EBM: Methodical and Moral Dilemma
“Science replaces private prejudice with public, verifiable evidence.” ? Richard Dawkins.
This statement by Dawkins inherits the essence of Evidence Based Medicine (EMB) which is relatively a new paradigm of clinical practice and inherently associated with the quest of lifelong-learning. EBM stands on three fundamental pillars- systematical appraisal of literature blended with expertise opinion and preferences(values) of patients for achieving optimization in decision making for a patient. All the three factors are assumed to act in coherence and not in dominance /isolation in an ideal scenario. However, as idealism is an optimistic illusion we have to accept the pragmatism in the perspective of current practices and operational strategies in EBM. This editorial is an attempt to explore and generate an insight as the consequence of the so –called realistic approach.