- Joined
- Oct 14, 2021
- Messages
- 723
- Reaction score
- 1,251
So on internal medicine services there aren't attendings who think you need to give Toradol because "it's more effective in {their} experience" than oral NSAIDs who argue with the attendings who say that oral NSAIDs, if dosed appropriately, are equally effective? Same thing with Tylenol dosing and intervals? Whether to administer Tylenol and Motrin at the same time or rotating?Medicine cannot progress scientifically without rigorous, actual, objective data.
Personalized medicine does not mean non-evidence based medicine, or one where you just omit the rigor part.
Of course no amount of research will answer every single question. And you will always involve judgement and how to apply the scientific knowledge to individual cases.
But if most of your decisions are not based on actual objective data then you're pretty much practicing quackery.
Frankly I see this attitude in our field and I believe it's a bane that we encourage it and tolerate it. The reality we just don't have the data and we need to deal with what we have, but it's not something that we should encourage. See the thread about mania.
If anyone suggests to use a medication that has no evidence vs one with evidence because 'in their experience it doesn't work', they would be roasted in every other field of medicine.
Attendings who choose one antibiotic over another due to personal experience ignoring guidelines surely get laughed out of every department, right? Not encouraged to promote their dogma to every intern they encounter?
Psychiatry is the only specialty ever influenced by drug marketers to prescribe things against the evidence base? ... Just look at the other forums on SDN for countless examples in every specialty of a similar issue.