Michael Davies, MD, William Spears, PhD, and Jacqueline Pugh, MD
Dr. Davies is the chief of staff at the VA Black Hills Health Care System affiliated with the University of South Dakota School of Medicine, Fort Meade, SD and the former chair of the Implementation and Education Subcommittee of the VA National Clinical Practice Guideline Council. Dr. Spears is an assistant professor of management and policy science at the San Antonio Regional Campus of the University of Texas Health Science Center at Houston School of Public Health. Dr. Pugh is the director of the Veterans Evidence-based Research, Dissemination, and Implementation Center (VERDICT), a VA Health Services Research Center of Excellence at the South Texas Veterans Health Care System, San Antonio, TX; a professor of medicine at the University of Texas Health Science Center at San Antonio; and a long-standing member of the VA National Clinical Practice Guideline Council.
The VA mandates the use of clinical practice guidelines as a means of standardizing care in accordance with best evidence. But how do these guidelines resonate with VA providers?