Did you know?
Remember the millions of dollars involved in the legal battles surrounding bone marrow transplant and high dose chemotherapy for advanced breast cancer? The evidence for doing the procedure was never there. So how did this get to be a community standard?

Fact:
Over 75 percent of all physicians tested, fail our simple evidence-based medicine test. And we grade the test generously.

Medical journals publish many useless or misleading studies — even those journals considered the very best.

• Most doctors lack skills to evaluate the quality of a medical study. Consequently, much that is done in medicine causes harm to patients.

• The Institute of Medicine, Medicare, the Veterans Administration, RAND and the Dartmouth Center for Evaluative Clinical Science all estimate that up to a half of all medical care is inappropriate? (Some think it’s even higher.)

• Scientist and evidence-based medicine leader, Dr. David Eddy, did ground-breaking work that exposes the lack of expertise in the “medical experts.” Aren’t these the very people you and your opponents think you can rely on?

How might what we know benefit you?
If your or your opponents’ case is based on published medical literature — even from the most prestigious medical journals — there is a very good chance the studies they are using have significant threats to validity making the results of the studies untrustable.

Many of the 10,000 articles entered into the National Library of Medicine each week have “fatal flaws” which make them invalid. In other words, the results and conclusions in many of the published articles are so flawed, that a reader cannot reliably draw conclusions about the effects of the intervention on outcomes.

• We believe that a working knowledge of evidence-based medicine could help you.
• Wouldn’t you like to know easy-to-learn methods for evaluating the quality of medical science?
• Wouldn’t you like to learn of some of the highest regarded sources for finding quality medical information — and wouldn’t you like to know tips on how to find information quickly and easily?
• Wouldn’t you like ideas for how you can better test the expertise of experts?

This does not negate the value of expert testimony, but puts a new type of expertise into the hands of attorneys — the power of knowing what the best available medical evidence says.

Wouldn't you like to know...

• If your opponents are basing cases on invalid medical science.
• If the medical evidence you are using has significant threats to validity.
• If your expert witnesses are basing opinions and conclusions on flawed medical evidence.

Training in simplified methods
We can rapidly teach you, your support staff and your expert witnesses the key principles used to determine study validity and usefulness. Delfini average training program scores are 4.8 out of 5.0.

Contact us
We conduct workshops and are available to travel on-site. To learn how we could tailor a customized training program to meet your needs, contact either of us.

Evidence reviews
We can also be hired to perform evidence reviews. Here's an example of a review we did for the State of Washington on MRI for Women at High Risk of Breast Cancer.

Read about us and our many testimonials on our website at www.delfini.org. We look forward to hearing from you.

Delfini Law & Medicine Tool

• Checklist for Evaluating the Evidence-based Medicine Approach of Medical “Experts” 

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