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hello welcome to the guideline development tool video series todays video will be on generating a grade evidence too before we begin were going to need to create a new project file just like the one you can see here this particular file is one that I had created previously but for the purposes of todays video we will generate a new one it should also be noted that you have the option to import a file from revision manager lets start our new project file by clicking start new we will call our project thermoplasty and then click create on this page we can begin the question generation process here we have the option to add a management question or add a diagnostic question we will move to the next step by clicking add management question on this page we can actually generate our question this can be done by changing the values in the empty fields todays question will be should bronchial thermoplasty versus sham thermoplasty or usual care be used for patients with severe asthma note