> If addition, subtraction, multiplication, division, are too
> *trivial* to
> mention in our assumptions, then we have a long way to go in theory vs
> evidence. We can start by examining these and similar operations and
> remembering to mention what alternative models could exist by
> altering model
> assumptions and making sure that the most tiny operations are
> included in
> our axioms where appropriate. That way, he help the
> competition, but in
> the long run we also help ourselves.
>
> Osher Doctorow Ph.D.
> Formerly (and still intermittently in parts) California State
> Universities
> and Community Colleges
Competition? Is that the word you want use? Bias exists, as do alternative
models. Truth, for me, is one person's perception. "Truth in Medicine" is
well defined by the Information Mastery (POEM) probability statement, that
what we prescribe, test, etc. does more good than harm. I notice Steve
Simon's closing line always mentions a standard disclaimer. I often
verbally do the same thing in teaching. "Caveat emptor" , this EBM stuff
I'm selling (lecturing), I honestly believe it does more good than harm. If
you disagree, OK. I really try to help residents by informed consumer's of
information, beyond that what they deem as information is up to them.
Dan (somewhat of a pseudo-post modernist, although many say they are all
"pseudo") Sontheimer
Spartanburg Family Medicine Residency
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