 Clinical guidelines were once routinely created by what is pejoratively called GOBSAT: Good Old Boys Sat Around A Table (and reached a consensus by talking amongst themselves as leading experts in the subject matter). As Greenhalgh puts it, “it is a major achievement of the EBM movement that almost no guideline these days is produced by GOBSAT!” (Greenhalgh 2014: 7). It remains a point of philosophical contention just how epistemically different it is to generate clinical practice guidelines using a consensus-based model vs. an evidence-based model, in large part since, no matter what evidence is prioritized, a group of experts will ultimately need to interpret the data and make judgment calls on how to generate practical guidelines based on the compiled evidence (Djulbegovic &amp; Guyatt 2019). Though even the meaning of clinical expertise is itself not clearly defined and agreed upon, a matter further complicated by the way that the meaning of expertise is tangled up with views about what roles expertise ought to be playing in clinical practice (Wieten 2018).