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Letters Crisis in evidence based medicine

Renaissance or reformation for evidence based medicine?

BMJ 2014; 349 doi: (Published 30 July 2014) Cite this as: BMJ 2014;349:g4902
  1. Jonathan Fuller, MD/PhD student1,
  2. Luis J Flores, PhD candidate2,
  3. Ross E G Upshur, professor3,
  4. Maya J Goldenberg, associate professor4
  1. 1Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5S 1A8
  2. 2Department of Philosophy, King’s College London, London, UK
  3. 3Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada
  4. 4Department of Philosophy, University of Guelph, Guelph, ON, Canada
  1. jonathan.fuller{at}

We welcome the new directions for evidence based medicine sketched out by Greenhalgh and colleagues on behalf of the Evidence Based Medicine Renaissance Group.1 However, we wonder whether their movement will represent a renaissance—a sweeping intellectual revival for evidence based medicine—or a reformation—the breakaway of a group of concerned followers from orthodoxy to form a separate school of thought. Meaningful, far reaching change will require …

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