New multicomponent educational program features challenging clinical cases from Beth Israel Deaconess Medical Center Grand Rounds Sessions.

See patient video at www.annals.org/grandrounds

The U.S. Preventive Services Task Force (USPSTF) recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 55 to 80 who currently smoke or have quit smoking in the past 15 years. While the guidelines are clear, their application in clinical practice might present challenges based on individual patient characteristics. A multicomponent article published in Annals of Internal Medicine goes 'Beyond the Guidelines' to discuss differing approaches to care for a real patient who does not clearly fit the current USPSTF recommendations for lung cancer screening.

Ms. D is a 60-year-old former smoker with a complex medical history that includes several comorbid conditions, some of them very serious. The article debates her care in a moderator-led format that includes video of the patient and two experts with opposing opinions. The paper is the first in a new educational series called, 'Beyond the Guidelines.' All 'Beyond the Guidelines' papers are based on the Department of Medicine Grand Rounds at Beth Israel Deaconess Medical Center in Boston. A list of topics is available at www.annals.org/grandrounds.

Article: Screening for Lung Cancer With Low-Dose Computed Tomography: Grand Rounds Discussion From the Beth Israel Deaconess Medical Center, G.W. Smetana, P.M. Boiselle, and R.M. Schwartzstein, Annals of Internal Medicine, doi: 10.7326/M15-0055, published 20 April 2015.