Real v Rubbish EBM
Evidence-based medicine: where it came from, what it isn’t and what it could be.
Led by Trish Greenhalgh, Professor of Primary Health Care and Dean for Research Impact. This is collaboration between the Centre for Evidence-Based Medicine, University of Oxford and the Centre for Primary Care and Public Health at Queen Mary, University of London.
The meeting was announced on the JISC Evidence Based Health listserve by Ruth Davis from the Centre for Evidence-Based Medicine (CEBM) at Oxford and held on Tuesday 14th January 2014, Kellogg College, 62 Banbury Road, Oxford.
In September 2013 Trish Greenhalgh challenged Carl Heneghan to promote ‘real versus rubbish EBM’ on Twitter.
An example of rubbish EBM might be (for example) putting a 75 year old on statins because the guidelines say you should, with no account of their social situation, comorbidity, life expectancy etc.
Real EBM from a clinicians perspective would include taking patient values and circumstances into account alongside evidence from guidelines and from an organizational perspective it would include measures to avoid a managerialist, technocratic approach to promoting guideline adherence.