Evidence based medicine, rules and clinical experience
Posted Nov 18 2008 12:17am
Evidence-based medicine ( EBM) is a hot topic in medicine; and seems to makes a lot of sense. Rather than practise medicine based on personal whims and fancies, doctors follow guidelines and rules based on evidence gleaned from clinical trials. While this is a great concept ( especially for bureaucrats and corporates, because this makes medical care so much easier to "manage") , the fact remains that clinical experience is an intangible which is hard to capture and pin down in the form of "evidence" and ""guidelines". Junior doctors learn all the rules - but the really good senior doctors learn when to break the rules - and for which patients ! This is why medicine will always remain an art !