It's Time To Stop Trying To Fit A Square Peg into A Round Hole in Addiction Treatment

A square peg in a round hole.

My fear is that the hopes that I have for my practice, and the beliefs I have come to hold regarding how I would like to teach will be worn down by the myriad realities and pressures I am likely to experience as a beginning teacher. In many ways I suspect that the teaching tools with which I have been equipped by my pre-service training, based largely on constructivist principles, may ill-prepa...

Square peg in a round hole.

Validation of the 6-minute walk in patients with pulmonary arterial hypertension: trying to fit a square PEG into a round hole?

OK – I know what you are thinking. How could the editors have chosen someone with my well-known views on the 6-minute walk (6MW) to write an editorial on the subject? Well, remember that data should always trump bias, and I can hopefully assess the existent data and the manuscript by Gabler et al1 (although it does, at least in part, uphold my views) in an unbiased fashion. For the purpose of t...

Square Peg Reforms in round Hole Governments

Government often dominates developing countries. Sometimes government is the only game in town. Countries suffer when rules of this game are deficient and governments are ineffective or predatory. Because this frequently seems to be the case, public sector institutional reforms have emerged as central to development. These reforms are an essential element of interventions by players like the Wo...

A Square Peg in a Round Hole? Approaches to Incorporating Lifestyle Counselling into Routine Primary Health Care

Few studies have explored how lifestyle counselling can be integrated into routine practice for primary health care (PHC) clinicians working outside general practice. This paper describes the feasibility of models of lifestyle counselling developed for PHC clinicians working in community health services and the congruence with routine practice. Action research methods were used to develop and i...