RT Journal A1 Schemitsch, Emil H. A1 Bhandari, Mohit A1 McKee, Michael D. A1 Zdero, Rad A1 TornettaIII, Paul A1 McGehee, J. Bartley A1 Hawkins, Richard J. T1 Orthopaedic Surgeons: Artists or Scientists?* JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2009 FD May 1 VO 91 IS 5 SP 1264 OP 1273 DO 10.2106/JBJS.H.00036 UL http://dx.doi.org/10.2106/JBJS.H.00036 AB The practice of evidence-based medicine has evolved and entered the rubric of most clinicians during the past several years. Gordon Guyatt, who first coined the term evidence-based medicine in 1990 at McMaster University, conceptualized the practice of evidence-based medicine as the integration of clinical expertise with the best available clinical evidence and patients' values1,2. The term best available evidence implies a hierarchy of evidence with highly valid and believable studies at the top and less valid evidence at the bottom2.