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April 14, 2004

Evidence-Based Medicine on Trial

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(14):1696-1698. doi:10.1001/jama.291.14.1697-d

To the Editor: Unfortunately, the results of Dr Merenstein's trial1 demonstrate that juries, as well as some attorneys, misunderstand EBM, believing that its focus is as a cost-saving method of practice. The American Academy of Family Physicians (AAFP) stands behind its use of EBM in the development of clinical practice guidelines, continuing medical education, and quality improvement. We continue to develop, on our own and with other specialty organizations, clinical practice guidelines that are based on critical evaluation of the current best evidence and that incorporate shared decision making.

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