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Editor's Choice

Evidence based medicine: flawed system but still the best we’ve got

BMJ 2014; 348 doi: (Published 22 January 2014) Cite this as: BMJ 2014;348:g440
  1. Fiona Godlee, editor, BMJ
  1. fgodlee{at}

Evidence based medicine is so much part of the air we breathe it can be hard to remember a time before it. An oral history, filmed for a joint JAMA and BMJ celebration last year, has now been published on and the JAMA network. As summarised in an editorial co-published by the two journals this week, the story features a satisfying array of heroes and detractors, forward progress and backlash (doi:10.1136/bmj.g371).

Why did evidence based medicine take off? In the video, and quoted in the editorial, David Sackett provides two main reasons: …

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