Dr. Aseem Malhotra

You can't tell you which half, so you have to learn to learn on your own. But how many doctors have got the time or the skill to try and cut through all the stuff that they're getting through medical journals, looking at independent evidence, and then being able to try and get to something that, a level of information that they can utilize for really benefiting and helping their patients.

So it comes down to informed consent. And for me, one thing that, I think it was Mark Twain that said that truth often lies in simplicity. And the most elegant analytical framework we have for teaching and practicing medicine is called the evidence-based medicine triad, right? Published in the BMJ in 1996. I love this. It's beautiful. I put it up in my talks. It's one of the first slides.

So it comes down to informed consent. And for me, one thing that, I think it was Mark Twain that said that truth often lies in simplicity. And the most elegant analytical framework we have for teaching and practicing medicine is called the evidence-based medicine triad, right? Published in the BMJ in 1996. I love this. It's beautiful. I put it up in my talks. It's one of the first slides.

So it comes down to informed consent. And for me, one thing that, I think it was Mark Twain that said that truth often lies in simplicity. And the most elegant analytical framework we have for teaching and practicing medicine is called the evidence-based medicine triad, right? Published in the BMJ in 1996. I love this. It's beautiful. I put it up in my talks. It's one of the first slides.

And I say, listen, this is the most important side of my talk. If you get this, you can probably not only understand why our health is going the wrong direction. But you can probably explain most problems in the world as well, right? So what does that mean? Okay, in the middle of the triad, our role as healthcare practitioners, as doctors, is to improve patient outcomes.

And I say, listen, this is the most important side of my talk. If you get this, you can probably not only understand why our health is going the wrong direction. But you can probably explain most problems in the world as well, right? So what does that mean? Okay, in the middle of the triad, our role as healthcare practitioners, as doctors, is to improve patient outcomes.

And I say, listen, this is the most important side of my talk. If you get this, you can probably not only understand why our health is going the wrong direction. But you can probably explain most problems in the world as well, right? So what does that mean? Okay, in the middle of the triad, our role as healthcare practitioners, as doctors, is to improve patient outcomes.

Manage risks, treat illness, relieve suffering. How do we do that? There are three inputs. Our clinical experience, our knowledge, our intuition as doctors over many, many years. The best available evidence on a drug, on a lifestyle, on a surgical intervention, on ordering a test.

Manage risks, treat illness, relieve suffering. How do we do that? There are three inputs. Our clinical experience, our knowledge, our intuition as doctors over many, many years. The best available evidence on a drug, on a lifestyle, on a surgical intervention, on ordering a test.

Manage risks, treat illness, relieve suffering. How do we do that? There are three inputs. Our clinical experience, our knowledge, our intuition as doctors over many, many years. The best available evidence on a drug, on a lifestyle, on a surgical intervention, on ordering a test.

And last but not least, David Sackett said, taking it into consideration individual patient preferences and values, right? That's where the informed consent comes in. So what's the problem? What are the limitations? Why have we not really advanced evidence?

And last but not least, David Sackett said, taking it into consideration individual patient preferences and values, right? That's where the informed consent comes in. So what's the problem? What are the limitations? Why have we not really advanced evidence?

And last but not least, David Sackett said, taking it into consideration individual patient preferences and values, right? That's where the informed consent comes in. So what's the problem? What are the limitations? Why have we not really advanced evidence?

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So then you pick up, so then the next stage is, okay, so if you accept this as a pretty solid framework for improving patient outcomes, It doesn't take a rocket scientist to figure out that if there's anything wrong with one or all of these, at best, you're going to get suboptimal outcomes, and at worst, you're going to do harm. So in terms of these inputs, right?

So then you pick up, so then the next stage is, okay, so if you accept this as a pretty solid framework for improving patient outcomes, It doesn't take a rocket scientist to figure out that if there's anything wrong with one or all of these, at best, you're going to get suboptimal outcomes, and at worst, you're going to do harm. So in terms of these inputs, right?

So then you pick up, so then the next stage is, okay, so if you accept this as a pretty solid framework for improving patient outcomes, It doesn't take a rocket scientist to figure out that if there's anything wrong with one or all of these, at best, you're going to get suboptimal outcomes, and at worst, you're going to do harm. So in terms of these inputs, right?

So if we just take the best available evidence, and I've just said already, John, I need this. Okay, most published research finding their faults, etc. You know, you've got Richard Horton, editor of The Lancet, in 2015, writing an editorial saying that... Possibly half the published literature is simply untrue. It's not just John Ineeder saying this.