I have to admit that I was initially excited by the goals of EBM and EBP, which seemed to bring hope for a new
level of objectivity. However, this hope was clearly a premature premature
evaluation and has been upset by the preeminent professional application of evidence based practice, which breaks down to simply finding the best evidence within a paradigm, without questioning the paradigm itself. The emphasis on hard science tends to devalue multifaceted highly developed clinical expertise largely derived from experience and a detailed study and understanding of individual patients.
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