Knowledge in Medicine – Defining the Problem
In this age, we aspire to practice evidence-based medicine , which has been described as an approach that applies “the best available evidence gained from the scientific method to medical decision making.” (Sackett DL, Rosenberg WM, Gray JA et al) Instead, we are more likely to practice memory-based medicine meaning that “Current medical practice relies heavily on the unaided mind to recall a great amount of detailed knowledge.”(Crane RM) Our failure to practice evidence based medicine is endemic throughout medical care, as documented by McGlynn et. al. who found that barely 55% of patients get recommended care, and that this could be seen in the management of multiple conditions (Figures 1 & 2). Furthermore, the average time from the discovery of medicine to reach patients is 17 years – because of the slow adoption of practice changes.(Balas EA, Boren SA) ….
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