Tuesday, December 30, 2008

Do not let Evidence Based Medicine Set Your Expectations: Stay Curious

In design, designers use design principles to predict what works for users and what does not work for users. These predictions are based on different types of studies. Yet, it is always advised to test the products or the designs that are based on these studies and predictions with users. This means designers must always keep open eyes, open minds and high curiosity.

open eyes, open minds and high curiosity are traits that all of us physicians need to have to deliver good health care. Most of us still keep them. But, Evidence Based Medicine (EBM) movement unintentionally undermines such traits. EBM has not only set up high quality treatment guidelines but also set up our expectations.

I think that we should adopt designers method of principles use in practicing medicine. Even though we apply EBM 'principles' we should still test the results on our patients. Testing will usually means having attentive ears. If an EBM treatment is given, ask patients, in details, about the effects of this treatment. By comparing what patients say with what EBM tell us we test these principles in real life.

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