Virtual Mentor

Virtual Mentor. January 2013, Volume 15, Number 1: 1-97.

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January 2013 Contents

Ethical Issues in Evidence-Based Medicine

Ethics Poll

Your doctor tells you that you have unhealthy levels of cholesterol and says that, for patients in your situation, he typically recommends treatment with a drug known as a statin, which helps lower bad cholesterol. He then goes on to say that the number of people in your condition–high cholesterol but otherwise good health–who would have to be treated with a statin in order to prevent one death from a cardiovascular event is between 60 and 100. This statistic is known as the number needed to treat. Would this information on the number needed to treat change your decision about whether or not to take a statin drug?
Yes.
No.
Don’t know.

You have been diagnosed with a particular form of leukemia. The physician has statistical information based on thousands of patients who have had this form of leukemia and can state the probability of your survival, given the recommended treatment. Do you want to know what the probability is?
Yes.
No.
Don’t know.

Your parent or child has been diagnosed with a particular form of leukemia. The physician has statistical information based on thousands of patients who have had this form of leukemia and can state the probability of your parent's or child's survival, given the recommended treatment. Do you want to know what the probability of your parent’s or childt’s survival is?
Yes.
No.
Don’t know.

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From the Editor

Evidence-Based Medicine: A Science of Uncertainty and an Art of Probability
Matthew Rysavy
Full Text | PDF
Virtual Mentor. 2013; 15:4-8.

Educating for Professionalism

Ethics Cases

Communicating Evidence in Shared Decision Making
Commentary by Paul J. Christine and Lauris C. Kaldjian
Full Text | PDF
Virtual Mentor. 2013; 15:9-17.

Authority, Health Advocacy Organizations, and Scientific Evidence
Commentary by Jodi Halpern and Richard L. Kravitz
Full Text | PDF
Virtual Mentor. 2013; 15:18-22.

Medical Education

Teaching Critical Appraisal of Medical Evidence
Martha Carvour
Full Text | PDF
Virtual Mentor. 2013; 15:23-27.

The Code Says

The AMA Code of Medical Ethics’ Opinion on Informing Patients about Treatment Options
Full Text | PDF
Virtual Mentor. 2013; 15:28.

Journal Discussion

When Research Evidence is Misleading
Chetan Huded, Jill Rosno, and Vinay Prasad
Full Text | PDF
Virtual Mentor. 2013; 15:29-33.

State of the Art and Science

Effective Ways to Communicate Risk and Benefit
Evan A. Wilhelms and Valerie F. Reyna
Full Text | PDF
Virtual Mentor. 2013; 15:34-41.

N-of-1 Trials: Individualized Medication Effectiveness Tests
Sunita Vohra and Salima Punja
Full Text | PDF
Virtual Mentor. 2013; 15:42-45.

Law, Policy, and Society

Health Law

Medicine, the Law, and Conceptions of Evidence
Valarie Blake
Full Text | PDF
Virtual Mentor. 2013; 15:46-50.

Policy Forum

Evidence-Based Guidelines and Quality Measures in the Care of Older Adults
Erika Ramsdale and William Dale
Full Text | PDF
Virtual Mentor. 2013; 15:51-55.

Public Deliberation in Decisions about Health Research
Joanna E. Siegel, Jessica Waddell Heeringa, and Kristin L. Carman
Full Text | PDF
Virtual Mentor. 2013; 15:56-64.

Medicine and Society

Paradigms, Coherence, and the Fog of Evidence
Dien Ho
Full Text | PDF
Virtual Mentor. 2013; 15:65-70.

History, Art, and Narrative

History of Medicine

Evidence-Based Medicine: A Short History of a Modern Medical Movement
Ariel L. Zimerman
Full Text | PDF
Virtual Mentor. 2013; 15:71-76.

Medical Narrative

The Median Isn’t the Message
Stephen Jay Gould
Full Text | PDF
Virtual Mentor. 2013; 15:77-81.

The Message Isn’t as Mean as We May Think
Thomas W. LeBlanc
Full Text | PDF
Virtual Mentor. 2013; 15:82-85.

Op-Ed and Correspondence

Op-Ed

A Call to Integrate Ethics and Evidence-Based Medicine
Ross E.G. Upshur
Full Text | PDF
Virtual Mentor. 2013; 15:86-89.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2013; 15:90-93.

About the Contributors
Full Text | PDF
Virtual Mentor. 2013; 15:94-97.