Navigating the Science: evaluating the research quality

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Presentation transcript:

Navigating the Science: evaluating the research quality Jeanne A. Conry, MD, PhD Chair, American Congress of Obstetricians and Gynecologists District IX

What do physicians want? To be able to give sound advice to patients regarding the impact of environmental toxicants on reproductive health

Our Vision Wouldn’t it be great to open the “environmental equivalent” of Drugs in Pregnancy and Lactation? Wouldn’t it be great to have an easy on-line resource, click on bisphenol a and see what to recommend? Wouldn’t it be great for clinicians to even KNOW to ask about exposures?

What do we need? Clinicians must understand that we will NEVER see double-blinded case controlled studies If that is what we hold out for as a “Gold Standard” when evaluating ENVIRONMENTAL exposure, we will always be dealing with pennies not gold

Hippocrates First do no harm

Precautionary Principle if a chemical exposure has a suspected risk of causing harm, in the absence of scientific consensus that the chemical is harmful, the burden of proof that it is not harmful falls on those who expose the public

Translation If environmental toxicants have the potential to cause damage we have an obligation to avoid exposure