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A critique of evidence-based medicine, especially its EBM-grading construct, as scientifically unsound. Part of a Point/Counterpoint exchange on EBM from the Chest journal.
Pro and con viewpoints on the question of whether EBM erodes the doctor-patient relationship and adversely affects the artistic and creative aspects of medicine. From conference held March 18 - 21, 2003. [Requires registration.]
A critical evaluation of the oft-cited criticism of evidence-based medicine as constraining clinical freedom and potentially compromising patient welfare. Published: 03/01/05. [Requires registration.]
A defense of evidence-based medicine as an evolving and highly individualized, patient-centered approach to clinical decision making. Part of a Point/Counterpoint exchange on EBM from the Chest journal.
Argues that there is insufficient proof that the EBM model can be adapted to fit psychiatry. (April 1, 2008).
The article that initiated the critical controversy surrounding the claim that EBM represents an exclusionary "regime of power". [PDF] (April 1, 2006)
Argues and discusses the reasons for the limited relevance of systematic reviews to frontline health care workers in developing countries. (May 31, 2005)
Brief review of five major types of criticisms of EBM. [PDF] (June 30, 2004)
An examination and assessment of a decade of criticisms of EBM. [PDF] (January 1, 2004)
A review of criticisms of EBM as being founded on a lack of clarity and precision by EBM's own proponents. [PDF] (July 21, 2003)
A critique of conventional randomized controlled trials methodology, and an attempt to incorporate more complex interventions via a new 'pragmatic RCT'. (August 1, 2002)
A psychiatrist's critique that over-emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care. (January 1, 2002)
Review of the most commonly leveled charges against, and misperceptions about, evidence-based medicine, with proposed solutions to real limitations. (October 3, 2000)
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