In this study, ten patients with Rheumatoid Arthritis (RA) completed 8 hours of training on evidence-based medicine and guideline development and formed a patient panel to apply the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology to formulate recommendations for a survey containing clinical questions created by a physician-dominated panel. Fraenkel et al. reports that patients and physicians developed the same recommendations for most questions and that additional experiences are necessary to determine panel composition for future guidelines.