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Currents |15 February 1998

Evidence-Based Medicine Gaining Supporters

Aaron Levin

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Lawrence Smith, MD, of Mount Sinai Medical Center in New York City, recalled a recent episode on morning rounds: “A consulting physician recommended antibiotics to treat a patient with pancreatitis. A resident challenged him, and the consultant quoted one recent study. The resident went to the library, reviewed the literature, and found that the study in question applied only to a more severe form of pancreatitis, not to our patient.” Backing up clinical decisions with validated information is the heart of evidence-based medicine (EBM) in the clinic, an approach gaining more adherents all the time.
“We organized an evidence-based medicine approach in our residency program 2 years ago,” Smith continued. “In morning rounds, we challenge every statement. We want to know evidence and data, not the seniority of the doctor. The students love it, and the attending physicians enjoy discussing the cases.”
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Levin A. Evidence-Based Medicine Gaining Supporters. Ann Intern Med. ;128:334–336. doi: 10.7326/0003-4819-128-4-199802150-00057

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Published: Ann Intern Med. 1998;128(4):334-336.

DOI: 10.7326/0003-4819-128-4-199802150-00057

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