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https://accadandkoka.com/wp-content/uploads/2018/09/TonelliM-e1537221101918.jpg ()Mark Tonelli, MD Can anyone question evidence-based medicine and not be considered some kind of fringe lunatic?  Fortunately it’s possible, as will be demonstrated by our guest, Mark Tonelli, professor of medicine from the University of Washington, and one of the earliest, most thoughtful, and most articulate academic critic of the EBM dogma. Dr. Tonelli holds a BA in philosophy form the University of Colorado in Boulder and a medical doctorate from the University of Colorado in Denver.  He is the author of numerous peer-reviewed articles and book chapters on various aspects of medical science and medical philosophy.  His critique of EBM and his proposal for “case-based reasoning” are both cogent and compelling. GUEST: Professor Mark Tonelli’s faculty http://depts.washington.edu/pulmcc/directory/bio/tonelli.html (Website) LINKS: Mark Tonelli. https://youtu.be/IPgrn2ACWuI (The limits of evidence-based medicine.) (Video of Grand Rounds lecture, University of Washington, 2016) Tonelli MR.  https://accadandkoka.com/wp-content/uploads/2018/09/EBM.casuistry.pdf (Integrating evidence into clinical practice: an alternative to evidence-based approaches). (pdf of paper in J Clin Eval Pract 2006) Tonelli MR.  https://philpapers.org/archive/TONTPL.pdf (The philosophical limits of evidence-based medicine). (pdf of paper in Acad Med 1998) Accad M and Francis D.  https://www.bmj.com/content/362/bmj.k2799.full?ijkey=PeMeQDKT6KUKXYHakeytype=ref (Does evidence-based medicine adversely affect clinical judgment?) (BMJ 2018) NOTE: Dr. Tonelli will kindly make a copy of his book chapter on case-based reasoning available upon request.  You may contact him via his professional website above. WATCH ON YOUTUBE: https://youtu.be/nGSdpOoA2_8 (Watch the episode) on our YouTube channel. Support this podcast