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 in how I have been practicing, I realised that there is an overarching Law in practice Medicine. This contradicts with what I eluded to in my previous post. The overarching Laws in today’s practice are the Laws of evidence based medicine. 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 suggest, I don't believe that evidence based medicine (EBM) should be or is capable of having the stature of a Law. Yes, EBM offers the best available tools for us to discover natures 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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