Podcast appearances and mentions of Victor Montori

What if your rushed, robotic medical visit isn't just frustrating, but a symptom of something much darker? In this powerful episode, Dr. Linda Bluestein sits down with Dr. Victor Montori, author of Why We Revolt, to explore what's truly broken in healthcare and why patients and clinicians are suffering on the same side of the fight. Together, they uncover the corrosive impact of industrialized, fast medicine, the hidden costs of “heroic” care, and how complex patients are forced to carry impossible burdens in a system that sees them as data points, not people. Dr. Montori shares his vision for a Patient Revolution, explains why the soul of healthcare is under siege, and issues a call to action for anyone who's ever felt like just another number. If you've sensed something is deeply wrong in the exam room… you're not imagining it. Takeaways: What if your provider is hurting just as much as you are—but for different reasons? When care vanishes, both the patient and the doctor suffer. The healthcare system wants faster visits. Dr. Montori wants a revolution. Heroic care comes at a cost—and not just for the clinician. You're not imagining the harm. But you're not powerless either. Reference Links: https://www.patientrevolution.org/ https://pmc.ncbi.nlm.nih.gov/articles/PMC11902612/ Want more Dr. Victor Montori? Dr. Montori's book: Bendy Bodies Amazon Booklist Bluesky: @vmontori@bsky.social Connect with YOUR Hypermobility Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. YOUR bendy body is our highest priority! Use this affiliate link for Algonot to get an extra 5% off your entire order: https://algonot.com/coupon/bendbod/ Connect with the HypermobilityMD:  YouTube: youtube.com/@bendybodiespodcast  Instagram: https://www.instagram.com/hypermobilitymd/  Facebook: https://www.facebook.com/BendyBodiesPodcast  X: https://twitter.com/BluesteinLinda  LinkedIn: https://www.linkedin.com/in/hypermobilitymd/  Newsletter: https://hypermobilitymd.substack.com/ Shop my Amazon store https://www.amazon.com/shop/hypermobilitymd Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links.

Welcome to our first "Learning On the Edge" episode where your cohosts, Nita and Sylvia, share their expertise on human-centred design and its application towards Social Innovation. In this episode, we share our learnings and personal experiences around Empathy and use of the design tool, the Empathy Map, towards humanizing healthcare experiences. This episode also provides a brief recap of "On the Edge with SIC" Episodes 1 to 4 through an Empathy Lens. Resources Nita's blog post about empathy in design: https://www.sichealth.ca/post/yoda-as-an-ei-master Design Lab podcast with Bon Ku, Episode 112: https://www.designlabpod.com/episodes/112 Careful, kind care is our compass out of the pandemic fog, Allwood & Montori, 2022: https://www.bmj.com/content/379/bmj-2022-073444 Why We Revolt by Victor Montori: https://www.patientrevolution.org/book Empathy Map from the book Business Model Generation by Osterwalder & Pigneur, 2010  Credit - Music High in the Sky - AlexiAction from Pixabay (royalty free) --- Send in a voice message: https://podcasters.spotify.com/pod/show/sichealth/message

Join us as we discuss a fascinating new paper from Minna Johansson, Gordon Guyatt, and Victor Montori. Do we need to account for clinician time in developing guidelines? There is something about addressing time that forces prioritization. Did this simple idea just change everything?  https://pubmed.ncbi.nlm.nih.gov/36596571/Johansson M, Guyatt G, Montori V. Guidelines should consider clinicians' time needed to treat. BMJ. 2023 Jan 3;380:e072953. doi: 10.1136/bmj-2022-072953. PMID: 36596571.Learn more and become a member at www.DrJournalClub.comCheck out our complete offerings of NANCEAC-approved Continuing Education Courses.

