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Beyond evidence-based medicine : Need for a new paradigm in patient care delivery

Dear Editor, Several decades ago, medical personnel used to practice Ego‐based Medicine where the doctor’s decisions were solely based on memory of his/her past experience. There was no collection of data and systematic and critical analysis of that data before decisions were arrived at. For many reasons (lapses in human memory, patients seeking treatment elsewhere after development of complications, etc.), errors made in decision‐making were overlooked. With the popularity of robust research methodology and easier dissemination of research findings through medical journals, deficiencies of Ego‐based Medicine became evident.