Clinical trials answer drug questions. Health questions need other tools.

No one ever ran a blinded trial on handwashing. It became standard practice around the world anyway. Narinder Singh Parhar, an internal medicine, hospital medicine, and critical care physician, calls evidence-based medicine one of the field's great achievements and credits it with saving millions of lives. This episode is based on his article "Evidence-based medicine needs a broader view of evidence," published on KevinMD. He also believes medicine has begun to confuse one research method with science itself, and names the questions a blinded drug trial was never built to answer. You will hear why elderly patients carrying several diagnoses and several medications so often fall outside the study group. He makes the case for pragmatic trials, prospective cohorts, pilot programs, and functional outcomes when the question is not a single drug. You will also hear why he wants physicians running their own research and what to ask when a new guideline arrives attached to a product. Press play to hear why he says evidence-based medicine must be protected and should never become methodology-based medicine.

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