This is a recording of Dr. Victor Montori's grand rounds presentation to Mayo Clinic Emergency Medicine challenging us to rethink the care we provide to our patients and the community as a whole.    He will be discussing the movement toward careful and kind care he calls the Patient Revolution. This movement seeks to turn away from industrialized healthcare – a form of healthcare in which the care of patients is a means to an end, in which patients are processed, and in which cruelty happens routinely and care by happy accident. He challenges us to turn toward careful and kind care. Careful care is unhurried, evidence-based, safe, and sensible. It is responsive to the needs and situation of this patient rather than patients like this. Careful care, as he describes, requires that clinicians see patients in high definition, notice their problems in their biology and biography, and respond with compassion and competence by co-creating plans of care that make intellectual, emotional and practical sense to each patient. Kind care recognizes each patient as a fellow human, one of us rather than one of them. It calls for minimizing the demands healthcare makes on patients' scarce time, energy, and attention which patients rather use to fulfill their obligations, pursue their loves, and flourish. Based on solidarity and love, health care must support the work of people who come together to give and receive care. Beyond healthcare, we need to advocate for common care and for the care of our environment. He is challenging us to create a movement for care.   Contacts: TWITTER - @AlwaysOnEM; @VenkBellamkonda; @VMontori INSTAGRAM – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch EMAIL - AlwaysOnEM@gmail.com   References: 1. Why we revolt, authored by Dr. Victor Montori, published October 2017 2. www.PatientRevolution.org, organization cofounded by Dr. Victor Montori  

In this episode, we will hear from Victor Montori, the Peruvian-born Mayo Clinic-based doctor who is inciting a non-violent revolution of careful and kind care, of unhurried conversations with patients, built on compassion and solidarity.

This week is the final podcast in our summertime rewind series before we get back to brand new interviews! Today on the podcast we go all the way back to podcast episode 64, which originally aired on December 13, 2017 with Dr. Victor Montori, a Professor of Medicine at Mayo Clinic. When we spoke for this podcast, Dr. Montori had recently self-published his very first book called The Patient Revolution for Careful and Kind Care: Why We Revolt. This manifesto calls for a fundamental change in today's global healthcare system, advocating for patient care that's kind, careful, and based on love. Dr. Montori has a deep interest in patient-centered care, working to better understand how to deliver care without disrupting the lives, either by the disease or by the burden of treatment, to his patients. On the podcast today, we talk about his work with The Patient Revolution, an organization that promotes a fundamental change in the way that patient care today is delivered. Links from today's show: The Patient Revolution Website: https://patientrevolution.org Our sponsors: CliftonLarsonAllen Website: https://www.claconnect.com/ Rochester Rising Tip Jar: https://www.4giving.com/donation/5307 Music Attribution: Like That by Ano Domini Beats is licensed through the YouTube Audio Library. Episode Breakdown: 0:00 Start 4:42 Introduction to Dr. Montori 5:38 Journey to Rochester 7:06 How he got interested in patient-centered care 10:30 The Patient Revolution 12:37 Dr. Montori's self published book 15:04 Discussion of key topics in the book 33:20 Why now is the time to start the conversation about a patient revolution 41:46 Reception of the book so far 43:55 Final thoughts and how to connect 44:55 Conclusion 45:56 End

Gordon Guyatt, MD, discusses Misleading Presentations of Clinical Trial Results with Victor Montori, MD Related Content: Misleading Presentations of Clinical Trial Results with Dr Victor Montori When Can Intermediate Outcomes Be Used in Clinical Trials? When Guidelines Recommend Shared Decision-making

En este episodio, el prestigiado Dr. Victor Montori nos habla sobre la corrupción del sistema de salud en América Latina y en Estados Unidos. Donde, en el primer caso, hay pobreza y robo de recursos, mientras que en la segunda es el propósito de la atención médica la que se ha tergiversado. Nos cuenta sobre su movimiento “The Patient Revolution” donde aboga por una transformación total del tiempo, presencia y atención que se demanda del sistema para realmente poder hacer una alianza de sanación con los pacientes. Los principios de esta revolución son claros, pero se requiere de mucha valentía para cambiar las formas en las que como médicos y como instituciones tenemos arraigadas a raíz del paradigma industrial dentro del cual la medicina se ha desarrollado. El Dr Victor Montori es profesor de Medicina en la Clínica Mayo. Originario de Perú, tiene un fellowship en Endocrinología y una maestría en Investigación Biomédica. Es director de la Unidad KER, director del programa de participación comunitaria y director de investigación traslacional para pacientes en últimas etapas. Todos esto en la Clínica Mayo. El Dr Montori también es fundador de la ONG: “La Revolución del Paciente”.

