Gold Guide

A book jointly produced by the NHS and the UK Department of Health which delineates competence-based specialty training in the UK. All doctors recruited into new specialty and general-practice training programmes approved by the Postgraduate Medical Education and Training Board (PMETB—which merged in 2010 with the GMC) are known as Specialty Registrars (StRs). The Gold Guide builds on and replaces the Guide to Specialist Registrar Training (the “Orange Book”) and The GP Registrar Scheme Vocational Training for General Medical Practice UK Guide (the “Green Book”), and is for doctors who entered specialty training programmes after August 2007.

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As a result of this process, the GOLD guide was selected as the reference standard for our study, since we deemed it to be the most outstanding in its consensus, scientific rigor, international application and up-to-date management criteria.

Although the international GOLD guide includes four components, our research focused exclusively on component 3 which deals with aspects of stable COPD patient management, such as: patient education; pharmacological and non pharmacological treatment, including oxygen therapy, pulmonary rehabilitation, breathing support and surgical alternatives.

Upon analyzing the GOLD guide recommendations for pharmacological and non pharmacological treatment of the stable COPD patient, we observed that social and economic conditions, legislation, economic resources and infrastructure at the local level have an undeniable influence on the application of GOLD international recommendations.

The GOLD guide, as well as the internationally recognized and widely followed American Thoracic Society (10) and European Respiratory Society (11) guidelines, recommends pulmonary rehabilitation programs to treat COPD symptoms.

The GOLD guide points out that even though education does not improve patient exercise capacity or pulmonary function, it does enhance patient ability to understand and to take control of disease management (17).

Manejo de la EPOC estable en relacion con la GOLD: experiencia en un hospital universitario

GOLD DIG Bankies' sub Ian Gold guides home his injury–time header and McGregor (below right) celebrates his goal