Results for 'clinical epistemologies'

973 found
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  1.  40
    Immersed subjectivity and engaged narratives: clinical epistemology and normative intricacy.Per Nortvedt - 2003 - Nursing Philosophy 4 (2):129-136.
    Gadow's understanding of nursing as a relational narrative anchored in a dialectic between the fundamental subjectivity of the individual client and the objectification of his illness poses some interesting questions for nursing ethics and care. For Gadow, nursing is an encounter with the immediate vulnerability of the client and also lends it responsibilities to the medical objectification of illness aiming at disease treatment and control. Hence, nursing agency is divided between its responsibilities induced by the personal vulnerability of the patient (...)
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  2.  32
    Scientific knowledge in medicine: a new clinical epistemology?Tom Marshall - 1997 - Journal of Evaluation in Clinical Practice 3 (2):133-138.
  3.  73
    Clinical Decision-Making, Gender Bias, Virtue Epistemology, and Quality Healthcare.James A. Marcum - 2017 - Topoi 36 (3):501-508.
    Robust clinical decision-making depends on valid reasoning and sound judgment and is essential for delivering quality healthcare. It is often susceptible, however, to a clinician’s biases such as towards a patient’s age, gender, race, or socioeconomic status. Gender bias in particular has a deleterious impact, which frequently results in cognitive myopia so that a clinician is unable to make an accurate diagnosis because of a patient’s gender—especially for female patients. Virtue epistemology provides a means for confronting gender bias in (...)
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  4. The legitimacy of clinical knowledge: Towards a medical epistemology embracing the art of medicine.Kirsti Malterud - 1995 - Theoretical Medicine and Bioethics 16 (2).
    The traditional medical epistemology, resting on a biomedical paradigmatic monopoly, fails to display an adequate representation of medical knowledge. Clinical knowledge, including the complexities of human interaction, is not available for inquiry by means of biomedical approaches, and consequently is denied legitimacy within a scientific context. A gap results between medical research and clinical practice. Theories of knowledge, especially the concept of tacit knowing, seem suitable for description and discussion of clinical knowledge, commonly denoted the art of (...)
     
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  5.  36
    (1 other version)The Epistemological Import of Informed Consent in Clinical Research.Oluwaseun Adeola Adenugba - 2013 - Bangladesh Journal of Bioethics 4 (2):34-40.
    This paper attempts to establish the epistemological import and limits of informed consent in clinical research. It points out that informed consent is a necessary requirement in clinical research because it ensures adequate participation of care receivers in issues relating to their health. Besides ensuring that care receivers have knowledge of whatever medical intervention they are consenting to, informed consent, as an ideal, provides assurance that care receivers and others are neither coerced nor deceived. While the question of (...)
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  6. The Social Epistemology of Clinical Placebos.Melissa Rees - 2024 - Journal of Medicine and Philosophy 49 (3):233-245.
    Many extant theories of placebo focus on their causal structure wherein placebo effects are those that originate from select features of the therapy (e.g., client expectations or “incidental” features like size and shape). Although such accounts can distinguish placebos from standard medical treatments, they cannot distinguish placebos from everyday occurrences, for example, when positive feedback improves our performance on a task. Providing a social-epistemological account of a treatment context can rule out such occurrences, and furthermore reveal a new way to (...)
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  7.  54
    George Engel’s Epistemology of Clinical Practice.Michael Saraga, Abraham Fuks & J. Donald Boudreau - 2014 - Perspectives in Biology and Medicine 57 (4):482-494.
    This article is intended to revive, through a critical reinterpretation, the bio-psychosocial model of George Engel. Engel’s first description in 1977, was very broad, encompassing too many aspects of medicine. In his later work, he focused his model as an epistemology for clinical medicine. However, what medicine mostly retained were minor aspects of the 1977 article, namely a multi-factorial approach to the etiology of diseases and a call to complement biomedicine with a psychosocial concern in order to re-humanize medicine. (...)
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  8.  24
    Clinical trials and the origins of pharmaceutical fraud: Parke, Davis & Company, virtue epistemology, and the history of the fundamental antagonism.Joseph M. Gabriel & Bennett Holman - 2020 - History of Science 58 (4):533-558.
    This paper describes one possible origin point for fraudulent behavior within the American pharmaceutical industry. We argue that during the late nineteenth century therapeutic reformers sought to promote both laboratory science and increasingly systematized forms of clinical experiment as a new basis for therapeutic knowledge. This process was intertwined with a transformation in the ethical framework in which medical science took place, one in which monopoly status was replaced by clinical utility as the primary arbiter of pharmaceutical legitimacy. (...)
