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MD Pharmacology NMC syllabus ~5 min read Recent advances last updated on 2026-06-30

P-value and Statistical Significance

Hypothesis testing in biostatistics — the null & alternative hypotheses, the p-value and its misinterpretations, type I (α) & type II (β) errors, statistical power, one- vs two-tailed tests, multiple testing, and statistical vs clinical significance

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Introduction & the hypotheses

  • Why a significance test exists — Inference is the leap from a single sample to a population parameter. Because chance alone almost guarantees that two sample means will differ, a bare observed difference proves nothing — the whole apparatus of the p-value and significance testing exists to discipline this leap and quantify how plausibly the data could have arisen by chance.
  • Null hypothesis (H0) — When two samples are compared, the hypothesis under test is that both came from the same population — i.e. there is no difference between the populations they were drawn from. This is the null hypothesis.
  • Alternative / study hypothesis (H1) — The difference one sets out to demonstrate — what is likely to arise or would be clinically worthwhile (e.g. the benefit expected from a new treatment). It is specified at the planning stage, before the data are seen.
  • The logic is a disjunction — When an observed difference exceeds the set limits, we face two choices: either an unusual low-probability event has happened, or H0 is incorrect. The coin analogy is exact — five identical tosses of a fair coin has probability 6.3%; if unwilling to believe such an unlucky event, we reject H0.
  • A test makes H0 unlikely — never likely — A significance test tries to show H0 is unlikely, not its converse. A difference beyond the limits makes H0 unlikely; a difference within the limits does not make H0 likely — the locked aphorism is “absence of evidence is not evidence of absence”.
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P Value And Statistical Significance

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