Join Calgary Zone Patient & Family Centred Care consultant Kristy Leavitt in a candid discussion with AHS Patient/Family Advisors Maya Pajevic and Marisa Vigna about why meaningful patient engagement matters, what tokenistic engagement looks like (and why it’s a problem), and much more. Resources mentioned during this episode: o Bird’s Eye View, by Sue Robins o Why We Revolt, by Victor Montori o Compassionomics, by Stephen Trzeciak & Anthony Mazzarelli o In Shock, by Rana Awdish o The Patient Revolution, by David Gilbert Connect with Maya and Marisa on Twitter at @mayapajevic

Maggie Breslin is the director of The Patient Revolution, an action and advocacy movement for careful and kind care. She and her team work towards a vision of a healthcare future defined by unhurried conversations, seeing people in all their complexity, and care plans that make intellectual, emotional, and practical sense. Maggie has spent 15+ years as a designer and researcher in the healthcare space, including 7 years at the Mayo Clinic’s Center for Innovation. She has done extensive work on the development and implementation of communication tools and programs that aim to foster conversations in exam rooms, hospital rooms, homes and public spaces about our lives and our health. She also teaches in the Design for Social Innovation program at the School of Visual Arts in NYC.   Victor M. Montori, MD is a Professor of Medicine at Mayo Clinic. An endocrinologist, health services researcher, and care activist, Victor is the author of more than 690 peer-reviewed publications and is among the most cited researchers in clinical medicine and in social science. He is a recognized expert in evidence-based medicine and shared decision making, and minimally disruptive medicine. He works in Rochester, Minnesota, at Mayo Clinic's KER Unit, to advance person-centered care for patients with diabetes and other chronic conditions. He is the author of the book Why We Revolt, and is leading a movement, a Patient Revolution, for careful and kind care for all. Bon talks with Maggie and Victor about the language of care, industrialized health care and why they started The Patient Revolution.

Join the East Side Freedom Library for a discussion with Victor Montori on his book on the politics of the healthcare industry, Why We Revolt: A Patient Revolution for Careful and Kind Care. In a series of brief and personal essays, Why We Revolt describes what is wrong with industrial healthcare, how it has corrupted its mission, and how it has stopped caring. Montori rescues the language of patient care to propose a revolution of compassion and solidarity, of unhurried conversations, and of careful and kind care. Our conversation will be moderated by book industry professional and historian David Unowsky. The panel will be joined by Sen. John Marty, Nurses Association director Rose Roach and SEIU Healthcare Executive Vice President Jigme Ugen. John Marty has been a state senator since 1987. He is a strong advocate for government ethics, environmental protection, and universal health care. John is the author of the proposed Minnesota Health Plan, which would replace the health insurance system with health care for all, to keep people healthy and enable them to get the care they need when they need it. John is a graduate of St. Olaf College with a B.A. in Ethics. John and his wife Connie live in Roseville, MN. Rose Roach is the Executive Director of the Minnesota Nurses Association. She has thirty plus years of experience in the labor movement in Minnesota and California. A Minnesota native, Roach spent eleven years, from 2003-2014, working for the California School Employees Association and was an active leader within the CA health care policy reform movement. Roach has been recognized as one of Minnesota's 100 influential leaders in health care. She is a board member for the healthcare justice organization Health Care for All-Minnesota. Jigme Ugen was born in Kalimpong, India and graduated from Delhi University with diplomas in Political Science, English and Economics. He is the first Tibetan refugee to be elected as a labor union leader. He worked in several non-profit organizations across the world before immigrating to the US in 2001. In 2007, he was elected Executive Vice President of SEIU Healthcare Minnesota. Jigme is deeply engaged with the Tibetan community and Tibet's independence movement. Victor Montori works at Mayo Clinic in Minnesota (U.S.) as a diabetes doctor. He graduated medical school in his hometown of Lima, Perú, and completed postgraduate training at Mayo Clinic in the U.S. and at McMaster University in Canada. Considered “a patient's doctor,”, Montori received the Karis Award, a patient-nominated recognition for his compassionate care. A researcher in the science of patient-centered care, Montori and his colleagues have authored over 650 research articles. A full professor of medicine by age 39, Victor is today one of the most cited clinical researchers in the world. In 2016, Victor founded The Patient Revolution. Purchase your copy here from co-host SubText Books: http://subtextbooks.com/books/why-we-... For more information and to view the video: https://youtu.be/ueEteQtD_tMo view the video: https://youtu.be/ueEteQtD_tM

