Agreed, I think EBM next phase is to grow to a level, where it is used as a
lens/filter with which to guide the practice of Medicine.
Combining the work of EBM with reflective practice (clinical jazz in
Slawson's and Shaughnessy's work), can help move us forward.
The biggest problem with EBM is the attempts to represent "the truth", as
being solelly defined by EBM. Thus, you now have drug reps, and other
soliciters approaching everything with "evidence-based" perspective.
Perhaps there is a more post-modern perpsective for EBM, I think it is in
combining with reflective practice, and then we can avoid this bouncing
around of "the truth"
Dan
> -----Original Message-----
> From: Donald E. Stanley [SMTP:[log in to unmask]]
> Sent: Friday, January 12, 2001 11:29 AM
> To: [log in to unmask]
> Subject: demise
>
> Colleagues,
>
> As most of you indicated the bloom is gone. But the cultivation is not yet
> mature.
>
> Think of other evidence-based fields e.g. logic and mathematics where
> analytic phil. gave rise to logical positivism, to ordinary language
> philosophy . . .
>
> Medicine requires a more rigorous theoretical basis for applying the
> evidence, that is the necessary fertilzer.
>
> Don Stanley
|