ABSTRACT
The current emphasis on evidence-based medicine has made guidelines a necessary evil of our time. This description is used advisedly, not only because of the confusing multiplicity of guidelines published at international, national, regional and local level, but also because they exemplify for many the increasing regimentation of medical practice. Knowledge of guidelines is now part of the Consultant Appraisal process in the UK, and failure to adhere to them could leave a physician open to criticism. Seen from another angle, however, guidelines provide practical advice to the generalist in an age of ever-increasing specialization and help maintain the standard of health care.
