Category: Medical Academia
Point-of-Care Ultrasound: The Best Thing Since Stethoscopes?
A bit of good news for a change: a “Perspective” article in the New England Journal of Medicine describes how point-of-care ultrasound devices are being integrated into medical education. The wonders of modern medical technology are akin to science fiction. We don’t yet have a tricorder like “Bones” McCoy uses on Star Trek, but we are heading in that direction, and the...
A tale of quackademic medicine at the University of Arizona Cancer Center
NCI-designated comprehensive cancer centers like the University of Arizona should provide rigorously science-based treatment. Unfortunately, magical mystical "treatments" like reiki are offered to UA patients, as I learned from a father of a child treated there.
An update on the case of Sarah Hershberger: Parental rights trump the right of a child with cancer to live
Sarah Hershberger, an Amish girl with leukemia, is refusing chemotherapy, and her parents are supporting her. Unfortunately, it looks as though the State of Ohio will let this child die.
Integrative Medicine’s Collateral Damage
Integrative medicine combines the practice of medicine with alternative medicine. Proponents tend to take a paragraph or two to say this, but that is what remains when boiled down to its essence. By putting this more concise definition together with Tim Minchin’s often-quoted observation about alternative medicine, you get: integrative medicine is the practice of medicine combined with medicine that either has...
The future of “integrative medicine” is too close for comfort
I was the other day. I’ve been on vacation this week (staycation, actually, as I stayed at home and didn’t go on any trips); so you would think it would take a lot to depress me. Unfortunately, today is the last day of that vacation; so the thought of diving back into the fray trying to fund my lab. It didn’t help...
The Trojan Horse called Integrative Medicine arrives at another medical school
Medicine is a collaborative practice. Hospitals are the best example, where dozens of different health professionals work cooperatively, sharing responsibilities for patient care. Teamwork is essential, and that’s why health professionals obtain a large part of their education on the job, in teaching (academic) hospitals. The only way that all of these different professions are able to work together effectively is that...
The difference between science-based medicine and CAM
There is a huge difference between science-based medicine (SBM) and so-called "complementary and alternative medicine" (CAM) or, as it's increasingly called, "integrative medicine." That difference is that SBM changes with new science. The change might be messier and slower than we would like, but eventually science and evidence win out.
On humility, confidence, and science-based surgery
Every so often, the reality of trying to maintain a career in science-based medicine interferes with the fun that is writing for this blog. Basically, what happened is that I spent the entire weekend working on three different grant applications and, by the time Sunday night rolled around, I was too exhausted to write what I had originally planned on writing. Fortunately,...
AAFP CME Program Succumbs to “Integrative Medicine”
For many years I have been using Continuing Medical Education (CME) programs offered by the American Academy of Family Physicians (AAFP). The FP Essentials program consists of a monthly monograph with a post-test that can be submitted electronically for 5 hours of CME credit. Over a 9-year cycle, a complete family medicine curriculum is covered to prepare participants for the re-certification board...
More shameless self-promotion that is, I hope, at least entertaining
Three weeks ago, I gave a talk to the National Capital Area Skeptics at the National Science Foundation in Arlington, VA. The topic was one near and dear to my heart, namely quackademic medicine. I was informed the other day that the video had finally been posted. Unfortunately, there were some problems with the sound in a couple of places, which our...