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A PIECE OF MY MIND
R. Scott Braithwaite, MD, MS Department of Population Health, New York University School of Medicine, New York, New York.
Corresponding Author: R. Scott Braithwaite, MD, MS (scott.braithwaite @nyumc.org). Section Editor: Roxanne K. Young, Associate Senior Editor. jama.com
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Opinion Filler
tinct inferences for decision making and could improve clarity of communication with patients. EBM practitioners should abandon terms that may unintentionally mislead or inhibit patient-centered care. There is no evi1. Smith GC, Pell JP. Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ. 2003;327(7429):1459-1461. 2. Altman DG, Bland JM. Absence of evidence is not evidence of absence. BMJ. 1995;311(7003):485. 3. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isnt. BMJ. 1996;312(7023):71-72.
dence to suggest is a persistent culprit. Informed implementation of EBM requires clearly communicating the status of available evidence, rather than ducking behind the shield of six dangerous words.
7. Braithwaite RS. Could media reports include a standardized scale for quality of evidence? J Gen Intern Med. 2011;26(5):543-545. 8. Bardes CL. Defining patient-centered medicine. N Engl J Med. 2012;366(9):782-783.
4. Evidence-Based Medicine Working Group. Evidence-based medicine: a new approach to teaching the practice of medicine. JAMA. 1992;268(17):2420-2425. 5. Kassirer JP, Moskowitz AJ, Lau J, Pauker SG. Decision analysis: a progress report. Ann Intern Med. 1987;106(2):275-291. 6. Berger JO. Statistical Decision Theory and Bayesian Analysis. Berlin, Germany: Springer-Verlag; 1985.
You may have heard people repeat what I have said, Genius is one percent inspiration, ninety-ninety percent perspiration. Yes, sir, its mostly hard work.
Thomas Alva Edison (1847-1931)
2150
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