Medicina basada en la evidencia y educación contínua en gastroenterología y hepatología / Evidence-based medicine and continuing aducation in gastroenterology and hepatology

RESUMO

Evidence Based Medicine (EBM) provide a new philosophy and useful tools to incorporate the scientific method to medical practice in Gastroenterology, Hepatology and Digestive Endoscopy. Large and well designed multicenter randomized clinical trials validated if necessary by metaanalysis, are the main support to the system; in spite of that individual decisions will owe to take into account interests and beliefs of patients and their relatives, doctors and society National or regional consensus and guide-lines elaborated by experts of scientific institutions are published in first line publications and easily available by computerized ways. Incorporation of econometric studies specially centered on quality of life quantification would be excellent weapons in the process of decision making Computers technology as a tool of fast access to scientific bases of medical problems and as a real participant of the process of health care, should owe to be inserted to educational programs at the universities and scientific institutions, at levels of specialization and continuing medical education.