Why We Revolt: A Patient Revolution for Careful and Kind Care – Victor Montori, MD – 9781893005624 – Mayo Clinic Press – paperback – 192 pages – $14.99 – September 29, 2020 – ebook versions available at lower prices Victor Montori is an incredibly empathetic and kind clinician, whose commitment to creating a better form […] The post Why We Revolt: A Patient Revolution for Careful and Kind Care by Victor Montori MD first appeared on WritersCast.

Hey Yah, No peoples: 2020 called and said it’s time for a revolution. But if you’re like our final guest of the season, you’ve been asking for revolt for quite a while now. And given these changing times, who better to wrap up this amazing season than the visionary, Dr. Victor Montori. Dr. Montori is an endocrinologist at Mayo Clinic, co-founder of @patientrevolution, and author of Why We Revolt: A Patient Revolution for Careful and Kind Care. Industrial healthcare is failing its patients. We know this. So how do we do things differently? Where the heck do we start? Well, M+T had the chance to talk to Dr. Montori about the elements of a healthcare revolution. We’ll give you this first step: it starts with language. But there is so much more to do. EVERYONE needs to be a part of this revolution, regardless of what your role is in healthcare. Because, health is a human right. And we all deserve care – not just a generalized notion of care, but careful and kind care. Episode 40 (!) is our last episode of Season 4. So until next time, Yah, No friends! We hope you are safe and healthy. (FYI, this episode was recorded back in 2019, before the healthcare system was utterly overwhelmed by COVID-19. We are grateful for those who are working on the frontlines. And we know that Dr. Montori’s book Why We Revolt is more relevant than ever.)

Gordon Guyatt, MD, MSc, discusses Decision-making and the Patient with Victor Montori, MD, MSc.

Join us in a conversation with Victor Montori, MD, as we explore moving beyond the checkbox to reevaluate our mission and challenge institutions, business processes, and metrics to deliver careful and kind care.

Dr. Victor Montori is Professor of Medicine at Mayo Clinic. He is a practicing endocrinologist, researcher, and author and a recognized expert in evidence-based medicine and shared decision-making. Dr. Montori developed the concept of minimally disruptive medicine and works to advance person-centered care for patients with diabetes and other chronic conditions. He is the author of Why We Revolt – a Patient Revolution for Careful and Kind Care.

We are extremely excited to welcome Dr. Victor Montori, author of “Why We Revolt: A Patient Revolution for Careful and Kind Care” to Pain Reframed! Dr. Montori’s book speaks honestly and knowledgeably about the faults of industrial medicine. Dr. Montori’s message is for us to rise up and make this system better for the care of our patients. Dr. Montori, originally from Peru, is a Mayo Clinic Endocrinologist for patients with diabetes, as well as researcher, focusing on ways to make care more patient-centered. His mission is for patient revolution versus healthcare corruption, in order to provide careful and kind care for all. Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: @vmontori https://patientrevolution.org Pain Reframed Facebook Group http://ispinstitute.com http://evidenceinmotion.com @eimteam

Victor Montori is a clinician and researcher who believes a revolution of kindness & care is necessary to address corruption & dehumanizing industrialization in healthcare.

Beyond The Room teammate Casey Quinlan talked to Dr. Victor Montori about his work creating a patient revolution in healthcare, and his message to Cochrane about what real "patients included in research" might look like. Victor Montori on Twitter: https://twitter.com/vmontori His book, "Why We Revolt: a patient revolution for careful and kind care": https://patientrevolution.org/whywerevolt/

