Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
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.
Fleming M. Evidence-Based Medicine on Trial. JAMA. 2004;291(14):1696-1698. doi:10.1001/jama.291.14.1697-d