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Kirstin Borgerson
Dalhousie University
  1. Valuing Evidence: Bias and the Evidence Hierarchy of Evidence-Based Medicine.Kirstin Borgerson - 2009 - Perspectives in Biology and Medicine 52 (2):218-233.
  2. Reason and Value: Making Reasoning Fit for Practice.Michael Loughlin, Robyn Bluhm, Stephen Buetow, Ross E. G. Upshur, Maya J. Goldenberg, Kirstin Borgerson, Vikki Entwistle & Elselijn Kingma - 2012 - Journal of Evaluation in Clinical Practice 18 (5):929-937.
    Editors' introduction to 3rd thematic issue on philosophy of medicine.
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  3. Philosophy, Ethics, Medicine and Health Care: The Urgent Need for Critical Practice.Michael Loughlin, Ross E. G. Upshur, Maya J. Goldenberg, Robyn Bluhm & Kirstin Borgerson - 2010 - Journal of Evaluation in Clinical Practice 16 (2):249-259.
  4. Evidence-Based Medicine.Robyn Bluhm & Kirstin Borgerson - 2011 - In Fred Gifford (ed.), Philosophy of Medicine. Elsevier.
  5. Amending and Defending Critical Contextual Empiricism.Kirstin Borgerson - 2011 - European Journal for Philosophy of Science 1 (3):435-449.
    In Science as Social Knowledge in 1990 and The Fate of Knowledge in 2002, Helen Longino develops an epistemological theory known as Critical Contextual Empiricism (CCE). Knowledge production, she argues, is an active, value-laden practice, evidence is context dependent and relies on background assumptions, and science is a social inquiry that, under certain conditions, produces social knowledge with contextual objectivity. While Longino’s work has been generally well-received, there have been a number of criticisms of CCE raised in the philosophical literature (...)
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  6.  27
    Reasoning, Evidence, and Clinical Decision-Making: The Great Debate Moves Forward.Michael Loughlin, Robyn Bluhm, Stephen Buetow, Kirstin Borgerson & Jonathan Fuller - 2017 - Journal of Evaluation in Clinical Practice 23 (5):905-914.
    When the editorial to the first philosophy thematic edition of this journal was published in 2010, critical questioning of underlying assumptions, regarding such crucial issues as clinical decision making, practical reasoning, and the nature of evidence in health care, was still derided by some prominent contributors to the literature on medical practice. Things have changed dramatically. Far from being derided or dismissed as a distraction from practical concerns, the discussion of such fundamental questions, and their implications for matters of practical (...)
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  7.  80
    Are Explanatory Trials Ethical? Shifting the Burden of Justification in Clinical Trial Design.Kirstin Borgerson - 2013 - Theoretical Medicine and Bioethics 34 (4):293-308.
    Most phase III clinical trials today are explanatory. Because explanatory, or efficacy, trials test hypotheses under “ideal” conditions, they are not well suited to providing guidance on decisions made in most clinical care contexts. Pragmatic trials, which test hypotheses under “usual” conditions, are often better suited to this task. Yet, pragmatic, or effectiveness, trials are infrequently carried out. This mismatch between the design of clinical trials and the needs of health care professionals is frustrating for everyone involved, and explains some (...)
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  8.  44
    An Argument for Fewer Clinical Trials.Kirstin Borgerson - 2016 - Hastings Center Report 46 (6):25-35.
    The volume of clinical research is increasing exponentially—far beyond our ability to process and absorb the results. Given this situation, it may be beneficial to consider reducing the flow at its source. In what follows, I will motivate and critically evaluate the following proposal: researchers should conduct fewer clinical trials. More specifically, I c onsider whether researchers should be permitted to conduct only clinical research of very high quality and, in turn, whether research ethics committees should prohibit all other, lower-quality (...)
