Ed Allen Hutchinson, Richard Baker Radcliffe Medical Press, £18.95, pp 224 ISBN 1 85775 088 8 Ed Debra Humphris, Peter Littlejohns Radcliffe Medical Press, £18.95, pp 200 ISBN 1 85775 293 7 Rating: ![Graphic][1] ![Graphic][2] ![Graphic][3] ![Graphic][4] “When examining a patient with gastrointestinal symptoms, if you don't put your finger up [the rectum] you put your foot in it” was the first clinical guideline I was taught as a student in the 1970s. Since then, I have continued to receive guidelines at an increasing rate Most of these have been sent “cold” and have been variously binned, filed, or acted on. With so much emphasis put on the need for a strong evidence base in guidelines, it is ironic that the commonest method of implementation (unsupported dissemination), according to a recent review by … [1]: /embed/inline-graphic-1.gif [2]: /embed/inline-graphic-2.gif [3]: /embed/inline-graphic-3.gif [4]: /embed/inline-graphic-4.gif
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Alyson G. Wilson (1999) studied this question.