Victor Montori

Victor Montori (born 1970) is a Peruvian-American endocrinologist,[1] health services researcher, and professor of medicine at the Mayo Clinic in Rochester, Minnesota. He directs the Knowledge and Evaluation Research (KER) Unit and is known for contributions to evidence-based medicine, shared decision-making, and the development of minimally disruptive medicine.[2][3] As of 2025, his publications have been cited over 92,000 times with an h-index exceeding 170.[4]

Early life and education

Montori was born in Lima, Peru.[2] He earned his medical degree from Universidad Peruana Cayetano Heredia before joining the Internal Medicine Residency Program at Mayo Clinic, where he served as Chief Resident from 1999 to 2000.[5] He completed his fellowship in endocrinology at Mayo Clinic and earned a Master's in biomedical research from Mayo Graduate School. From 2002 to 2004, he was a Mayo Foundation Scholar at McMaster University in Canada, where he trained in clinical epidemiology and evidence-based medicine under Gordon Guyatt.[6]

Career

Academic appointments

In 2004, Montori founded the Knowledge and Evaluation Research (KER) Unit at Mayo Clinic, which focuses on clinical decision-making and patient-centered care.[7] He serves as Director of Research and Education for Mayo's SPARC Innovation Program, a healthcare delivery redesign laboratory.[8] In 2023, he was appointed the Robert H. and Susan M. Rewoldt Professor of Medicine.[9] Montori has served on the editorial advisory board of The BMJ since 2012.[10]

Research contributions

Montori has made significant contributions to shared decision-making through his work with the International Patient Decision Aids Standards (IPDAS) Collaboration, where he helped develop standards for patient decision aids.[11] His "purposeful SDM" model emphasizes collaborative problem-solving tailored to individual patient contexts rather than simply presenting treatment choices.[12] He has created numerous conversation aids for chronic conditions, including diabetes medication cards that help patients understand treatment options.[13]

With colleagues Carl May and Frances Mair, Montori developed the concept of minimally disruptive medicine (MDM), published in a 2009 BMJ article that proposed reducing treatment burden for chronic illness patients.[14] This work built upon normalization process theory, which examines how patients integrate treatments into daily life.[15] The MDM framework has influenced clinical guidelines internationally, including reforms in the UK's National Health Service.

In diabetes research, Montori has advocated shifting focus from strict glycemic control to comprehensive cardiovascular risk reduction.[16] His team developed decision aids to help patients understand medication options, available through the KER Unit website.[17] For this work, he received the 2009 American Diabetes Association-Nov Nordisk Clinical Research Award.[18]

The Patient Revolution

Montori founded The Patient Revolution in 2016 as a nonprofit organization advocating for healthcare reform centered on "careful and kind care" as an alternative to industrialized healthcare systems.[19] The organization conducts public education campaigns, community organizing, and clinician training programs.[20] Montori articulated his vision for healthcare reform in his 2017 book Why We Revolt: A Patient Revolution for Careful and Kind Care, which critiques modern healthcare systems and proposes patient-centered alternatives.[21]

Awards and honors

Montori has received numerous academic recognitions throughout his career. In 2023, he was awarded the Robert H. and Susan M. Rewoldt Professorship in Endocrinology at Mayo Clinic. The following year, Aristotle University School of Medicine's Department of Medicine conferred upon him an honorary doctorate in recognition of his contributions to evidence-based medicine and patient-centered care.[22] Earlier in his career, he received the American Diabetes Association-Nov Nordisk Clinical Research Award in 2009 for his work in diabetes management.

Publications

Montori has authored over 600 peer-reviewed articles and book chapters, including contributions to the Users' Guides to the Medical Literature series.[3] His editorial work has critically examined limitations of evidence-based medicine, particularly regarding patient values and prematurely terminated clinical trials.[23]

References

  1. ^ "Victor M. Montori". www.hks.harvard.edu. Retrieved 2025-02-09.
  2. ^ a b "Victor Montori, M.D." Mayo Clinic Press. Retrieved 2022-10-14.
  3. ^ a b "Victor M Montori | Mayo Clinic - Academia.edu". mayoclinic.academia.edu. Retrieved 2022-10-14.
  4. ^ Victor Montori publications indexed by Google Scholar
  5. ^ "Victor M. Montori, M.D." Mayo Clinic. Retrieved 2022-10-14.
  6. ^ "Philosophy of evidence-based medicine: Victor Montori, MD". McGraw Hill Medical. Retrieved 2025-03-27.
  7. ^ "Knowledge and Evaluation Research Unit".
  8. ^ Design for Health - Report on Mayo Clinic SPARC
  9. ^ "Rewoldt Professorship Announcement". Mayo Clinic.
  10. ^ "Victor Montori | The BMJ". The BMJ. Retrieved 2025-03-27.
  11. ^ "IPDAS Collaboration".
  12. ^ Montori, VM (2017). "Shared Decision Making and the Minimally Disruptive Medicine". BMJ. 359: j4891. doi:10.1136/bmj.j4891. PMC 5683042. PMID 29109079.
  13. ^ "Diabetes Medication Cards". YouTube. 30 October 2008.
  14. ^ May, C (2009). "Minimally Disruptive Medicine". BMJ. 339: b2803. doi:10.1136/bmj.b2803.
  15. ^ May, C (2009). "Development of Normalization Process Theory". Implementation Science. 4 (29): 29. doi:10.1186/1748-5908-4-29. PMC 2693517. PMID 19460163.
  16. ^ Winslow, Ron (2008-06-04). "Diabetes Studies Get Low Grades on Patient Issues". Wall Street Journal.
  17. ^ "Diabetes Medication Cards".
  18. ^ "ADA Award Recipients".
  19. ^ "The Patient Revolution". Retrieved 2025-01-07.
  20. ^ "Why We Revolt". The Patient Revolution.
  21. ^ Montori, VM (2017). Why We Revolt. Patient Revolution Press. ISBN 978-0998531806. {{cite book}}: Check |isbn= value: checksum (help)
  22. ^ "Θεσσαλονίκη: Επίτιμος διδάκτορας του τμήματος ιατρικής της σχολής επιστήμων υγείας του ΑΠΘ ο Victor Montori". ERT News. 19 June 2025. Retrieved 1 July 2025.
  23. ^ Mitra, S (2022). "Conversation with Dr. Victor Montori". Journal of Evidence-Based Medicine. 15 (3): 187–191. doi:10.1111/jebm.12487. PMC 9537952. PMID 35927962.

References

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