Users' Guides to the Medical Literature
Guyatt G, Rennie D, Meade MO, Cook DJ
Part A The Foundations
Chapter 2. The Philosophy of Evidence-Based Medicine
Gordon Guyatt, Brian Haynes, Roman Jaeschke, Maureen O. Meade, Mark Wilson, Victor Montori, Scott Richardson
The Philosophy of Evidence-Based Medicine: Introduction
Topics Discussed:
approach to medical literature, evidence-based medicine
Excerpt:
"Evidence-based medicine (EBM)
is about solving clinical problems. In 1992, we
described EBM as a shift in medical paradigms.1 In
contrast to the traditional paradigm of medical practice, EBM places
lower value on unsystematic clinical experience and pathophysiologic
rationale, stresses the examination of evidence from clinical
research, suggests that interpreting the results of clinical research
requires a formal set of rules, and places a lower value on authority
than the traditional medical paradigm. Although we continue to find
this paradigm shift a valid way of conceptualizing EBM,
the world is often complex enough to invite more than 1 useful way
of thinking about an idea or a phenomenon. In this chapter, we describe
another conceptualization that emphasizes how EBM complements
and enhances the traditional skills of clinical practice...."
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