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.]
Last week, Dr. Novella discussed what SBM has accomplished over the last 15 years. I'm going to discuss lessons learned, what has changed, and remaining huge challenges. Unfortunately, after the pandemic, our position in 2022 reminds me even more than ever of Aragorn at the Black Gate of Mordor, but that does not mean things are hopeless.
The disinformation epidemic about COVID-19 has pushed state medical boards to consider disciplining physicians who promote COVID-19 disinformation. How would that work? What are the obstacles? Is it even possible? It should be, but it will be messy and complicated.
The National Center for Complementary and Integrative Health recently released its latest 5 year strategic plan. It's basically the same as the last strategic plan, but with one new addition. It's not really a new addition, but it signals a resurrection of an old trope about "integrating" quackery with science-based medicine.
A toddler in China with Kawasaki disease was treated with herbs and potions rather than science, and is extremely lucky to have survived without serious complications.
In 2017, UC Irvine promised that the Susan Samueli Integrative Health Institute would be "rigorously evidence-based". A recent review discovers plenty of pseudoscience.