Concept

David Sackett

Résumé
David Lawrence Sackett (November 17, 1934 – May 13, 2015) was an American-Canadian physician and a pioneer in evidence-based medicine. He is known as one of the fathers of Evidence-Based Medicine. He founded the first department of clinical epidemiology in Canada at McMaster University, and the Oxford Centre for Evidence-Based Medicine. He is well known for his textbooks Clinical Epidemiology and Evidence-Based Medicine. One of his more famous quotes is: "Half of what you learn in medical school is dead wrong." Sackett obtained his medical degree at the University of Illinois, and a Master of Science in Epidemiology from Harvard University. David Sackett made seminal contributions to the science of health care and the teaching and practice of medicine. He did so through vision (about how to improve health care through research), innovation (in research methods for health care and education of researchers and clinicians), and engendering collegiality and collaboration. Among his more important randomized clinical trials, and in collaboration with colleagues around the world, he was a Principal Investigator in the trials that showed, for the first time anywhere, the life-saving benefits of aspirin for patients with threatened stroke and threatened heart attack, that surgically repairing the "hardened" arteries of patients with threatened stroke (carotid endarterectomy) prevented both stroke and death, and the ability of nurse practitioners to provide effective, high-quality primary care. In addition, his "debunking" trials showed the futility of traditional health education in helping hypertensive patients take their medicine, and that a popular "bypass" operation for stroke-prone individuals did more harm than good. He repeated his residency in medicine some 20 years after first training because, although a professor in medical school, he 'wasn't a good enough doctor.'" His contributions to research methodology included ways to detect and reduce bias in clinical research, and ways to design, conduct, and report randomized clinical trials.
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