Victor Montori
Encyclopedia
Mayo Clinic
Mayo Clinic is a not-for-profit medical practice and medical research group specializing in treating difficult patients . Patients are referred to Mayo Clinic from across the U.S. and the world, and it is known for innovative and effective treatments. Mayo Clinic is known for being at the top of...
in Rochester
Rochester, Minnesota
Rochester is a city in the U.S. state of Minnesota and is the county seat of Olmsted County. Located on both banks of the Zumbro River, The city has a population of 106,769 according to the 2010 United States Census, making it Minnesota's third-largest city and the largest outside of the...
, Minnesota
Minnesota
Minnesota is a U.S. state located in the Midwestern United States. The twelfth largest state of the U.S., it is the twenty-first most populous, with 5.3 million residents. Minnesota was carved out of the eastern half of the Minnesota Territory and admitted to the Union as the thirty-second state...
, USA
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...
. Montori was born and raised in Peru. He completed medical school at Universidad Peruana Cayetano Heredia in Peru, before joining the Internal Medicine Residency Program at the Mayo Clinic, where he was eventually named Chief Resident (1999–2000). Following his residency training, Dr. Montori began a Fellowship in Endocrinology, also at the Mayo Clinic, and obtained a Master degree in biomedical research from the Mayo Graduate School. During this training, Montori became interested in evidence-based medicine
Evidence-based medicine
Evidence-based medicine or evidence-based practice aims to apply the best available evidence gained from the scientific method to clinical decision making. It seeks to assess the strength of evidence of the risks and benefits of treatments and diagnostic tests...
. He then spent two years at McMaster University
McMaster University
McMaster University is a public research university whose main campus is located in Hamilton, Ontario, Canada. The main campus is located on of land in the residential neighbourhood of Westdale, adjacent to Hamilton's Royal Botanical Gardens...
in Canada, where he was a research fellow under Gordon Guyatt
Gordon Guyatt
Gordon Henry Guyatt is a physician and Professor of Clinical Epidemiology & Biostatistics at McMaster University in Hamilton, Ontario. He is known for his work on evidence-based medicine, a term that first appeared in a paper he published. He has published over 450 peer-reviewed articles in...
as a Mayo Foundation Scholar.
At the Mayo Clinic, Dr. Montori is currently a principal investigator of the Knowledge and Encounter Research (KER) Unit, a multidisciplnary group of researchers focused on translating the best available research evidence into clinical practice through evidence synthesis (e.g., meta-analysis
Meta-analysis
In statistics, a meta-analysis combines the results of several studies that address a set of related research hypotheses. In its simplest form, this is normally by identification of a common measure of effect size, for which a weighted average might be the output of a meta-analyses. Here the...
) and through enhancements in the patient-clinician encounter.
Dr. Montori is a recognized teacher of evidence-based medicine
Evidence-based medicine
Evidence-based medicine or evidence-based practice aims to apply the best available evidence gained from the scientific method to clinical decision making. It seeks to assess the strength of evidence of the risks and benefits of treatments and diagnostic tests...
, promoting the ideals of incorporating the best available research evidence, the patient context, and the patient values and preferences in making clinical decisions. He has been an active contributor to the Users’ Guides to the Medical Literature
Users’ Guides to the Medical Literature
The Users’ Guides to the Medical Literature is a series of articles originally published in the Journal of the American Medical Association, now rewritten and compiled in a textbook format...
. His lecture on the End of Evidence-based Medicine has brought his message that the corruption of research (e.g., through stopping clinical trials earlier than planned ) and the way doctors practice today (without taking into account the values, goals, expectations, and preferences of patients) is signaling the end of evidence-based medicine, and that the solution lies in using the techniques of evidence-based medicine to (a) assess how believable are the results of scientific studies, (b) how hyped are the results, (c) and how to apply those results to patients. He promotes an approach to research and practice that reclaims a commitment to the patient, promoting a patient revolution.
In that capacity, Dr. Montori won an American Diabetes Association Clinical Research Award and has developed diabetes medication cards that can help patients with diabetes make better choices about their drugs. In addition, he has promoted the measurement of patient important outcomes in diabetes trials and a focus on cardiovascular risk reduction rather than glycemic control in the care of these patients with type 2 diabetes.
The KER UNIT is involved in disseminating and implementing the GRADE Standard for guideline formulation and grading of recommendations in support of specialty medical societies like the Endocrine Society. It also develops decision aids to help patients with chronic conditions, such as diabetes, and their clinicians make choices about therapies that are consistent with the best available research evidence and the goals for life and healthcare of the informed patient.
Dr. Montori also has served as director of research and education for the acclaimed SPARC Innovation Program
SPARC Innovation Program
The SPARC Innovation Program at the Mayo Clinic in Rochester, Minnesota, is widely recognized as the first design-based research and development laboratory for health services....
at the Mayo Clinic, the first service R&D laboratory in healthcare. In this capacity he is said to have the ability to cross "back and forth between design and research with fluency"
Montori is recognized for promoting the practice of evidence-based medicine in endocrinology and diabetes care. He has edited two volumes on the topic and has published more than 200 papers. Montori also collaborated in the development of Normalization Process Theory
Normalization Process Theory
Normalization process theory is a sociological theory of the implementation, embedding, and integration of new technologies and organizational innovations developed by Carl R. May, Tracey Finch, and others...
.