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  9.  77
    Challenging the epistemological foundations of EBM: what kind of knowledge does clinical practice require?Katrina J. Hutchison & Wendy A. Rogers - 2012 - Journal of Evaluation in Clinical Practice 18 (5):984-991.
    This paper raises questions about the epistemological foundations of evidence-based medicine . We argue that EBM is based upon reliabilist epistemological assumptions, and that this is appropriate - we should focus on identifying the most reliable processes for generating and collecting medical knowledge. However, we note that this should not be reduced to narrow questions about which research methodologies are the best for gathering evidence. Reliable processes for generating medical evidence might lie outside of formal research methods. We also question (...)
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  10.  46
    Clinical Equipoise and Moral Leeway: An Epistemological Stance.Daniele Chiffi & Ahti-Veikko Pietarinen - 2019 - Topoi 38 (2):447-456.
    Clinical equipoise has been proposed as an ethical principle relating uncertainty and moral leeway in clinical research. Although CE has traditionally been indicated as a necessary condition for a morally justified introduction of a new RCT, questions related to the interpretation of this principle remain woefully open. Recent proposals to rehabilitate CE have divided the bioethical community on its ethical merits. This paper presents a new argument that brings out the epistemological difficulties we encounter in justifying CE as (...)
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  11.  98
    Contextualizing clinical research: The epistemological role of clinical equipoise.James A. Anderson - 2009 - Theoretical Medicine and Bioethics 30 (4):269-288.
    Since its introduction in 1987, Benjamin Freedman’s principle of clinical equipoise has enjoyed widespread uptake in bioethics discourse. Recent years, however, have witnessed a growing consensus that the principle is fundamentally flawed. One of the most vocal critics has undoubtedly been Franklin Miller. In a 2008 paper, Steven Joffe and Miller build on this critical work, offering a new conception of clinical research ethics based on science, taking what they call a “scientific orientation” toward the ethics of (...) research. Though there is much to recommend Joffe and Miller’s scientifically oriented conception of clinical research ethics, I believe that both the critical and constructive projects suffer from the same basic mistake: inattention to context. The internal norms of science cannot be fully specified, let alone satisfied, independently of contextual (external) factors that only come into view when we are attentive to the particular context of that form of inquiry. (shrink)
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  12.  11
    Some epistemological and methodological issues in clinical research.Benjamin B. Wolman - 1966 - Inquiry: An Interdisciplinary Journal of Philosophy 9 (1-4):171 – 184.
    Epistemological realism was postulated as a prolegomenon to clinical research. Observation of single cases must precede any effort for generalization. Observation of men by men is always a field process. In clinical research the experimenter exercises a great amount of power over the subject, thus a naive empirical approach and operationism may be misleading. Clinical theory must be coated in a language different from empirical data and enable the formation of causal chains of events.
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  13.  34
    Epistemological Challenges of Artificial Intelligence Clinical Decision Support Tools in Otolaryngology: The Black Box Problem.Emanuele Ratti, Christopher Babu, Christopher Holsinger, Lena Zuchowski & Anaïs Rameau - 2023 - Otolaryngology - Head and Neck Surgery 1:1-4.
  14.  20
    From Clinical Encounter to Knowledge Claims: Epistemological Guidelines for Case Studies in Psychotherapy.Greta Kaluzeviciute & Joshua Moreton - 2023 - Philosophy, Psychiatry, and Psychology 30 (1):79-98.
    Abstract:In the fields of psychoanalysis and psychotherapy, case study researchers rarely justify their knowledge claims on formal epistemological grounds. This poses several issues to the case study method. First, without articulating the standards by which our knowledge is being justified, we are potentially enabling the criticism that case studies are mere anecdotal reports and should not be treated as forms of evidence. Second, without the guidance of wider epistemological standards for case study research, we risk falling into arbitrary justifications of (...)
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  15.  23
    Consciousness and brain mechanisms: Epistemological investigations between phenomenology and clinical neuroscience.Davide Perrotta - 2021 - Rivista Internazionale di Filosofia e Psicologia 12 (1):31-43.
    : This paper investigates epistemological differences in the cognitive neuroscientific and phenomenological approaches to outstanding questions in psychiatry. We argue that clinical neuroscience provides scientific explanation in line with a mechanistic approach and describe several examples from computational approaches that illustrate what research on neural processing can tell us about psychiatric diseases. By contrast, phenomenology offers complex descriptions of experiential phenomena. Through a discussion of executive function and the related construct of impulsivity, we show that both cognitive neuroscience and (...)
