It's ironic that while physics and chemistry are evidence-based sciences, we have to promote evidence-based medicine as a separate movement. This highlights the fact that medicine has traditionally been taught through eminence-based approaches. You know, at my age, I can spout any nonsense and people might still believe me because I have gained some level of authority over time. This is due to the lack of education and training in scientific methods, leading to the phrase "science does not know everything," as if science were an all-knowing deity. In my college days, reading a non-prescribed book was frowned upon, and now we rely heavily on PowerPoint presentations, making us even more anti-science.
It's concerning that we had to create a movement to remind ourselves to embrace science as students. However, this movement produced only buzzwords rather than genuine methods that should be taught in our educational curriculum. We now have entrance exams like NEET that assess memory rather than critical thinking, which is supported by political sycophants or people who have an unusual fascination with merit. Merit via a single test which can be trained by joining a course for 1 lakh per year starting from 9 th std or write the useless exam thrice to get first mark. They are going to be “brilliant doctors” the idiocy in our country is a shining star. The real issue is the lack of science education. We produce medical professionals who don't even understand the criteria for an effective treatment or the methods to determine it. Sadly, many poorly educated professionals from biological carpenters to physical therapists believe that SWD, IFT, traction passive movements are effective treatments. Furthermore, there are millions of unnecessary CT scans, antibiotics prescribed for everything from COVID to chikungunya, and numerous unnecessary surgeries. So why can't we move away from this? Because we lack science education, people who understand science, and individuals with courage.
It is essential to have physiotherapy science education to understand the concepts of posture, correction, and whether it is possible to correct them. We don't need individuals with fancy degrees or certifications that are useless in practice. For example, the NDT or visceral manipulation certification is a waste of time and resources. We should ask ourselves how they determined whether a muscle can be stretched, or posture can be changed and why it is necessary. For instance, does changing posture align the knee? Really. You think it is important?
we need EBM- where I know what the terminology means. I need science education where I understand what an experiment is. I need education where I know we are all the same as we all have the same body and brain, still variations are there within the sameness. I need education where, I know 6 out 10 people will get better with “x” treatment. I am not afraid to say it does not work at all. I need an education where uncertainty is nothing to be feared . We need an education where we are not afraid to say- this needs no treatment, or we don’t have a treatment - from radiculopathy to adhesive capsulitis. We need an education where we don’t need to say explicitly this is “evidence-based”. What a joke isnt it? What else are we teaching in a science course? Well medicine based on dreams
Hariohm
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