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O’, Evidence-Based Medicine–Where Is Your Effectiveness?


Thorp, John M., Jr. (2007). O', Evidence-Based Medicine--Where Is Your Effectiveness?. BJOG: An International Journal of Obstetrics & Gynaecology, 114(1), 1-2. PMCID: PMC1974837


‘Evidence‐based medicine’ (EBM) is a movement that began in the latter half of the past century based on the belief that by compiling, categorising, and grading the scientific literature; the wisdom accumulated in the synthesis would move the practice of medicine from its traditional and anecdotal roots into a golden age of rationalism. In short, medical practitioners guided by the lights of strong evidence would experience the benefits of the enlightenment and embrace all the benefits of modernity.1 Implicit in the paradigm is an untested assumption that physicians would want to modernise their practice and inherent within the accumulation and cataloguing of evidence was a motivation for a change in physician behaviour. This is analogous to the assumption in the movie, Field of Dreams, where the builder of a baseball stadium in the middle of a cornfield in rural Iowa repeatedly claims ‘Build it and they will come.’


Reference Type

Journal Article

Year Published


Journal Title

BJOG: An International Journal of Obstetrics & Gynaecology


Thorp, John M., Jr.