Tuesday, June 15, 2010

EBM wrongly Instated Epidemiological and Statistical Laws as Clinical Laws

The re-drawn chart comparing the various gradi...Image via Wikipedia
Having thought deeper about how I have been practicing, I realised that there is an overarching law in practice Medicine. This contradicts what I alluded to in my previous post. The overarching laws in today’s practice are the laws of evidence based medicine (EBM). These are laws of statics and epidemiology. For example, I believe I have been practicing under these two Laws:

  • randomised controlled trials are to be meticulously applied.
  • our clinical decisions should be based on randomised controlled trials whenever possible.

As the title of this post suggests, I don't believe that evidence based medicine should be or is capable of having the status of a law. Yes, EBM offers the best available tools for us to discover nature’s laws. The laws of nature, if true are 100% correct. Unlike statistics, laws have no confidence intervals. We should be 100% confident in laws.
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