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Jeff De Cagna

Thanks Sue and Wayne for your postings. Sue, I love your comparison with doctors and I think we would find that most professionals who go beyond the suggested and recommended approaches end up serving their members, customers and clients.

One of the big shortcomings of "best practices" is that they don't often take pure luck into account. When things work because the stars aligned that does tell us anything about the appropriateness of the practice except that in worked under those very limited cirumstances. When we can get beyond the so-called best practice to appreciate the approach from a broader point of view, we're more likely to be able to adapt it to our unique contexts.

Wayne, I like the term "effective practices" better. To me, it somehow conveys the idea that this practice can work for you without guaranteeing success in the way that "best" does.

Wayne Amundson

We avoid the use of the term "best practices" for the reasons that Jeff describes. A few years ago I started referring to "better practices" as a way to identify those ideas that are worth looking at.

Sue Pelletier

This discussion reminds me of an article I read recently in the New Yorker by surgeon Atul Gawande, called "The Bell Curve." Like associations, doctors are urged to adhere to best practices as determined by evidence-based medicine and research. But those who do aren't necessarily the ones whose patients do best. The top end of the bell curve are docs who look beyond the recommendations and guidelines to the patients themselves--and come up with what they really need, based on their individual strengths and quirks. (The article is well worth a read. Available online at http://newyorker.com/fact/content/?041206fa_fact)

I'd argue that associations need to do the same thing: Really look at their constituencies, at what they use and don't use, what they need/want, and why. Otherwise, they could be applying "best practices" beautifully, but still falling by the wayside as their competitors run up to the top end of the bell curve. Such a simple idea. So hard to accomplish, for some reason.

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