Now how in the hell *one observation* would reverse a mature medical theory, which we know are highly dependent on replication, is beyond me and reflects ignorance about how the medical literature functions and appropriate skepticism of new results (as Ioannidis’ emphasizes).
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I think they were still expected to follow current evidence-based practice. I think your attitude may get you in trouble with your College one day. It is appropriate to question in science but when 99% of the evidence says do something only a fool would do something different.
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I know all you
@AAPSonline docs like to think of yourselves as not part of the herd, as so much more independent and able to "think for yourselves," but "thinking for yourself" ≠ doing any dang foolish, non-evidence-based thing you feel like.Thanks. Twitter will use this to make your timeline better. UndoUndo
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No, then and now doctors are supposed to read and understand the evidence and provide safe and effective care. Which is the antithesis of what you do.
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Would you go to a neurosurgeon who rejected the wisdom of 99% of his colleagues to “think for myself?” Would you fly on a plane of the pilot bragged about thinking for “myself.” Some things are just wrong.
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Some women went to surgeons who defied the consensus favoring the Halstead radical mastectomy.
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The development of evidence-based best-practice algorithms was a considerable advance over individual physicians' often diverse thinking-for-themselves notions of proper management. Guidelines are just that; it is always recommended that individual cases be managed individually.
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The public trust requires that we not just make sh-t up. Science, doctor, science.
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