At the start of his book Why We Revolt Dr. Victor Montori of the Mayo Clinic says, “Healthcare has corrupted its mission: it has stopped caring, and I am not going along with it.” He’s sharp – cited in 86,000 medical articles! – yet he’s so, so caring, and truly wants us all (patients and clinicians alike) to demand the chance to give, and get, careful and kind care. For extra insight listen to his  companion interview from the physician perspective, with my friend @Doctor_V on his own TouchPoint podcast, “The Exam Room.” For a complete set of links, visit my blog about this episode. Where to find us: The Patient Revolution website Dr. Montori: Mayo Clinic profile, Twitter @VMontori, Google Scholar, LinkedIn

In a series of brief and personal essays, Dr. Victor Montori's new book, Why We Revolt, describes what is wrong with industrial healthcare, how it has corrupted its mission and how it has stopped caring. Montori rescues the language of patient care to propose a revolution of compassion and solidarity. In this episode we catch up with Dr. Montori for a fascinating discussion that covers everything from the roots of burnout to why doctors should not be called providers. Listen in as we explore Dr. Montori's passion and vision for a return to our roots of care. Dr. Montori's non-profit, The Patient Revolution: https://patientrevolution.org For more information about The Exam Room or other Touch Point Media shows, visit http://touchpoint.health/ Learn more about your ad choices. Visit megaphone.fm/adchoices

This week, Healthcare is HILARIOUS has its first guest - and he’s a big get! Victor Montori! Victor’s an endocrinologist at the Mayo Clinic https://catalyst.nejm.org/about/thought-leaders/victor-montori/, and also the author of a call for a rebellion in healthcare, “Why We Revolt: A Patient Revolution for Careful and Kind Care” https://patientrevolution.org/whywerevolt/ We talked about how that “careful and kind care” might come to be - which put me in mind of a project called the Right Care Alliance https://rightcarealliance.org/ that’s working toward the same goal. The Right Care Alliance defines right care as “a human right. It places the health and wellbeing of patients first. Right Care is affordable and effective. It is compassionate, honest, and safe. Right Care brings healing and comfort to patients, and satisfaction to clinicians. Achieving Right Care will require radically transforming how care is delivered and financed.” They have a national campaign going on insulin prices right now, you can join the party! https://rightcarealliance.org/actions/campaign-for-affordable-drug-prices/ Speaking of “The Best Medical Care in the World” (yeah, right), read this horrifying, heartbreaking piece in the New England Journal of Medicine. Wowzer. https://www.nejm.org/doi/full/10.1056/NEJMms1802026 HEADLINES! THIS WEEK’S RANT! Only one headline this week, and it’s also the weekly rant - two for one! 60 Minutes ran one hell of a piece this past Sunday, The problem with prescription drug prices. https://www.cbsnews.com/news/the-problem-with-prescription-drug-prices/ Let’s make greed-head pharma companies, and the pharmacy benefits manager mob who are their price enforcers, a prime target for the revolution, shall we? CREDITS: Health Hats by Danny van Leeuwen https://www.health-hats.com/new-health-hats-blog/ Music: Movin’ On Up by Podington Bear http://freemusicarchive.org/music/Podington_Bear/Upbeat/MovinOnUp Creative Commons 3.0 license https://creativecommons.org/licenses/by-nc/3.0/

During this episode, Dr. Victor Montori and I discuss the industrialization of healthcare, how healthcare has corrupted its mission, how it has stopped caring, and what this means for you as a patient. It is clear something has to change. Healthcare has lost its way, and the patient is the one who suffers most. As a  Professor of Medicine and Endocrinologist specializing in diabetes care at the Mayo Clinic, Dr. Montori is an expert in patient care experiences.. He also runs the Knowledge and Evolution Research Unit (KER) unit, which focuses on medical evidence, wishes, patient wishes and minimally disruptive care. He is the co-founder of Patient Revolution.org and his book, Why We Revolt: A Patient Revolution for Careful and Kind Care is a testament to his passion towards transforming the current healthcare industry. With Dr. Montori leading the way, I have great hope for the future of medicine!

Dr. Victor Montori joins me this week to chat about growing up in Peru, defining his medical career at Mayo Clinic's Knowledge and Encounter Research Center, the importance and value of love in conversations with patients, writing Why We Revolt: A patient revolution for careful and kind care, and the mission behind The Patient Revolution. Learn more about The Patient Revolution by visiting patientrevolution.org and reading Why We Revolt: A patient revolution for careful and kind care. Run Time - 39:27 Send your feedback to feedback@justtalkingpodcast.com.