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  9.  66
    Explanation, Understanding, Objectivity and Experience.Michael Loughlin, Robyn Bluhm, Drozdstoj S. Stoyanov, Stephen Buetow, Ross E. G. Upshur, Kirstin Borgerson, Maya J. Goldenberg & Elselijn Kingma - 2013 - Journal of Evaluation in Clinical Practice 19 (3):415-421.
  10.  32
    Redundant, Secretive, and Isolated: When Are Clinical Trials Scientifically Valid?Kirstin Borgerson - 2014 - Kennedy Institute of Ethics Journal 24 (4):385-411.
    Clinical research has at least three problematic features: it tends to be redundant, secretive, and isolated.1 Research with these features not only wastes resources and causes harm, it also fails to meet a basic ethical requirement of research: scientific validity. As bioethicists, we should be asking why, if research with these three features is ethically unjustified, it has been so routinely approved by research ethics committees over the past half century. In what follows, I provide one answer to this question. (...)
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  11.  21
    An Epistemic Argument for Research-Practice Integration in Medicine.Robyn Bluhm & Kirstin Borgerson - 2018 - Journal of Medicine and Philosophy 43 (4):469-484.
    Arguments in favor of greater research-practice integration in medicine have tended to be ethical, political, or pragmatic. There are good epistemic reasons to pursue greater integration, and it is important to think through these reasons in order to avoid inadvertently designing new systems in ways that replicate the epistemic elitism common within current systems. Meaningful transformation within health care is possible with close attention to all reasons in favor of greater research-practice integration, including epistemic reasons.
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  12.  99
    Virtue, Progress and Practice.Michael Loughlin, Robyn Bluhm, Stephen Buetow, Ross E. G. Upshur, Maya J. Goldenberg, Kirstin Borgerson & Vikki Entwistle - 2011 - Journal of Evaluation in Clinical Practice 17 (5):839-846.
  13. Evidence-Based Alternative Medicine?Kirstin Borgerson - 2005 - Perspectives in Biology and Medicine 48 (4):502-515.
  14. Philosophy, Medicine and Health Care – Where We Have Come From and Where We Are Going.Michael Loughlin, Robyn Bluhm, Jonathan Fuller, Stephen Buetow, Ross E. G. Upshur, Kirstin Borgerson, Maya J. Goldenberg & Elselijn Kingma - 2014 - Journal of Evaluation in Clinical Practice 20 (6):902-907.
  15.  30
    Why Reading the Title Isn’T Good Enough: An Evaluation of the 4S Approach to Evidence-Based Medicine.Kirstin Borgerson - 2009 - International Journal of Feminist Approaches to Bioethics 2 (2):152-175.
  16.  77
    The Nature of Evidence in Evidence-Based Medicine: Guest Editors' Introduction.Maya J. Goldenberg, Kirstin Borgerson & Robyn Bluhm - 2009 - Perspectives in Biology and Medicine 52 (2):164-167.
  17. A Third Way: Ethics Guidance as Evidence-Informed Provisional Rules.Kirstin Borgerson & Joseph Millum - 2010 - American Journal of Bioethics 10 (6):20-22.
  18.  19
    Theory, Experience and Practice.Michael Loughlin, Jonathan Fuller, Robyn Bluhm, Stephen Buetow & Kirstin Borgerson - 2016 - Journal of Evaluation in Clinical Practice 22 (4):459-465.
    Despite its potential hazards, the activity of questioning theoretical frameworks and and proposing solutions is necessary if progress is even to be possible. Intellectual history has by no means ended so we cannot expect to have all the answers, and from time to time the activity of critical questioning will be frustrating. But intellectual progress requires us to continue the process of asking fundamental questions. The alternative to thinking in this way is indeed unthinkable.
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  19.  18
    Resistance is Not Futile, but Neither is It Always Justified.Kirstin Borgerson - 2013 - Journal of Evaluation in Clinical Practice 19 (3):559-561.
  20.  19
    Why Reading the Title Isn't Good Enough.Kirstin Borgerson - 2009 - International Journal of Feminist Approaches to Bioethics 2 (2).
