Funny he should ask why @stevennovella of @SkepticsGuide, who founded @ScienceBasedMed, called it that. He said why in the very first post on the blog 13 years ago. https://sciencebasedmedicine.org/hello-world/ https://twitter.com/TuckerGoodrich/status/1333227518023716866 …
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The art of medicine.
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One of the most critical and overlooked concepts is exclusion criteria. We base so much treatment on trials that would have excluded huge swathes of our patients (or at least my patients). Interpret with care.
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For example, abx in appendicitis. Classically studied in healthy young patients who can take a joke. Unfortunately applied to oldsters and sick folks (excluded from trials) who can not. Shennanigans ensue.https://pubmed.ncbi.nlm.nih.gov/29198605/
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An older vet I worked with when I first qualified said "The practice of Veterinary Medicine is an art but you don't start learning the art until you are thoroughly familiar with the science."
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Definitely applied science and engineering, lots of extrapolating and good intentions
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