The need and means for evidence-based medicine in developing countries

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Abstract
You are a facilitator conducting an evidence-based medicine workshop for a group of rural practitioners in a remote barrio in the Philippines. Suddenly, an exasperated participant breaks his silence. “All of this science sounds really good, doctor, but I practice in a small town where I see very poor patients. We don't have computers and medical libraries, you know. In fact, we sometimes don't even have electricity. How relevant can evidence-based medicine be in our setting?” A tension-filled pause follows as you sit still, eyes downcast, trying to prepare a reply. What would be your response?

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