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  21.  20
    Amending and Defending Critical Contextual Empiricism: Lessons From Medical Research.Kirstin Borgerson - unknown
    Amending and Defending Critical Contextual Empiricism: Lessons from Medical Research In Science as Social Knowledge (1990) and The Fate of Knowledge (2002), Helen Longino develops a social epistemological theory known as Critical Contextual Empiricism (CCE). While Longino’s work has been generally well-received, there have been a number of criticisms of CCE raised in the philosophical literature in recent years. In this paper I outline the key elements of Longino’s theory and propose several modifications to the four norms offered by the (...)
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  22.  9
    Evidence‐Based Medicine and the Search for a Science of Clinical Care. [REVIEW]Kirstin Borgerson - 2006 - Isis 97:593-594.
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  23. Harold Kincaid and Jennifer McKitrick (Eds): Establishing Medical Reality: Essays in the Metaphysics and Epistemology of Biomedical Science.Kirstin Borgerson - 2010 - Theoretical Medicine and Bioethics 31 (2):171-174.
  24.  13
    Jeanne Daly. Evidence‐Based Medicine and the Search for a Science of Clinical Care. Xi + 275 Pp. Berkeley: University of California Press, 2005. $65. [REVIEW]Kirstin Borgerson - 2006 - Isis 97 (3):593-594.
  25.  5
    Pedagogy and Feminist Bioethics: Learning From Susan Sherwin.Kirstin Borgerson - 2020 - International Journal of Feminist Approaches to Bioethics 13 (2):17-20.
    Most people working in bioethics will be familiar with Susan Sherwin's contributions to the field. There is much to be said about the value and importance of Sue's contributions to feminist theory and practice, but in this reflective piece I am going to focus on the experience of teaching Sue's work. This is for three reasons: the first is that I was hired into the Philosophy Department at Dalhousie just as Sue retired and I teach many of the courses she (...)
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  26.  13
    Robert B. Baker;, Laurence B. McCullough . The Cambridge World History of Medical Ethics. Xxviii + 876 Pp., App., Bibl., Index. New York: Cambridge University Press, 2009. $263.95. [REVIEW]Kirstin Borgerson - 2011 - Isis 102 (2):346-347.
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  27.  4
    Redistributing Fair Subject Selection.Kirstin Borgerson - 2020 - American Journal of Bioethics 20 (2):25-27.
    Volume 20, Issue 2, February 2020, Page 25-27.
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  28.  19
    The Best, Most Perfect Method for Medicine Forever: Miriam Solomon: Making Medical Knowledge. Oxford: Oxford University Press, 2015, 224pp, $60.00 HB.Kirstin Borgerson - 2016 - Metascience 25 (2):197-200.
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  29. The Cambridge World History of Medical Ethics. [REVIEW]Kirstin Borgerson - 2011 - Isis 102:346-347.
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  30.  34
    Evidence Based Medicine: Editors' Overview and Introduction.Kirstin Borgerson & Robyn Bluhm - 2005 - Perspectives in Biology and Medicine 48 (4):475-476.
  31.  2
    Guest Editors' Introduction Susan Sherwin: Shaping a More Just Bioethics.Letitia Meynell & Kirstin Borgerson - 2020 - International Journal of Feminist Approaches to Bioethics 13 (2):1-8.
    We are preparing this special issue celebrating the work of Susan Sherwin under extraordinary circumstances. We are sitting in our homes, isolating ourselves from each other, in order to support and protect each other. Each of us is curtailing our preferences in order not only to protect ourselves but to protect everyone else in our community—local and global—from COVID-19. In this historic moment it is abundantly clear that our lives are inescapably relational—that, through our own decisions and actions, each individual (...)
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  32.  5
    Susan Sherwin: Shaping a More Just Bioethics.Letitia Meynell & Kirstin Borgerson - 2020 - International Journal of Feminist Approaches to Bioethics 13 (2):1-8.
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