Acad Psychiatry 32:463-469, November-December 2008
doi: 10.1176/appi.ap.32.6.463
© 2008 Academic Psychiatry
Evidence-Based Medicine in the Education of Psychiatrists
Vinod Srihari, M.D.
Received January 16, 2006; revised May 6 and September 4, 2006, and June 19, 2007; accepted June 27, 2007. Dr. Srihari is an Assistant Professor in the Department of Psychiatry, Yale University School of Medicine, in New Haven, Conn. Address correspondence to Vinod H. Srihari, M.D., Psychiatry, 34 Park St., CMHC, New Haven, CT 06519; vinod.srihari{at}yale.edu (e-mail).
OBJECTIVE: Evidence-based medicine has an important place in the teaching and practice of psychiatry. Attempts to teach evidence-based medicine skills can be weakened by conceptual confusions feeding a false polarization between traditional clinical skills and evidence-based medicine. METHODS: The author develops a broader conception of clinical expertise consisting of three tasks, clarifies the role of evidence-based medicine, and explores the implications for teaching and practice. RESULTS: Evidence-based medicine is an essential tool that enables clinicians to assess causal explanations in etiology, risk, or prognosis, or to compare treatments. CONCLUSION: An explicit and inclusive conceptualization of clinical skills can provide a framework to implement and assess curricular efforts to teach evidence-based medicine.
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32(6):
453 - 457.
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