Opposing Views Evidence Based Medicine Medicine

Evidence-based medicine and its methodology, although now widely accepted, is still the subject of considerable critical assessment and debate, and the entries in this subcategory are intended to represent the broad range of critical assessment and appreciation of EBM from a number of perspectives.

• A philosophical analysis of the evidence-based medicine debate - A review of criticisms of EBM as being founded on a lack of clarity and precision by EBM's own proponents. [PDF]
  
• The case against 'the evidence': a different perspective on evidence-based medicine - A psychiatrist's critique that over-emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care.
  
• A categorization and analysis of the criticisms of Evidence-Based Medicine - An examination and assessment of a decade of criticisms of EBM. [PDF]
  
• False dichotomies: EBM, clinical freedom, and the art of medicine - 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.]
  
• Deconstructing the evidence-based discourse in health sciences: truth, power and fascism - The article that initiated the critical controversy surrounding the claim that EBM represents an exclusionary "regime of power". [PDF]
  
• Why Evidence-Based Medicine Cannot Be Applied to Psychiatry - Argues that there is insufficient proof that the EBM model can be adapted to fit psychiatry. (April 1, 2008).
  
• Evidence-Based Medicine in the Intensive Care Unit: A Debate - 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.]
  
• The pragmatic randomised controlled trial - A critique of conventional randomized controlled trials methodology, and an attempt to incorporate more complex interventions via a new 'pragmatic RCT'.
  
• Does "Evidence-Based Medicine" Diminish the Physician's Role? - A roundtable discussion of whether EBM is "microfascism", as recently charged by a former NIH director and others. Published: 01/05/07. [Requires registration.]
  
• Is Evidence-Based Medicine Relevant to the Developing World? - Argues and discusses the reasons for the limited relevance of systematic reviews to frontline health care workers in developing countries.
  
• Criticisms of evidence-based medicine - Brief review of five major types of criticisms of EBM. [PDF]
  
• Evidence-based medicine: a commentary on common criticisms - Review of the most commonly leveled charges against, and misperceptions about, evidence-based medicine, with proposed solutions to real limitations.
  
  

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