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  16.  33
    Medical and nursing clinical decision making: a comparative epistemological analysis.Judy Rashotte & F. A. Carnevale - 2004 - Nursing Philosophy 5 (2):160-174.
    The aim of this article is to explore the complex forms of knowledge involved in diagnostic and interventional decision making by comparing the processes in medicine and nursing, including nurse practitioners. Many authors assert that the practice of clinical decision making involves the application of theoretical knowledge (acquired in the classroom and textbooks) as well as research evidence, upon concrete particular cases. This approach draws on various universal principles and algorithms to facilitate the task. On the other hand, others (...)
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  17.  12
    Is it not the case? On the epistemological significance of a clinical case.Carlo Gabbani - 2015 - Dialogues in Philosophy, Mental and Neuro Sciences 8 (1):36-38.
    In order to justify his long report of a clinical case, Josef Breuer wrote the following in the famous book Studies in Hysteria, co-authored with Freud.
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  18.  36
    An Epistemology of the Clinic: Ludwig Binswanger’s Phenomenology of the Other.Susan Lanzoni - 2003 - Critical Inquiry 30 (1):160.
  19. Epistemological liabilities of the clinical appraisal of psychoanalytic theory.Adolf Grunbaum - 1980 - Noûs 14 (3):307-385.
  20.  54
    Ethics and epistemology of accurate prediction in clinical research.Spencer Phillips Hey - 2015 - Journal of Medical Ethics 41 (7):559-562.
    All major research ethics policies assert that the ethical review of clinical trial protocols should include a systematic assessment of risks and benefits. But despite this policy, protocols do not typically contain explicit probability statements about the likely risks or benefits involved in the proposed research. In this essay, I articulate a range of ethical and epistemic advantages that explicit forecasting would offer to the health research enterprise. I then consider how some particular confidence levels may come into conflict (...)
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  21.  93
    Polanyi's tacit knowing and the relevance of epistemology to clinical medicine.Stephen G. Henry - 2010 - Journal of Evaluation in Clinical Practice 16 (2):292-297.
    Most clinicians take for granted a simple, reductionist understanding of medical knowledge that is at odds with how they actually practice medicine; routine medical decisions incorporate more complicated kinds of information than most standard accounts of medical reasoning suggest. A better understanding of the structure and function of knowledge in medicine can lead to practical improvements in clinical medicine. This understanding requires some familiarity with epistemology, the study of knowledge and its structure, in medicine. Michael Polanyi's theory of tacit (...)
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  22.  62
    Knowledge, authority and identity: A prolegomenon to an epistemology of the clinic.James Lindemann Nelson - 2001 - Theoretical Medicine and Bioethics 22 (2):107-122.
    Disputes about theory in bioethics almost invariablyrevolve around different understandings of morality or practicalreasoning; I here suggest that the field would do well to becomemore explicitly contentious about knowledge, and start the taskof putting together a clinical epistemology. By way of providingsome motivation for such a discussion, I consider two cases ofresistance to shifts in clinical practice that are, by and large,not ethically controversial, highlighting how differentconceptions of epistemic authority may contribute to clinicians'unwillingness to adopt these changes, and (...)
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  23.  57
    Responsibility, second opinions and peer-disagreement: ethical and epistemological challenges of using AI in clinical diagnostic contexts.Hendrik Kempt & Saskia K. Nagel - 2022 - Journal of Medical Ethics 48 (4):222-229.
    In this paper, we first classify different types of second opinions and evaluate the ethical and epistemological implications of providing those in a clinical context. Second, we discuss the issue of how artificial intelligent could replace the human cognitive labour of providing such second opinion and find that several AI reach the levels of accuracy and efficiency needed to clarify their use an urgent ethical issue. Third, we outline the normative conditions of how AI may be used as second (...)
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  24.  81
    (1 other version)Clinical Reasoning and Generics.Rajeev Dutta - 2024 - Inquiry: An Interdisciplinary Journal of Philosophy 1.
    I argue that generic generalizations expressed in language (i.e. ‘generics’) are apt for clinical reasoning. I introduce generics and describe two problems in the use and interpretation of generics: Generics may license inaccurate judgements about the frequency of events or properties within a group (i.e. a problem with the ‘truth-aptness’ of generics) and may facilitate problematic beliefs about social kinds (e.g. prejudice or essentializing). I provide an account of clinical reasoning and describe some features of what I call (...)
