Tag: evidence-based medicine
Evidence-based medicine vs. basic science in medical school
Last week Dr. Vinay Prasad wrote a Substack arguing that medical students should learn the principles of evidence-based medicine before basic science.This is a recipe for amplifying the main flaw in EBM that science-based medicine was meant to correct, and Dr. Prasad's arguments would have been right at home on an integrative medicine blog. [Note ADDENDUM.]
It Will Take More Than “Courage” to Restore Public Trust in Medicine
Judah Kreinbrook, a first year medical student, responds to a post on Sensible Medicine by a medical student that exaggerated the risk of myocarditis from COVID-19 vaccines while expressing anger at how trust in medicine has been undermined. Having been raised by a family steeped in antivaccine views, Kreinbrook invokes his journey to SBM to gently correct his fellow medical student and...
Aromatase inhibitors and acupuncture in breast cancer: Spinning a negative study, four years later
Four years ago, I wrote about an essentially negative study looking at whether acupuncture could alleviate joint pain caused by aromatase inhibitors, a common treatment for estrogen-sensitive breast cancer. The study's back, and it doesn't look any more positive.
But Is It Real?
Why we need more science in medicine.
How to design high quality acupuncture trials: The Good, The Bad, and The Ugly
Acupuncture advocates have published guidelines for "rigorous" acupuncture randomized controlled trials. While that sounds good on the surface, the devil is in the details, which reveal that the dedication to scientific rigor is perhaps not so strong.
Science-based medicine isn’t just for CAM. The case of ivermectin shows that it never was.
Another large randomized controlled trial for ivermectin showed no efficacy for the early treatment of COVID-19. This is not a surprise to science-based medicine advocates. Here's why the story of ivermectin shows that SBM isn't just for "complementary and alternative medicine" (CAM) —and never was.
UK Recommendations Wrong on Acupuncture
NICE draft recommendations on acupuncture don't even make sense from an EBM perspective, and utterly fail to consider SBM principles.
Responding to SBM Critics
A response to a critic of SBM, and setting the record straight on our actual positions regarding evidence and the practice of medicine.
Deconstructing Homeopathy Propaganda
The definition of “propaganda,” like so many things, is a bit fuzzy. The dictionary definition is: “information, especially of a biased or misleading nature, used to promote or publicize a particular political cause or point of view.” There is no sharp demarcation line, however. Speech occurs on a spectrum from obsessively objective, fair, balanced, and scholarly at one end, to deliberately deceptive...
Should Evidence-Based Medicine Be Replaced by Interpersonal Medicine?
An opinion piece in the New England Journal of Medicine complains about the limitations of evidence-based medicine (EBM) and recommends a new approach they call "interpersonal medicine." In my opinion, good clinical medicine is already interpersonal medicine; there is no need for something new.