Date: December 7, 2017 Featuring:  ​​Victor Montori, MD, Professor of Medicine, Mayo Clinic Maggie Breslin, MDes, Director, The Patient Revolution Kerri Sparling, Diabetes Advocate; Creator and Author, Six Until Me When Dr. Victor Montori first started talking about Minimally Disruptive Medicine ​more than a decade ago, he shook the establishment. Dr. Montori, who works with patients with diabetes, had come to believe that shared decision making – an effort to help patients make informed decisions about managing their health problems – wasn't proving all that effective. Dr. Montori felt doctors and nurses weren't factoring in the burden of being a patient with a chronic condition, and the real life challenges – social, economic, or personal – of following prescribed treatment plans. It was time, he argued, for providers to look up from strict protocols and guidelines long enough to get curious about their patients' lives in order to minimize barriers to better health, not add to them.    Fast forward to 2017 and Dr. Montori is more convinced than ever that health care providers need to learn from patients and not the other way around. And to appreciate the circumstances in patients' lives that can compete with managing a chronic condition. This outlook is fundamental to the work of the KER Unit​ Dr. Montori founded at Mayo, the more patient-driven shared decision making​ he now promotes, and a new effort he's dubbed "a patient revolution for careful and kind care." The latter is the focus of a new website​ with recommended reading, tools, and activities.   Dr. Montori and his colleagues joined us to discuss this revolution on the December 7 WIHI: The (Careful and Kind) Patient Revolution.

This podcast was published on November 13, 2017. For helpful links and to read the associated blog visit: https://www.healthnewsreview.org/2017/11/podcast-victor-montori-md-a-mayo-clinic-doctor-calls-for-a-patient-revolution/ ~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~ Having a conversation with Victor Montori you can almost feel your hair blow back. If he were introduced at a medical conference you'd probably get something like this: Mayo Clinic diabetes physician, author of roughly 600 publications, world-class expert in shared decision-making and evidence-based medicine, director of Mayo's Knowledge and Evaluation Research Unit, and an advisor to The BMJ and the U.S. Department of Health and Human Services. But in person you get this: a working wisdom of the U.S. medical industrial complex, placed in pragmatic perspective by a frontline physician who actually studies the patient-doctor relationship (yes, patient before doctor) ... all fueled by high octane passion. It's on full display in this podcast. Simply acknowledging that our $3 trillion health care industry is broken doesn't cut it with Montori. He wants to fix it. Here's how ...

Date: January 28, 2016 Featuring:   Victor Montori, MD, Professor of Medicine, Mayo Clinic; Director, Late Stage Translational Research, Mayo Center for Clinical and Translational Science Andrea Kabcenell, RN, MPH, Vice President, Institute for Healthcare Improvement (IHI) Kasey Boehmer, MPH, Health Services Researcher, Knowledge and Evaluation Research (KER) Unit, Mayo Clinic Dave Paul, Secretary, KER Unit Patient Research Advisory Group, Mayo Clinic   If you work in primary care today, odds are good that you’re seeing patients with multiple chronic conditions. Individuals with combinations of diabetes, high blood pressure, arthritis, and depression are rapidly becoming the norm in outpatient offices and clinics. And even if a provider and patient work together to choose the right medications and agree on making some lifestyle changes that will improve health, the best-laid plans often fall apart. Labeling patients “noncompliant” has been a tempting response but, many argue, is pejorative and tends to obscure what’s really going on – especially if one starts to better appreciate the unique and day-to-day burdens of being a patient with chronic disease.    There’s a lot of work underway on multiple fronts to advance shared decision making, but one of the freshest, most innovative voices is that of Dr. Victor Montori, who lead the conversation on this program of WIHI, "New Tools and Thanking for Shared Decision Making." Dr. Montori, who’s already carved out the idea and practice of Minimally Disruptive Medicine, still wants to provoke. He talks about the need for a patient revolution and says “health care has to compete with life.” And “life” in the case of a patient can mean anything from not being able to afford medications, to not having the time to take them, to not being able to focus on one’s own health because of stresses at home or another family member’s health crisis.   

