Mehlman emphasizes evidence-based
medicine informed by scientific research
This story was edited at 3:43 p.m. May
6, 2005.
by Brooke Bunch
Using a combination of humor and
insight, OU-COM alumnus Charles T. Mehlman, D.O. (’89), M.P.H.,
kicked off the Alumni Research Series sponsored by the Office of
Alumni Affairs, CORE Research Office and Student Government
Wednesday, May 4.
Mehlman, the attending pediatric
orthopedic surgeon at the Cincinnati Children’s Medical Center,
discussed the importance of clinical research in the medical field.
According to Mehlman, the director
of musculoskeletal outcomes research and the director of pediatric
orthopedic resident education at the medical center, clinical
research is critically important for any medical student.
“The most important skills we can
ever teach you is the critical evaluation of the medical
literature,” he told the students. “The day after you graduate, that
medical knowledge has already started to depreciate. It’s all about
life-long learning.”
In addition, said Mehlman, clinical
research drives medical decisions in the 21st century.
“We’re moving beyond the ‘I think
therefore I am’ version of medicine to the state of ‘science
dictates X, Y or Z treatment,’” he said. “We’re moving beyond what
some would call an artisan approach to medicine and evolving into
the scientific practice of medicine.”
According to Mehlman, OU-COM
students should grasp the importance of clinical research because
the pace of progress is slow.
“We need people to speed up the
process,” he said.
In addition, said Mehlman, personal
experience can be treacherous. Physicians need to go beyond personal
experience and understand the importance of clinical trials.
“You must be an evidence-based
physician,” he said.
Mehlman used the example of
osteosarcoma in children and the progress made in chemotherapy since
the 1970s, when prior to that period, incidences of childhood
osteosarcoma were primarily fatal.
“In this instance, science guided
treatment and produced incredible results for patients,” he said.
Mehlman also stressed that conflict
of interest issues can be dangerous in medicine.
“They can push medicine and science
in certain directions,” said Mehlman, who emphasized the importance
of clinical trials.
Mehlman concluded by offering tips
to the students on writing scholarly articles on scientific
research.
“I was very impressed,” says Joy
Matthews-Lopez, Ph.D., director of CORE research. “He was
brilliant in his communication with the student audience. He was
able to convey in less than an hour what we've being trying to say
for two years: that is, solid research skills enhance clinical
practice.”
“In this day of evidence-based
medicine, the evidence comes from research. In order to use that
evidence, one has to have knowledge and understanding of research.”
After graduating from OU-COM in
1989, Mehlman completed a rotating internship and an orthopedic
surgery residency at Grandview and an internal medicine residency at
Akron General Medical Center. After completing a pediatric
orthopedic surgery fellowship at Cincinnati Children’s Hospital
Medical Center, he went on to earn an M.P.H. degree in clinical
effectiveness and outcomes research at the Harvard School of Public
Health.
Mehlman is the first of four
speakers to lecture this year for the series. The series, says
Sharon Zimmerman, director of alumni affairs, will provide
OU-COM alumni an opportunity to inspire and mentor students
interested in research.