Image via WikipediaHaving 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.