The evidence-based medicine movement in medical decision making developed in part as a reaction to a realization that so much of what was taught was done so as received wisdom, not informed by research or even by a strong circumstantial base.1,2 While there is still a good deal of distance to travel in providing a strong evidence base for many clinical decisions, the framework for approaching such questions has become more sophisticated, as has an understanding of how to integrate medical literature into these decisions.3
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