonathan; Von Feldt, Joan M

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Abstract

Purpose of review: To describe obstacles to optimum management of gout by primary care physicians and to propose educational interventions to improve care.

Recent findings: In the past, gout education has been hampered by infrequency of continuing medical education courses, loss of excitement for a disease in which therapies have not changed (until recently), insufficient evidence-based medicine, and the lack of motivation by physicians to re-learn this disease once in active practice. We identify 10 common myths that impede appropriate treatment of gout, identify gaps in evidence-based medicine that perpetuate those myths, and propose opportunities to improve education on these myths. It is through better gout-centered education that quality of care in gout can be enhanced. Residency may be one of the key points of intervention. As more evidence-based medicine publications address the optimum management of gout, national re-education can occur. More outreach by community rheumatologists to primary care physicians through educational programs and improved referral letters can help re-educate practitioners. Lastly, an often overlooked engine to change physician practices is consumer education, but current patient education programs are lacking.

Summary: Novel education interventions for physician trainees, primary care physicians, and patients are proposed to improve the care of patients with gout.

© 2010 Lippincott Williams & Wilkins, Inc.

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