2011年9月28日星期三

Experience vs Evidence














一踏入病房就听到两把争吵的声音。

小医生:老板,我不赞同你继续使用这药物来治疗病人。因为上一期的xx Journal里有提到这药物有致癌的危险性。
老医生:我行医20几年都是用这个药,病人也相安无事,怎么来癌症?那报告一定是有问题。
小医生:可是,那是一项大型的study,而且有蛮高的巴仙率病人证实是患上癌症。
老医生:一定是那间药物公司使计,想要淘汰对手吧,你还是看看就好了。
小医生:可可是….

在旁看热闹的病人,满脸迷惑,究竟要听谁的好呢?
Experience (经验) vs Evidence (证据)

你又会选择听谁呢?

3 条评论:

TJ 说...

朋友, 你的occupation还写着实习医生勒。
evidence based? experience?
ego, office politics?

study? valid or not?
should not just go by numbers, dun be tricked by numbers.

we do study to find the truth but if you are not careful enough, or do not have enough knowledge to interprete study result, then it will tell you nothing, not even the truth and worst make you believe the wrong truth.

happy delivering your service.

Edwin T 说...

i go for evidence. :)

ccc 说...

Doctors need to keep up to date with the latest information. Unfortunately as most do up to a certain degree, some "very experience ones" don't.

If I need to go for dental procedure for example, I will look for a dentist who has graduated more than 2-3 years (at least have enough experience), but not too "experienced" and busy ones that their knowledge and skills have outdated.

On the other hand, I agree with TJ, always interprete the so-called evidence with a pinch of salt, ie: do critical appraisal rather than believe in whatever published in journals blindly.

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