(by Theo Dombrowski) When we depend on language to mediate scientific knowledge, the field is ripe for misunderstanding and abuse. And when life and death are involved, as they often are in medical science, getting it right is important. Hence the attempts of prominent figures who straddle both fields — medical science and communication (e.g. David Gorski, Stephen Novella, John Byrne) — to change terminology when current terminology has created problems. In fact, these medical writers/doctors have created a whole society and web site on the issue: Science Based Medicine: exploring issues and controversies in science and medicine.
The need for one particular new term, though, may seem surprising. “Evidence Based Medicine” is a term that should hardly need changing. Right? After all, evidence is exactly that–evidence. And evidence has always (in “modern medicine”) been and should always be the basis of medical science. Right?
Well, apparently, not. Continue reading