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最初由[kingston_MD]发布
Your family doc is practicing the medicine in Canada called "Evidence Based Medicine" EBM, which means, 以实事为依据的诊治方式. The fact of the most common respiratory infections is that, >90% are viral infections which don't require antibiotics. Giving every patient antibiotics has caused increasing of drug resistance bacteria in the region or country. The key is to identify who needs, but certainly, not everyone !
毛主席说了,为人民服务,就要实事求是和全心全意。 Your family doc is 实事求是.
P.S: Something for your reference:
当前西方临床医学思维方式正在发生深刻的变化. 被誉为“21世纪临床医学新思维”的 "Evidence Based Medicine" EBM正广泛地被应用北美,加拿大的医疗实践中。 EBM 作为一种临床实践教育模式是由加拿大McMaster大学Gordon Guyatt领导的工作组于1992年正式命名,其定义为“应用最佳证据,通过谨慎,准确而明智的确认和评估,作出医学决策的实践活动”,是一种以“证据为基础”的概念和模式。它有别于传统临床医学的经验推理方法,因为临床经验会不可避免地存在一些非科学成分,甚至有害的疗法. EBM倡导证据应该来源于“随机、双盲、对照、大样本”的试验,但更强调强调的是使用当前最好证据,同时呼吁更高级证据的诞生. 传统的经验医学向以证据为基础的"Evidence Based Medicine"的转变,是临床医学发展的必然趋势.
Thanks doctor for your patience. I am sick and tired of doctors, in Canada, China and all over the world. I stayed in the ward on the Caribbean Princess. Believe it or not I was hospitalized on a cruise ship, flied back to Toronto from Miami and drove to an emergency room myself for treatment. The doctor on the cruise ship is as bad as every doctor on land, attitude wise.
The two contemporary terms for professionals are: evidence based and outcome based. In 90s, evidence based drove me nuts. Now, it is the turn of outcome based. We measure everything to death. |
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