As part of the rationale for the application of EBVM, it seems necessary to illustrate the deficiencies in other approaches to evaluating therapies and making clinical decisions. As infectious disease specialist Mark Crislip puts it.
Often getting the right diagnosis and therapy is less about what you know and more about being rigorous about understanding how you know. Only when you are conscious of your ability to think poorly, can you compensate.
In this spirit, I contributed a commentary to the Journal of the American Veterinary Medical Association about the processes and pitfalls of clinical decision-making, with an emphasis on the effects of cognitive biases and the need for formal methods to compensate for these.
McKenzie, B. Veterinary clinical decision-making: cognitive biases, external constraints, and strategies for improvement. Journal of the American Veterinary Medical Association. 2014;244(3):271-276.
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