Mayer Dan
Department of Emergency Medicine, Albany Medical College, Albany, New York, USA.
Epilepsia. 2006;47 Suppl 1:3-5. doi: 10.1111/j.1528-1167.2006.00651.x.
Evidence-based medicine (EBM) has become a watchword for "the new" medical practice in the new century. Whether it represents a paradigm shift or simply a codification of the scientific method in medicine will be debated for years to come. Regardless of the place of EBM in medicine, this "movement" has served an important role in moving physician practice into the realm of becoming more scientific (albeit empirical) and transparent. There are still many problems to be addressed in the global application of the best evidence for medical practice. These include low-quality studies, delays in implementation of clear-cut improvements, outright fraud and deceit, and wariness on the part of physicians to change their practice. By working to understand the underpinnings of EBM (basic statistical concepts and critical thinking) we can advance the practice of medicine along the moral high road of science.
循证医学（EBM）已成为新世纪“新的”医学实践的口号。它究竟代表着一种范式转变，还是仅仅是医学科学方法的一种编纂，在未来数年仍将是争论的话题。无论循证医学在医学领域处于何种地位，这一“运动”在推动医生实践进入更具科学性（尽管是经验性的）和透明度的领域方面发挥了重要作用。在将最佳证据应用于全球医学实践的过程中，仍有许多问题有待解决。这些问题包括研究质量低下、明确改进措施的实施延迟、彻头彻尾的欺诈和欺骗行为，以及医生对改变其行医方式的谨慎态度。通过努力理解循证医学的基础（基本统计概念和批判性思维），我们可以沿着科学的道德高地推进医学实践。
