Some thoughts on the core of EBM and the nature of 'available evidence'. Should
the core be the way human beings use and produce this 'apparently objective'
knowledge?
A brief blog on 'evidence' in terms of calculable risk is here:
Why Every Medical Student Should be Taught Marx
http://myownprivatemedicine.com/2016/03/06/why-every-medical-student-should-be-taught-marx/
> ---------- Original Message ----------
> From: "Myles, Nickolas [PH]" <[log in to unmask]>
> To: [log in to unmask]
> Date: 03 March 2016 at 19:15
> Subject: Re: Evidence-Based Medicine Has Been Hijacked: A Report to David
> Sackett
>
> The core of EBM is critical appraisal of available evidence in totality and
> grading the quality/strength of evidence. Is anybody against it? EBM education
> is now ingrained in every Canadian medical school curriculum, so the job is
> done: EBM is alive and well.
>
> The issue is that we don't have enough SRs while we have many reviews which
> are not systematic.
>
> .and some minor (or not so) pockets of resistance are vivid in daily
> practice..(i.e some urologists still support PSA screening, radiologists don't
> accept Cochrane SR on mammography evidence etc..)
>
> Nick
>
>
> From: Evidence based health (EBH)
> [mailto:[log in to unmask]] On Behalf Of healingjia Price
> Sent: Thursday, March 03, 2016 6:58 AM
> To: [log in to unmask]
> Subject: Re: Evidence-Based Medicine Has Been Hijacked: A Report to David
> Sackett
>
> I couldn't agree more. why are all failures and gaps in medicine. Assigned to
> EBM when they are common to medicine, this is not transparency and it hurts
> those who would benefit from EBM . Thank you
>
> Amy Price
> Empower 2 Go
> Building Brain Potential
> Http://empower2go.org
> Sent from my iPad
>
> On 3 Mar 2016, at 14:49, Susan Fowler
> <[log in to unmask]<mailto:[log in to unmask]>> wrote:
> Just read the paper: Evidence-Based Medicine Has Been Hijacked: A Report to
> David Sackett by John P.A. Ioannidis...
>
> My goodness. The issues he describes are issues that have always existed with
> or without EBM. One of the principles of EBM is critical appraisal, not to
> remove the need for it but to recognize that critical thinking is always
> necessary no matter the intentions - good or not - of the researchers
> reporting their studies. And EBM has, most certainly, been adopted in the
> USA.
>
> Sincerely,
>
> Librarian who specializes in EBM in the USA.
>
> On Thu, Mar 3, 2016 at 8:31 AM, Susan Fowler
> <[log in to unmask]<mailto:[log in to unmask]>> wrote:
> Access is an issue however, there is HINARI (http://www.who.int/hinari/en/)
> for low income countries and there are public libraries that offer free or
> very low cost inter-library loan for those without institutional libraries.
>
> Shouldn't author fees for publishing in open access journals be written into
> grants and other funding? I understand it may not always be possible but in
> order to make open access work, someone has to pay some money. Information
> isn't free no matter what format. Even online information requires energy,
> server space, and technical expertise to maintain.
>
> --
> Susan Fowler, MLIS
> Medical Librarian
> Coordinator, Systematic Review Services
>
> Evidence at Becker:
> http://beckerguides.wustl.edu/ebm
>
> Systematic Reviews Guide:
> http://beckerguides.wustl.edu/SystematicReviews
>
> Becker Medical Library, Washington University in St. Louis
> 314-362-8092<tel:314-362-8092>
> [log in to unmask]<mailto:[log in to unmask]>
>
> On Thu, Mar 3, 2016 at 2:25 AM, Neil Pakenham-Walsh, UK
> <[log in to unmask]<mailto:[log in to unmask]>>
> wrote:
> Dear all,
>
> It is unfortunate that this paper is restricted-access so many of us are
> unable to read it.
>
> The greatest barrier to evidence-based medicine (and discourse thereon) is
> lack of access to information to/from those who might benefit/contribute. This
> is especially true in low and middle income countries. The best solution is
> for authors to recognise the limitations of restricted-access papers and
> publish in free/open-access journals.
>
> Best wishes,
> Neil
>
> Dr Neil Pakenham-Walsh MB,BS, DCH, DRCOG
> HIFA Coordinator
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> E: [log in to unmask]<mailto:[log in to unmask]>
> W: www.hifa2015.org<http://www.hifa2015.org/>
> S: neilpw1
> Tw: @HIFA_org
> F: HIFAdotORG
>
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> Join HIFA: a network of more than 15,000 people committed to improve the
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