Should Evidence-Based Medicine Be Replaced By Interpersonal Medicine?

An opinion piece in the New England Journal of Medicine complains about the limitations of evidence-based medicine (EBM) and recommends a new approach they call “interpersonal medicine.” In my opinion, good clinical medicine is already interpersonal medicine; there is no need for something new. The 22 November 2018 issue of The New England Journal of Medicine carried an opinion

The Screening Test that Caused an Epidemic

There is a worldwide epidemic of thyroid cancer. South Korea has been hit the hardest; in 2011, the rate of thyroid cancer diagnoses was fifteen times what it was in 1993. There have also been dramatic increases in other countries including the United States, France, Italy, the UK, and Japan, and lesser increases in Scandinavia

The “Art” of Clinical Decision-Making

Much nonsense has been written about the “art” of medicine. All too often, it amounts to a rationalization for doctors doing what they want to do instead of following the evidence. Medicine is not an art like painting. Neither is it a science like physics. It’s an applied science. Since patients are not all identical,