Date: August 9, 2012 Featuring: Victor Montori, MD, MSc, Director, Mayo Clinic Healthcare Delivery Research Program; Professor of Medicine, Mayo Clinic. Nilay Shah, PhD, Assistant Professor of Health Services Research, Mayo Clinic Please note: Dr. Montori will be offering a Special Interest Keynote on Minimally Disruptive Medicine on December 11, 2012, at IHI’s National Forum. One of the most common phrases used to describe patients who are not taking their prescribed medications or following up on the recommendations of their health care providers is “non-compliant.” What if we viewed the behavior as an act of civil disobedience instead? This provocative notion definitely got the attention of health professionals in the audience at IHI’s 13th Annual Summit on Improving Patient Care in the Office Practice and the Community (March 18-20, 2012). It’s the thinking of Dr. Victor Montori, a diabetologist and researcher at Mayo Clinic whose keynote remarks at the gathering were, in part, intended to shake up common and sometimes negative assumptions about patients with chronic diseases who don’t seem to be holding up their half of the bargain. Dr. Montori invites all of us to consider the work of being a chronically ill patient, and the burden of increased expectations to follow regimens that don’t easily fit into a patient’s daily life, social circumstances, preferences, and more.What’s the alternative? Dr. Montori and colleagues call it “minimally disruptive medicine,” and WIHI invites you to learn more about this change of mindset and approach to chronic disease and what it can look like in practice. Host Madge Kaplan and Dr. Montori are joined by Nilay Shah, a health services researcher at Mayo Clinic. Both Drs. Shah and Montori argue that with the growth of patient-centered medical homes and numerous other initiatives that assume a greater role for patients and family members in managing chronic conditions, it’s a critical moment to examine what added workload this implies. The two argue that some of the burden on patients can be reduced if approaches to care are married with efforts to reduce unnecessary and costly over-treatment.Think of it this way, says Dr. Montori: So-called “non-compliance” is actually an alarm system for a health care system that’s failing patients. The goal needs to be shifting and sharing responsibility for chronic disease with patients and families — not shifting the burden.To learn a bit more about minimally disruptive medicine, check out the story of Susan and John. 

The same piece of evidence may reach you via a journalist, or via your doctor - but the way in which that evidence is communicated is changed by your relationship between that person. Julia Beluz from Vox and Victor Montori from the Mayo Clinic join us to discuss if it's possible to reconcile those competing points of view.

Are doctors over-diagnosing diabetes? Such concerns have been raised - by Dr. Victor Montori of the Mayo Clinic and Dr. John S. Yudkin of University College in London. A special concern is the new category of "pre-diabetes." Yudkin is featured in this podcast episode. He talks about the "idolatry of the surrogate" - bowing to a golden calf - a false idol - of numbers from a blood sugar test "as if worthy of godlike worship whereas they should not be.” I interviewed him at the Preventing Overdiagnosis 2015 conference at the National Institutes of Health.

JAMAevidence Podcast

Joan Stephenson, PhD, discusses Philosophy of Evidence-Based Medicine with Dr Victor Montori.  

Joan Stephenson, PhD, discusses Randomized Trials Stopped Early for Benefit with Dr Victor Montori.

JAMAevidence Podcast

Intensive glycemic control for type 2 diabetes; interview with Victor Montori, MD, of the Mayo Clinic, Rochester; plus a summary of all the articles in the issue.

Host: Lee Freedman, MD Guest: Aditya Bardia, MD Guest: Victor Montori, MD What is the efficacy of Vitamins and Antioxidants in cancer prevention? Dr. Aditya Bardia and Dr. Victor Montori, from the Mayo Clinic in Rochester, MN discuss a meta-analytical study designed to answer this question. Specifically covered are beta carotene, vitamin E, and selenium.

Host: Lee Freedman, MD Guest: Aditya Bardia, MD Guest: Victor Montori, MD What is the efficacy of Vitamins and Antioxidants in cancer prevention? Dr. Aditya Bardia and Dr. Victor Montori, from the Mayo Clinic in Rochester, MN discuss a meta-analytical study designed to answer this question. Specifically covered are beta carotene, vitamin E, and selenium.