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CMAJ • October 3, 2000; 163 (7)
© 2000 Canadian Medical Association or its licensors


Commentary
Commentaire

Occasional essay

Evidence-based medicine: a commentary on common criticisms

Sharon E. Straus and Finlay A. McAlister

Dr. Straus is with the Division of General Internal Medicine, Mount Sinai Hospital, Toronto, Ont., and Dr. McAlister is with the Division of General Internal Medicine, University of Alberta Hospital, and is Population Health Investigator, Alberta Heritage Foundation for Medical Research, Edmonton, Alta.

Abstract

Discussions about evidence-based medicine engender both negative and positive reactions from clinicians and academics. Ways to achieve evidence-based practice are reviewed here and the most common criticisms described. The latter can be classified as "limitations universal to the practice of medicine," "limitations unique to evidence-based medicine" and "misperceptions of evidence-based medicine." Potential solutions to the true limitations of evidence-based medicine are discussed and areas for future work highlighted.





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