2004, Number 4
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Acta Med 2004; 2 (4)
Is evidence-based medicine a new paradigm in medical teaching?
Benítez-Bribiesca L
Language: Spanish
References: 23
Page: 263-268
PDF size: 87.11 Kb.
ABSTRACT
A great deal of enthusiasm has been generated by a learning strategy named Evidence
Based Medicine (EBM). It is claimed that EBM is a new paradigm that has revolutionized
the practice of medicine. In this essay we review the most stringent criticisms to these
claims, opposing the generalized optimism prevalent amongst the followers of this trend.
EBM is neither a new paradigm nor a revolutionary way of practicing medicine. It should
be remembered that medicine has sought the best evidence available throughout history.
The evidence used by EBM is only that based on meta-analysis and randomized clinical trials
and ignores other types of useful evidence such as basic research and clinical experience.
Promoting EBM as a new way of practicing medicine is treacherous and endangers the
classical approach of the patient-physician relationship.
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