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what do you do?
WHAT IS THE BASIS OF YOUR MEDICAL PRACTICE?
Training, clinical experience and consultation with other professionals ?
BUT… Past knowledge and practice might be outdated or inadequate
Graduate Medical School
Practiced Physician
Preferences of the patient?
I WON’T take that medicine… The side effects are INTOLERABLE!
No salt?
Lose weight?
Forget it!
Just give me a pill!
But doctor, I DO want to have children!
And conflicts WILL occur!
2
Convincing evidence (non-experimental) from articles, case reports, product literature, etc.?
BUT… This evidence may be biased, outdated, incorrect, or not applicable to your patient
so what should we do?
What is Evidence-Based Medicine?
“Evidence-based medicine is the integration of best research evidence with clinical expertise and patient values”