Pseudoacademia
The integrity of the scientific basis of medicine is under attack from numerous fronts. It is not only the intrusion of pseudoscience and mysticism into mainstream institutions of medicine, but also attempts to distort or game the scientific process for ideological and financial reasons. Ideological groups such as the anti-vaccine movement, or grassroots organizations promoting pseudodiseases such as chronic Lyme, electromagnetic sensitivity,...
Adventures on the Alimentary Canal
I write about a lot of depressing subjects, and sometimes a change of pace is welcome. Mary Roach, billed as “America’s funniest science writer,” has followed up on her earlier explorations of cadavers (Stiff), sex (Bonk), the afterlife (Spook), and survival on spaceships (Packing for Mars) with a new book entitled Gulp: Adventures on the Alimentary Canal. Forget all that mythology about...
The “no compassion” gambit
As usual, I was impressed with Mark Crislip’s post on Friday in which he discussed the boundaries between science-based medicine and what we sometimes refer to as woo or what Mark often refers to as sCAM. It got me to thinking a bit, which is always a dangerous thing, particularly when such thinking leads to my writing something for my not-so-super-secret other...
Boundaries
Vacation then taxes have consumed my focus the last two weeks, and I have had little time to devote to issues of infectious diseases, much less SBM, so I will instead meander around a more philosophical terrain. I feel guilty when I do not have a substantive, data driven post evaluating a paper or essay in detail, but some weeks there just...

Homeopathic regulation diluted until no substance left
Homeopathy is quackery but it is perfectly legal to prescribe homeopathic products and to sell them directly to consumers in the United States as well as other supposedly civilized countries such as the United Kingdom and Germany. This makes as much sense as allowing the sale of batteries that don’t produce electricity. What makes this state of affairs even stranger is that...
Important Security Notice: SBM Hacked
UPDATE 2013-04-04 1:25 PM EDT: All passwords have been reset. Users will have to use the “Forgot password” function to set a new password. UPDATE 2013-04-04 6:06 PM EDT: Those interested in knowing if one of their passwords was one of the less secure may use this tool to check their email address. No matter the result with that tool, the only...

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...
The final nail in the coffin for the antivaccine rallying cry “Too many too soon”?
There are some weeks when I know what my topic will be—what it must be. These are weeks in which the universe gives the very appearance of handing to me my topic for the week on the proverbial silver platter with a giant hand descending from the clouds, pointing at it, and saying, “Blog about this, you idiot!” Usually, it’s because a...
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...

Behold the spin! What a new survey of placebo prescribing really tells us
One of the recurring topics here at SBM is the idea of the placebo: What it is, what it isn’t, and how it complicates our evaluation of the scientific evidence. One my earliest lessons after I started following this blog (I was a reader long before I was a writer) was that I didn’t understand placebos well enough to even describe them...