Rationally Speaking #174 - John Ioannidis on "What happened to Evidence-based medicine?"

Rationally Speaking Podcast

New York City Skeptics

Society & Culture, Skepticism, Science, Philosophy

4.6 • 787 Ratings

🗓️ 11 December 2016

⏱️ 46 minutes

🔗️ Recording | iTunes | RSS

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Summary

Over the last two decades, the Evidence-Based Medicine (EBM) movement has transformed medical science, pushing doctors to rely less on intuition or "common wisdom" in choosing treatments, and more on evidence from studies. Sounds great -- but has EBM become a victim of its own success? This episode features John Ioannidis, Stanford professor of medicine, health and policy, and statistics, and author of the famous paper, "Why Most Published Research Findings are False." John and Julia discuss how EBM has been "hijacked," by whom, and what do do about it.

Transcript

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0:00.0	Rationally Speaking is a presentation of New York City skeptics dedicated to promoting critical thinking, skeptical inquiry, and science education.
0:22.5	For more information, please visit us at NYCCEceptics.org.
0:31.5	Welcome to Rationally Speaking, the podcast where we explore the borderlands between reason and nonsense.
0:41.6	I'm your host, Julia Galef, and with me is today's guest, Professor John Yonidis.
0:46.7	John is a professor of medicine, health research and policy, and statistics at Stanford University.
0:52.2	His research mostly focuses on the scientific process itself.
0:55.9	His most famous paper is why most published research findings are false.
1:01.4	This is, I think, the most downloaded paper in its journal and has helped make John one of the most cited scientists, period.
1:09.5	More recently, John has become the co-director of the Meta Research Innovation
1:13.9	Center, or Metrics at Stanford. So we're going to talk about metrics, talk about other work
1:21.3	that he's done on the scientific process and how it works or doesn't. It's a lot of ground to cover.
1:27.1	John, welcome to rationally speaking.
1:29.2	Thank you, Gillian.
1:30.6	I think the point where I want to jump in is actually an essay you wrote recently
1:34.8	about evidence-based medicine, which is a movement that essentially advocated for
1:41.1	doctors using empirical evidence like academic studies to determine the treatments
1:47.3	that they prescribe, as opposed to using their own intuition or personal experience or just
1:52.9	the prevailing common wisdom.
1:54.6	And evidence-based medicine originated, I think, in the 90s and has kind of gained traction
1:59.2	since then.
1:59.8	But John, in your article,
2:01.2	you basically argued that evidence-based medicine has been co-opted or hijacked to a significant
	...

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