Institute: ONC | Component: 2 | Unit: 5 | Lecture: a | Slide: 7
Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Evidence-Based Practice
Lecture:Definition and application of EBM
Slide content:Cultural Pushback on EBM Not everyone agrees with the experimentally oriented approach of EBM (Source: Luce et al., 2009) Some criticisms of EBM are valid (Source: Cohen, Stavri , & Hersh, 2004) Challenges physician-patient autonomy Focuses on large-scale, randomized controlled trials that homogenize individual differences Concerns about manipulations of clinical trials data and reports 7
Slide notes:This unit explores the details of EBM, but it should be noted that theres some cultural pushback to this concept. Not everyone agrees with the EBM approach and instead prefer other approaches for gaining knowledge, such as experience and observation. There are also some valid criticisms of EBM. EBM, in some sense, challenges physician-patient autonomy by having a very rigid view of what evidence is to be applied in decision making for patient care. EBM tends to focus on large-scale, randomized control trials that homogenize or take away individual differences. Finally, there are concerns about manipulation of clinical trial data and reports that dont undermine the principles of EBM but show that, in practice, it has some shortcomings. 7