Dear All,
Its "horses for courses". Intuition is great for many everyday
things; and QI is great to monitor whether local practice is
improving. But no one's intuition nor QI can tell you whether its the
green pill or the blue pill which is the effective one (or the killer).
Take care,
Paul Glasziou
At 30/09/2005, Rakesh Biswas wrote:
>Thanks for this great article. Truly thought provoking! Whether we
>learn from RCTs or from day to day personal experience (that if
>shared systematically has the potential to become good science), at
>the end of the day we retain what clicks with our internal being. As
>described in the article, no one learns parenting from laboratory
>results and practising medicine is akin to successfull parenting.
>How much does intuition play a role in this so called pragmatic science?Rakesh
>
>On 9/30/05, Mayer Brezis
><<mailto:[log in to unmask]>[log in to unmask]> wrote:
>Attached is thought-provoking piece by Harvard Professor Don Berwick
>(viewed as one of the most influential people in US healthcare policy),
>related to our recent discussion on "outcome research".
>
>Teaching EBM, I tell my students that evidence is also to observe how
>knowledge is being applied. Am I wrong?
>
>Mayer Brezis, MD MPH
>Professor of Medicine
>Center for Clinical Quality & Safety
>Hadassah University Hospital
>Jerusalem
>
>
>
>
>
Paul Glasziou
Department of Primary Health Care &
Director, Centre for Evidence-Based Practice, Oxford
ph: 44-1865-227055 www.cebm.net
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