> From: thethoughtfactory <[log in to unmask]>
> I see EBP/EBM as an innovation and
> my question to everyone is :
> What are the consequences to you of practicing EBM/EBP?
It is a more satisfying way of practicing medicine. One can give the
patient detailed information with confidence and help them to choose the
right therapy/test, etc. It also allows one to speak to managers with
confidence regarding the costs/benefits of treatment options rather than
just harangueing them with "Professor Bloggs always said this was best and
if it was good enough for him...."
> Is there any literature other than the pro-EBM lobby output? Does anyone think
> that EBM could be detirmental? If so why?
I have heard some backlash against EBM but usually this illustrates nothing
other than a misunderstanding of EBM. Some perceive EBM as cookbook
medicine which ignores the individual. In actual fact true EBM means making
use of the best available evidence to do the best for the individual
patient which may not always be following the route suggested by the
evidence. This backlash was the point of a motion a couple of years ago at
the BMA's Junior Members Forum but I can't remember if it was carried or
not.
Regards,
Paul.
--
Mr Paul M Flynn MRCOG
Middlesbrough, UK
+44 (0)7768 956504; Fax: +44 (0)7092 173892
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