NotebookLM: Cast with Care
Google’s NotebookLM “deep dive” feature is taking off in popularity. I subject three of my academic papers to the deep dive treatment, and reveal its tendency to subvert content for a happier ending.
Category: Hierarchies of Evidence
The Pyramid Schema: The Origins and Impact of Evidence Pyramids
Evidence pyramids are amongst the most recognisable artefacts of the Evidence-Based Medicine movement. Yet no study has established the origins of evidence pyramids, or analysed whether they offer any information beyond simple lists or tables. In this paper, I establish the origins of the first evidence pyramid and argue that the pyramidal turn is a retrograde step in evidence appraisal.
Higher Orders of Evidence
DALLE 2 offers a far more powerful image generation AI than the popular open access ‘Craiyon’/’DALLE Mini’ model. How does DALLE 2 compare to DALLE Mini’s visions of hierarchies and pyramids of evidence?
The origins of evidence pyramids
What was the first evidence pyramid? A deep dive into the murky history of this novel way to present an evidence hierarchy reveals a significantly earlier origin that previously presumed.
The Jurassic Critique of Micozzi on Evidence Hierarchies
AI21 Labs have just released a public demo of their giant language model, Jurassic-1. At 178bn parameters, it rivals GPT-3. Feeding it my own work, it generated some interesting and potentially novel views on evidence hierarchies… and then attributed them to CAM researcher Marc Micozzi! Is Jurassic Micozzi’s critique of evidential pluralism in medicine sound?
On the Global Summit: do critiques of evidence hierarchies favour chiropractic?
The Global Summit systematic review claims that spinal manipulation therapy is not effective in preventing any non-musculoskeletal disorders. But a breakaway group has challenged their findings, in part based on my arguments regarding evidence hierarchies. Are they correct? Does my critique undermine the Global Summit review? If so, does the evidence base favour chiropractic?
195 Hierarchies: A Systematic Database Update
The database of evidence hierarchies has been updated based on a new systematic review of the medical literature, and now contains over 195 hierarchies.
5 years: Hierarchies of Evidence in Evidence-Based Medicine
In the five years since the publication of Hierarchies of Evidence in Evidence-Based Medicine, what has changed and what lessons can philosophers learn?
Are hierarchies history?
Throughout my career as a philosopher of medicine, I have taken a special interest in hierarchies of evidence as used in Evidence-Based Medicine (EBM) and beyond. My critique of evidence hierarchies has adapted and developed alongside recent movements towards a less rigid hierarchalism in EBM, and with the development of …
Random Reflections: Cochrane and the Origins of Hierarchies
In 1972, Archie Cochrane published Effectiveness and Efficiency: Random Reflections on Health Services. In a little under 86 pages, Cochrane offers a wide-ranged but succinct delivery of his experience and his philosophy of evidence in clinical practice. It’s a fascinating gallop through the concerns of one of the most influential figures …