© 2004 BMJ Publishing Group & Royal College of Paediatrics and Child Health
COMMENTARY
Evidence based medicine
Evidence based medicine: is it practical?
Correspondence to:
Correspondence to:
Dr V Moyer
Department of Paediatrics, 6431 Fannin St, #2.106 Houston, TX 77030, USA; virginia.a.moyer{at}uth.tmc.edu
Commentary on the paper by Riordan et al
| The first 150 words of the full text of this article appear below. |
It has become axiomatic that high quality health care requires application of the best available evidence in the context of the individual patient’s situation. Medical schools and residency training programmes are required to provide training in critical appraisal of the literature, and no self respecting guideline would claim to be other than "evidence based". In spite of this wide acceptance of evidence based medicine as the right thing to do, it is clear, from studies such as the one by Riordan et al in this issue, that we are just not quite there yet.1 These investigators wondered whether "best paediatric evidence" was accessible and used by on-call doctors working at inpatient paediatric and neonatal units. What they found was perhaps predictable: the sources they defined as "best paediatric evidence" were generally accessible, but they were not often used.
Other studies suggest that the problem is widespread: only
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