EBM is bullshit...

I have to present a patient at pedi morning report on Wednesday am. It has to be an adolescent topic. This is what kills me... I wanted to talk on some relevant topic. Something, oh say, big picture. Something that applied to many adolescents. I wanted to do some teaching about choosing appropriate contraceptive methods, (and review Plan B). Some simple spoon feeding. There are a lot of choices.. pills, patches, injections, rings, all with pros and cons, some with contraindications... My preceptor wanted it focused, and, and wanted something that was topical in the current literature, ie, bullshit "Evidence-Based Medicine" (EBM).

EBM should be renamed boring mental masturbation. What the fuck is the purpose of looking up minutia bullshit when people don't even understand the damn basics. I asked around earlier this month, and realized that we residents (both internal medicine and pediatric residents), had a weak grasp of the basics on contraception. And some spoon feeding (oh sure, I would have done it in a case-based format so it was applicable and interesting), would have really helped to increase knowledge. But instead, I have to talk about some fucking random question that most of us won't have to deal with when we talk about contraceptive methods, and to top it off, there is no official consensus on the question that I am presenting on Wednesday morning.

Mental Masturbation without a climax. Isn't that worth it?!

I'm calling it BEBM from now on... Yep, you guessed it. Bullshit Evidence Based Medicine.

The more I train in the US system, the more I am beginning to think that I'm not being prepared to really take care of patients. I'm being trained to look shit up constantly and to fill out fucking forms.

Back to BEBM.

Brian