Evidence-based medicine (EBM) limits the medical decision-making process to facts and figures that are supported by scientific research. It is scientific research, and not anecdotal accounts, personal experiences, or changes in the clinician’s mindset that guide EBM. EBM is challenged by clinicians and their staff, patients and their families who express values and preferences that depart from the “cookbook” approach to medical decision making. Part of the challenge comes from EBM’s inability to accommodate the miraculous.
Holub PG. Make Room for Miracles. The Internet Journal of Allied Health Sciences and Practice. 2018 Apr 05;16(2), Article 1.