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  25.  17
    Epistemological and methodological significance of quantitative studies of psychomotor activity for the explanation of clinical depression.Petya Terziivanova & Svetlozar Haralanov - 2012 - Journal of Evaluation in Clinical Practice 18 (6):1151-1155.
  26. The importance of epistemology for clinical practice.Paola Cuzzani & Reidar K. Lie - 1991 - Theoretical Medicine and Bioethics 12 (1):87-90.
     
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  27.  37
    Epistemology, biology and mysticism: comments on 'Polanyi's tacit knowledge and the relevance of epistemology to clinical medicine'.Michael Loughlin - 2010 - Journal of Evaluation in Clinical Practice 16 (2):298-300.
  28.  30
    The future for medical epistemology? Commentary on Tonelli (2006), Integrating evidence into clinical practice: an alternative to evidence-based approaches. Journal of Evaluation in Clinical Practice 12, 248-256.Michael Loughlin - 2006 - Journal of Evaluation in Clinical Practice 12 (3):289-291.
  29. Medicine and epistemology: Michel Foucault and the liberality of clinical reason.Thomas Osborne - 1992 - History of the Human Sciences 5 (2):63-93.
  30.  49
    Divergent Discourses: The Epistemology of Healing in an American Medical Clinic and a Kwara‘ae Village.Karen Ann Watson-Gegeo & David Welchman Gegeo - 2011 - Anthropology of Consciousness 22 (2):209-233.
    Using the theoretical constructs “biographical disruption” and “limit experience” and also methodological frameworks from autoethnography and discourse analysis, we discuss the divergent ways in which language and healing are conceptualized and performed, first in an American medical clinic and then by traditional healers in Kwara‘ae (Solomon Islands). Discourses at the Dallas clinic draw on allopathic and complementary medicine and in emphasizing a scientific approach to talk about illness and treatment, were found to create ambiguity in patients’ sense of their physical (...)
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  31.  39
    Medical and nursing clinical decision making: A comparative epistemological analysis.Judy Rashotte RN MScN & F. A. Carnevale RN PhD - 2004 - Nursing Philosophy 5 (2):160–174.
  32. Incurable suffering from the “hiatus theoreticus”? Some epistemological problems in modern medicine and the clinical relevance of philosophy of medicine.Norbert Paul - 1998 - Theoretical Medicine and Bioethics 19 (3):229-251.
    Up to now neither the question, whether all theoretical medical knowledge can at least be described as scientific, nor the one how exactly access to the existing scientific and theoretical medical knowledge during clinical problem-solving is made, has been sufficiently answered. Scientific theories play an important role in controlling clinical practice and improving the quality of clinical care in modern medicine on the one hand, and making it vindicable on the other. Therefore, the vagueness of unexplicit interrelations (...)
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  33.  39
    Monological versus dialogical consciousness – two epistemological views on the use of theory in clinical ethical practice.Kathrin Ohnsorge & Guy Widdershoven - 2011 - Bioethics 25 (7):361-369.
    In this article, we argue that a critical examination of epistemological and anthropological presuppositions might lead to a more fruitful use of theory in clinical-ethical practice. We differentiate between two views of conceptualizing ethics, referring to Charles Taylors' two epistemological models: ‘monological’ versus ‘dialogical consciousness’. We show that the conception of ethics in the model of ‘dialogical consciousness’ is radically different from the classical understanding of ethics in the model of ‘monological consciousness’. To reach accountable moral judgments, ethics cannot (...)
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  34. Clinical intuition versus statistics: Different modes of tacit knowledge in clinical epidemiology and evidence-based medicine.Hillel D. Braude - 2009 - Theoretical Medicine and Bioethics 30 (3):181-198.
    Despite its phenomenal success since its inception in the early nineteen-nineties, the evidence-based medicine movement has not succeeded in shaking off an epistemological critique derived from the experiential or tacit dimensions of clinical reasoning about particular individuals. This critique claims that the evidence-based medicine model does not take account of tacit knowing as developed by the philosopher Michael Polanyi. However, the epistemology of evidence-based medicine is premised on the elimination of the tacit dimension from clinical judgment. This is (...)
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  35.  28
    Introduction: Foundations of Clinical Reasoning—An Epistemological Stance.Mattia Andreoletti, Paola Berchialla, Giovanni Boniolo & Daniele Chiffi - 2019 - Topoi 38 (2):389-394.
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  36.  75
    Clinical Reasoning: Knowledge, Uncertainty, and Values in Health Care.Daniele Chiffi - 2020 - Cham: Springer.
