Comments on: Combining the science and the art http://www.medrants.com/archives/2920 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Medical Illustrator http://www.medrants.com/archives/2920/comment-page-1#comment-312753 Medical Illustrator Sat, 21 Oct 2006 04:09:44 +0000 http://medrants.com/index.php/archives/2920#comment-312753 I could debate EBM all day, but I certainly love that I stumbled across your blog. Keep it coming I could debate EBM all day, but I certainly love that I stumbled across your blog. Keep it coming

]]> By: James Taylor http://www.medrants.com/archives/2920/comment-page-1#comment-272920 James Taylor Fri, 01 Sep 2006 23:14:56 +0000 http://medrants.com/index.php/archives/2920#comment-272920 Medical decisions, like most, require both judgment and data/analysis of data. EBM has a lot to offer I think provided it is in the context of the community being treated. Knowing what factors should be considered in deciding the risk level of an emergency room patient with heart pain is EBM. Actually evaluating those factors for a given patient is medical judgment. One thing to bear in mind is that EBM lends itself to automation and automated support and this can be a powerful tool as discussed for instance by Mark Clare of Parkview Health http://www.edmblog.com/weblog/2006/05/live_from_inter_3.html or this more general discussion http://www.edmblog.com/weblog/2006/07/medical_errors_.html Medical decisions, like most, require both judgment and data/analysis of data. EBM has a lot to offer I think provided it is in the context of the community being treated. Knowing what factors should be considered in deciding the risk level of an emergency room patient with heart pain is EBM. Actually evaluating those factors for a given patient is medical judgment.
One thing to bear in mind is that EBM lends itself to automation and automated support and this can be a powerful tool as discussed for instance by Mark Clare of Parkview Health http://www.edmblog.com/weblog/2006/05/live_from_inter_3.html or this more general discussion http://www.edmblog.com/weblog/2006/07/medical_errors_.html

]]> By: art malernee dvm http://www.medrants.com/archives/2920/comment-page-1#comment-271422 art malernee dvm Tue, 29 Aug 2006 12:37:51 +0000 http://medrants.com/index.php/archives/2920#comment-271422 EBM may be over sold but in veterinary medicine those who sell EBM have a difficult time even getting published. I think The old "art and science of medicine" dichotomy probably applied very well to pre-1930s medicine, but the science revolution that has occurred since really makes the phrase redundant. What people refer to as "art" in medicine is surely "judgment". That is, tailoring science-based treatments to an individual situation and guessing when to use placebos. Somewhere along the line medicine has to accept that it is based on a materialist philosophy, and is wedded to cause and effect (broadly defined). Everything else is not-science. The "healer" tradition in medicine (with its roots in the shaman idea) should finally be buried. art malernee dvm EBM may be over sold but in veterinary medicine those who sell EBM have a difficult time even getting published.
I think The old “art and science of medicine” dichotomy probably applied very well
to pre-1930s medicine, but the science revolution that has occurred since
really makes the phrase redundant. What people refer to as “art” in medicine
is surely “judgment”. That is, tailoring science-based treatments to an
individual situation and guessing when to use placebos. Somewhere along the line medicine has to accept that
it is based on a materialist philosophy, and is wedded to cause and effect
(broadly defined). Everything else is not-science. The “healer” tradition in
medicine (with its roots in the shaman idea) should finally be buried.

art malernee dvm

]]> By: #1 Dinosaur http://www.medrants.com/archives/2920/comment-page-1#comment-268152 #1 Dinosaur Fri, 25 Aug 2006 23:26:24 +0000 http://medrants.com/index.php/archives/2920#comment-268152 I've found that the principles of EBM are useful in helping patients understand why a certain treatment or test is *not* indicated in a particular context. I’ve found that the principles of EBM are useful in helping patients understand why a certain treatment or test is *not* indicated in a particular context.

]]> By: james gaule http://www.medrants.com/archives/2920/comment-page-1#comment-267878 james gaule Fri, 25 Aug 2006 12:52:55 +0000 http://medrants.com/index.php/archives/2920#comment-267878 I have been thinking a lot and blogging a little on the same issues you discuss here.We need to celebrate the utility of EMB and recognize its limitations.I fear that sometimes EBM has been oversold or at least over-bought by some.I have written more about its limitations as there is no shortage of its advocates some of whom are a little too enthusiastic and have missed or at least ignored your very important point of considering the evidence in the context of the patient. I have been thinking a lot and blogging a little on the same issues you discuss here.We need to celebrate the utility of EMB and recognize its limitations.I fear that sometimes EBM has been oversold or at least over-bought by some.I have written more about its limitations as there is no shortage of its advocates some of whom are a little too enthusiastic and have missed or at least ignored your very important point of considering the evidence in the context of the patient.

]]>