I think evidence-based medicine is important. But there are also times when I just want the medicine consult and I don't want to hear the 30 years of research behind the consultant's recommendation. You know a lot, I get it. Just tell me what to do.
During residency, Medicine was consulting on a patient of mine who required an angiogram. I called them while I was on call on a Saturday and they returned the call while I was eating lunch:
Me: "So how much Mucomyst should we give to protect the patient's kidneys?"
Medicine consult: "Well, historically, we've given 600mg in four doses, but...."
Me: "Uh huh...."
Medicine consult: "...there was a randomized controlled study done in 2006 which showed that a dose of 1200mg compared to 600mg is more effective in cases where..."
Me: (thinking) "Oh my god, just tell me how much Mucomyst to give so that I can eat my Philly cheesesteak!"