I was recently questioned at our Cath Lab Basics 2009 course in Seattle, “What can the techs/nurses do to introduce a new and better way of doing something in the lab to the physicians and ultimately to the patients?” For example, how does one implement physicians changing to routinely using 6F rather than 8F guides for percutaneous coronary intervention (PCI), performing intravascular ultrasound (IVUS)/fractional flow reserve (FFR), or starting the radial approach? In other words, can you cure the “OD can’t learn NT syndrome” (remembering that some of the ancient dogs are not really so ancient)
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Changing Behavior and Culture in the Cath Lab: Addressing Motivations and the ODNT (Ancient Dog/New Trick) Syndrome