Box 21 What evidencebased dermatology is not

• Something that ignores patients' values

• A promotion of a cookbook approach to medicine

• An ivory-tower concept that can only be understood and practised by an exclusive club of aficionados

• A tool designed solely to cut costs

• A reason for therapeutic nihilism in the absence of randomised controlled trials

• The same as guidelines

• A way of denigrating the value of clinical expertise

• A restriction on clinical freedom if this is defined as doing the best for one's patients

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