It is a great honour to be asked to comment on Dr Tonelli’s paper ‘Integrating evidence into clinical practice, an alternative to evidence-based approaches’. Dr Tonelli has consistently been one of the more thoughtful commentators on the evidencebased medicine (EBM) debate and, in fact, published one of the first critiques of EBM from a philosophical point of view (Tonelli 1998). In this paper,...

The impetus for these essays on evidence in medicine and law is commonly called evidence-based medicine: the movement to evaluate the safety, effectiveness, and cost of medical practices using tools from science and social science and to base clinical practice on such knowledge. Evidence-based medicine is portrayed as an alternative to medicine based on authority, tradition, and the physician’s...

training.1 Hospitals outside academia are also creating CAM programs, and health care providers have been expanding benefits to include alternative practices.6,7 Many cancer treatment centers also now offer CAM therapies.8 The University of Texas MD Anderson Cancer Center provides an integrative medicine approach to cancer care that incorporates a clinical program, research, and education.8 It ...

Evidenced-based medicine (EBM) is a philosophic approach to clinical problems introduced in the 1980s by a group of clinicians at McMaster University in Canada with an interest in clinical epidemiology. The concepts associated with EBM have been widely disseminated. While many feel EBM represents a paradigm shift, others have debated the usefulness of this approach. In this chapter we will prov...

The impetus for these essays on evidence in medicine and law is commonly called evidence-based medicine: the movement to evaluate the safety, effectiveness, and cost of medical practices using tools from science and social science and to base clinical practice on such knowledge. Evidence-based medicine is portrayed as an alternative to medicine based on authority, tradition, and the physician’s...

Although a wide spectrum of therapeutic practices exists, there are four major domains of CAM autism treatments: mind-body medicine interventions (intended to target interactions between brain and behavior), biology-based treatments (proffering natural substances as treatment alternatives), manipulative and body-based practices (that attempt to treat conditions through body manipulation), and e...

Evidence-based policy making in health is of great importance when addressing issues of Aboriginal and Torres Strait Islander health inequalities. I explore the role of evidence in influencing the decisions of policy makers, and question the relevance and accuracy of current evidence to the life experiences, social and cultural environments, and aspirations of Aboriginal and Torres Strait Islan...

Many, many years ago, when it was time to apply for internships and residencies, I found myself in a family medicine program interview quoting a paper I had recently read that claimed no substantial differences in the practice patterns of general practitioners a few years after rotating internship and of family doctors a few years after family medicine residency.1 It was a tactless point to rai...

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