The Limits of Evidence-Based Medicine

Evidence-based medicine (EBM) has become the predominant construct for academic medicine over the last two decades. Still, an intrinsic gap exists between the knowledge generated by clinical research and the knowledge needed to make the best medical decision for particular patients. Other forms of medical knowledge, generally devalued by EBM, remain crucial to good clinical judgment. In addition, factors beyond the design and statistical robustness of clinical research are of vital importance for clinicians.

Mark Tonelli, MD, MA, professor, Division of Pulmonary and Critical Care Medicine, adjunct professor, Department of Bioethics and Humanities, University of Washington

02/10/16

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