I confess that I am annoyed when someone writes or says that medical guidelines must be followed. I disagree. Guidelines are reminders of what one should consider. Biological variation is so vast that each unique human warrants individual consideration. I like guidelines as reminders of what could or should be considered in clinical situations. I've never thought them to be policies or mandates.
An over reliance on guidelines as mandates could be disastrous for many patients. One size does not fit all.
What are your thoughts about guidelines? What are your experiences?