Level IV Evidence — Adverse Anecdote and Clinical Practice
NEJM | July 6, 2011 | Topics: Quality of Care
Alison M. Stuebe, M.D.
When I entered medical school in 1997, I joined a generation of doctors that was supposed to practice evidence-based medicine. First in small groups, and later during clinical rotations, we learned to interpret the medical literature and apply the conclusions of randomized, controlled trials to our clinical decision making. Working within this new paradigm, we were going to rise above the apprentice-based training of our forbears and make decisions on the basis of gold-standard, Level I evidence.