On Fri, 12 Jun 2009 08:43:41 -0700, Louis Schmier wrote:
>Mike, must you be a medical researcher--beyond keeping up on 
>your reading and training--to be a good physician?  I think not.

Louis,
A physician does not have to be a medical researcher but a physician 
should be a critical thinker and, in some sense of word, wise.  

I wonder about physicians who have no interest in medical research 
because I'd worry about the extent to which they have critically 
evaluated the medical knowledge they're using to treat a person.  
Is this knowledge based on research evidence or hunches or voices 
that come in the night speaking the "truth"?

If a physician does not rely upon research results as a guide for their
medical treatment, what do they rely upon?  Conform to the common
practice of other physicians, even if this practice has no demonstrated
benefit?  I think that a physician who has no interest in research will
be less concerned with evidence-based medicine.  Consider the table
at the following website and some of the articles cited though these
are somewhat dated (see www.cochrane.org for current info on
what works):
http://www.shef.ac.uk/scharr/ir/percent.html

Something to think about.

-Mike Palij
New York University
[email protected]





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