"Has regulation of the medical field
assured integrity and patient safety?"
Asks the author, Marya Zilberberg, MD, in her new book Between the Lines: Finding the Truth in Medical Literature. The book, states Zilberberg, is intended to give "basic tools" for the consumer (we are all medical consumers) to use to examine medical literature critically, and systematically. The book is useful reading for a diverse group, such as medical librarians, medical professionals, patients, clinicians and just about anyone who may walk into a doctor's office or medical building, who wants to be informed and armed with the knowledge to ask smart questions, as well as review medical journals with a critical eye.
Zilberberg takes the reader step-by-step in learning terms, definitions, lists of questions to ask doctors as well as questions to ask yourself when reading and reviewing medical literature.
The book is a useful tool intended to help the consumer prevent "falling prey" to quackery and disease-mongering. What could be one of the worst days of a person's life with a diagnosis of cancer ( one example in the book) could end up being a preventable and costly mistake if the patient knew to question the alternative treatment offered by the doctor; and would have saved the patient angst if the patient asked for a 2nd opinion as well. Zilberberg wants the patient to be empowered, informed, to ask questions and be an "educated consumer".
There is a great list of 12 questions for the patient to ask their doctor:
Example: #6: "If I need an invasive test, what are the odds that it will yield a useful diagnosis that will alter my care?"
#12 How much will all of this cost....."
Zilberberg states that most doctors should understand the value of participatory medicine and shared decision making (decisions made with the patient in open conversation) and if your doctor does not appear to be on the same page regarding being an active participant, then "educate them", by opening the conversation. In the end, the quality of care for the patient goes up and the chances of future litigation can go down for the doctor, when participatory medicine is used.
The book goes into great detail in the 2nd part explaining several types of studies and how to read them critically, with questions listed for the reader to ask themselves while reading the studies and conclusions.
The book is easy to read, enjoyable, and gives us all a lesson in how to critically evaluate medical literature.
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About Marya Zilberberg, MD: (from her website, linked below)
Between the Lines
About Marya
Marya Zilberberg, MD, MPH, has studied, practiced and taught evidence-based medicine for two decades. Her passion is teaching everyone how to evaluate scientific evidence with a critical eye. She is the Founder, President & CEO of EviMed Research Group, LLC, a research and scientific communication consultancy. She is also an Adjunct Associate Professor of Epidemiology at the School of Public Health and Health Sciences at the University of Massachusetts, Amherst, as well as a Senior Fellow at the Jefferson School of Population Health at the Thomas Jefferson University in Philadelphia. She has authored or co-authored over 150 peer-reviewed articles, abstracts and book chapters. A veteran peer reviewer for a number of medical journals, she serves on the editorial boards of Critical Care Medicine and Comparative Effectiveness Research journals. She chairs the Clinical Research NetWork of the American College of Chest Physicians.A dynamic and witty speaker, Zilberberg is frequently invited to deliver keynote presentations and Grand Rounds lectures on critical thinking, research methods, evidence-based healthcare and healthcare-associated complications. She tweets and blogs at Healthcare, etc. In her spare time she loves to take hikes in the foothills of the Berkshires in Western Massachusetts, where she lives with her family.
Amazon--Between the Lines
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