Abstract Evidence‐based medicine has become both the mantra of clinical practice and the dominant contemporary approach to patient care. Gordon Guyatt et al. first proposed applying the concept to medical education in the early 1990s, arguing for training that “de‐emphasizes intuition, unsystematic clinical experience, and pathophysiologic rationale” in favor of “examination of evidence from clinical research”; over the following twenty‐five years, nearly every medical school and residency program in the United States incorporated these methods into its training. During this same period, admissions requirements and protocols have continued to rely on subjective, non‐evidence‐based ideals largely developed a century earlier. In light of the continued underrepresentation of certain demographic groups among matriculants, as well as the national controversy surrounding admissions standards at undergraduate institutions—most notably embodied in the lawsuit by Students for Fair Admissions against Harvard University—the moment may be ripe for a radical reexamination of those requirements.
展开▼
机译：摘要循证医学已成为临床实践的咒语和患者护理的主要当代方法。 Gordon Guyatt等。首先提出在20世纪90年代初期将该概念应用于医学教育，争论培训“取消强调直觉，无系统临床经验和病理物理学理由”，支持“临床研究的证据”;在接下来的二十五年中，美国几乎每个医学院和居住计划都将这些方法纳入其培训。在同一时期，招生要求和协议继续依赖主观，非证据的理想在很大程度上发展到了一个世纪。鉴于普遍存在的人群中的某些人口统计团体的普遍存在，以及本科机构的全国争议标准 - 最专注于学生对哈佛大学的公平录取的诉讼中的诉讼 - 这一时刻可能会成熟，激进复审这些要求。
展开▼
