Hi Carlos
Groopman and Hartzband use a definition of EBP that I am not familiar with. They say evidence-based practice "aims to put medicine on a firm scientific footing; experts evaluate the best available data and develop clinical guidelines designed to standardize procedures and therapies".
The second edition of How to practice and teach evidence-based medicine by David Sackett, Sharon Strauss, W Scott Richardson, William Rosenber, and R Brian Hayns defines EBM as "the integration of best research evidence with clinical experience and patient values". The book was published in 2000.
I suspect that the author's chose their narrow definition (thus creating a false dichotomy) so that they could make their article more dramatic, for example by using the image of medical humanism colliding with EBP. In fact EBP coalesced with medical humanism at least 9 years ago. If EBP is imperfectly practiced, this is evidence of a problem with the practice, not with EBP.
Michael
________________________________
From: Dr. Carlos Cuello [[log in to unmask]]
Sent: 07 August 2009 16:43
Subject: Medical humanism and evidence-based practice may collide
I would like to hear opinions on this
NEJM: Groopman, Hartzband: Medical humanism and evidence-based practice may collide.
http://bit.ly/4YWm3
--
Carlos A. Cuello-García, MD
Director, Centre for Evidence-Based Practice-Tecnologico de Monterrey
Cochrane-ITESM coordinator. Professor of Paediatrics and Clinical Research
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