The letter by Sudakin brings up an important point regarding the controversies in preventive health care, that multiple guidelines and inconsistent recommendations such as those surrounding the debate on prostate screening can pose practical problems. From the resident's point of view, the intervention suggested by Sudakin has merit; it would encourage those in residency training to use an evidence-based approach to integrate the science of epidemiology as it relates to aspects of preventive care. This process should enhance learning and may also help to improve performance rates of health maintenance activities. In addition, a greater awareness of the controversial issues might help medical residents improve their ability to individualize preventive care for their patients. We agree that further work in this area is needed.
Cardozo LJ, Steinberg J, Lepczyk MB, Binns-Emerick L, Cardozo Y, Aranha ANF. Integrating Preventive Medicine Into a Medical Resident Practice. Arch Intern Med. 1998;158(15):1719. doi: