The Ups and Downs of Evidence Based Medicine

The video discusses evidence-based medicine, its history, and its impact on healthcare. It highlights the influence of David Sackett's Handbook and the importance of randomized controlled trials. The video explores both support and criticism of evidence-based medicine, addressing issues like cost, quality, and access. It emphasizes the need for proper application and the challenges faced, such as the misuse of guidelines and the difference between statistical and clinical significance. The video concludes by discussing the crisis in evidence-based medicine and the need for future focus on practical applications and trust-building.

What was a key influence in the introduction of evidence-based medicine?

• Pharmaceutical guidelines

• David Sackett's Handbook

• Clinical experience

• Traditional medicine

How do supporters of evidence-based medicine believe it can improve healthcare?

• By eliminating the need for insurance

• By focusing solely on clinical experience

• By reducing unnecessary care and saving money

• By increasing the number of medical tests

What is a common criticism of evidence-based medicine?

• It completely ignores patient individuality

• It is too focused on traditional practices

• It often uses weak evidence for guidelines

• It relies too heavily on clinical experience

What is the difference between statistical significance and clinical significance?

• Statistical significance is always more important

• Statistical significance is irrelevant in medicine

• Clinical significance ensures results impact practice

• They are essentially the same

Why should findings not be over-extrapolated in evidence-based medicine?

• Because it leads to more clinical trials

• Because it increases healthcare costs

• Because results in one group may not apply to another

• Because all studies are equally reliable

What shift in focus has contributed to the crisis in evidence-based medicine?

• From clinical trials to patient care

• From risk to disease

• From disease to risk

• From statistics to clinical experience

What is a potential benefit of big data and AI in evidence-based medicine?

• They reduce the cost of healthcare

• They eliminate the need for guidelines

• They provide information on disease risk

• They can replace clinical trials