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Wiley InterScience

Epilepsia

Epilepsia

Volume 47 Issue s1, Pages 3 - 5

Published Online: 11 Oct 2006

© 2010 International League Against Epilepsy



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Evidence-based Medicine
*Dan Mayer
  *Professor of Emergency Medicine, Albany Medical College, Albany, New York, U.S.A.
 Address correspondence and reprint requests to Dr. Dan Mayer at Department of Emergency Medicine, Albany Medical College, Albany, New York, U.S.A. E-mail: mayerd@mail.amc.edu
Copyright 2006 International League Against Epilepsy
KEYWORDS
EBM • Evidence-based medicine • Critical appraisal of the medical literature • Medical decision making

ABSTRACT

Summary: Evidence-based medicine (EBM) has become a watchword for "the new" medical practice in the new century. Whether it represents a paradigm shift or simply a codification of the scientific method in medicine will be debated for years to come. Regardless of the place of EBM in medicine, this "movement" has served an important role in moving physician practice into the realm of becoming more scientific (albeit empirical) and transparent. There are still many problems to be addressed in the global application of the best evidence for medical practice. These include low-quality studies, delays in implementation of clear-cut improvements, outright fraud and deceit, and wariness on the part of physicians to change their practice. By working to understand the underpinnings of EBM (basic statistical concepts and critical thinking) we can advance the practice of medicine along the moral high road of science.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1528-1167.2006.00651.x About DOI

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