Evidence‐based everything

Abstract

Academic medicine often seems to be swayed more by fashion than science. Establishment team consensus is only needed where there is ambiguity. Evidence-based medicine is a new term for informed decision making and facilitated learning is purported to do away with authoritarian indoctrination. Problems that arise from the emphasis on team decisions, evidence based medicine and facilitated learning are discussed.

Monitoring the development of clinical skills during training in a clinical placement

“…, 2002). There is also some evidence that the knowledge and skills necessary for making competent clinical judgements have become increasingly inadequate at a time when opportunities for successful intervention have so markedly increased (Fowler, 1997). Thus, the development of such skills in any health care practitioner programme of studies cannot be ignored.…”

Networkcentric healthcare and bioinformatics: Unified operations within three domains of knowledge

“…(Tsafir & Grinberg, 1998)] is questioned whether it is, indeed, evidence based [e.g. (Celermajer, 2005;Folwer, 1997)]. Since, the proposed (and developed) clinical decision support systems [CDSS, Refs.…”

“…The practice of evidence-based medicine is largely based on consistently accurate information (Cartwright, de Sylva, Glasgow, Rivard & Whiting, 2002;Graber, Bergus & York, 1999;Larson, 1999;Lopez-Lee, 2004) that, in turn, constitutes the base of equally consistently accurate knowledge (Celermajer, 2005;Folwer, 1997;Haux, Ammenwerth, Herzogg & Knaup, 2002;Mulrow & Lohr, 2001). However, one of the principal problems facing healthcare is not only how is the information gathered [e.g.…”

Restoring the balance: evidence‐based medicine put in its place

“…Shahar shows that this stems from the initial choice of`evidence' to imply, spuriously, that there is an objective and trainable way to discriminate between evidence and lack of evidence, and between evidence-based medicine and non-evidence-based medicine, and between evidence-based journals and non-evidence-based journals. Fowler (1997b) picks up on a similar point. Likening the use of`Evidence' to Newspeak, he notes the implicatioǹ that the practice of medicine was previously based on direct communication with God or tossing a coin'.…”