    This book offers a philosophically-based, yet clinically-oriented perspective on current medical reasoning aiming at 1) identifying important forms of uncertainty permeating current clinical reasoning and practice 2) promoting the application of an abductive methodology in the health context in order to deal with those clinical uncertainties 3) bridging the gap between biomedical knowledge, clinical practice, and research and values in both clinical and philosophical literature. With a clear philosophical emphasis, the book investigates themes lying at the (...)
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  37.  22
    A plea for an epistemology of evidence: randomifed clinical trials and post-truth.Juan Bautista Bengoetxea - 2021 - Veritas – Revista de Filosofia da Pucrs 48:79-101.
    Resumen En este artículo propongo un análisis crítico de varias tendencias filosóficas contrarias al uso de la noción de verdad en el ámbito epistemológico, especialmente la de Rorty. En particular, sostengo que la verdad es un concepto clave para el estudio del conocimiento, especialmente el científico, en cuanto toma una forma concisa en los procedimientos experimentales de carácter probatorio-empírico. Gracias a este enfoque, busco socavar varias tesis de los enfoques de la ‘posverdad’ por medio del uso de un conjunto de (...)
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  38.  43
    Clinical pragmatism: Bridging theory and practice.Joseph Fins, Franklin G. Miller & Matthew D. Bacchetta - 1998 - Kennedy Institute of Ethics Journal 8 (1):37-42.
    : This response to Lynn Jansen's critique of clinical pragmatism concentrates on two themes: (1) contrasting approaches to moral epistemology and (2) the connection between theory and practice in clinical ethics. Particular attention is paid to the status of principles and the role of consensus, with some closing speculations on how Dewey might view the current state of bioethics.
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  39.  62
    Clinical specificity and the non-generalities of science.Ant Lettinga & Annemaire Mol - 1999 - Theoretical Medicine and Bioethics 20 (6):517-535.
    How to improve clinical practice and, in particular, that of physical therapy? Currently, several strategies are used which all fit the label scientification. These scientific strategies have to make physical therapy''s clinical practice more homogeneous. Sometimes this homogenization is thought to be necessary for other strategies of innovation including effectiveness research. But it has also been suggested that more homogeneity in the clinic is already itself an improvement. In this article we comment on these strategies. More specifically, we (...)
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  40.  18
    Clinical Ethics Consultation After God: Implications for Advocacy and Neutrality.J. Clint Parker - 2018 - HEC Forum 30 (2):103-115.
    In After God: Morality and Bioethics in a Secular Age, H. Tristram Engelhardt, Jr. explores the broad implications for moral reasoning once a culture has lost a God’s-eye perspective. In this paper, I focus on the implications of Engelhardt’s views for clinical ethics consultation. I begin by examining the question of whether clinical ethics consultants should advocate a particular viewpoint and/or process during consultations or adopt a neutral stance. I then examine the implications of Engelhardt’s views for this (...)
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  41. Epistemology and the Psychology of Human Judgment.Michael A. Bishop & J. D. Trout - 2004 - New York: OUP USA. Edited by J. D. Trout.
    Bishop and Trout here present a unique and provocative new approach to epistemology. Their approach aims to liberate epistemology from the scholastic debates of standard analytic epistemology, and treat it as a branch of the philosophy of science. The approach is novel in its use of cost-benefit analysis to guide people facing real reasoning problems and in its framework for resolving normative disputes in psychology. Based on empirical data, Bishop and Trout show how people can improve their reasoning by relying (...)
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  42. Integrating evidence into clinical practice: an alternative to evidence‐based approaches.Mark R. Tonelli - 2006 - Journal of Evaluation in Clinical Practice 12 (3):248-256.
    Evidence-based medicine (EBM) has thus far failed to adequately account for the appropriate incorporation of other potential warrants for medical decision making into clinical practice. In particular, EBM has struggled with the value and integration of other kinds of medical knowledge, such as those derived from clinical experience or based on pathophysiologic rationale. The general priority given to empirical evidence derived from clinical research in all EBM approaches is not epistemically tenable. A casuistic alternative to EBM approaches (...)
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  43.  41
    Clinical Equipoise and Adaptive Clinical Trials.Nicolas Fillion - 2019 - Topoi 38 (2):457-467.
    Ethically permissible clinical trials must not expose subjects to risks that are unreasonable in relation to anticipated benefits. In the research ethics literature, this moral requirement is typically understood in one of two different ways: as requiring the existence of a state of clinical equipoise, meaning a state of honest, professional disagreement among the community of experts about the preferred treatment; or as requiring an equilibrium between individual and collective ethics. It has been maintained that this second interpretation (...)
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  44. An epistemological problem for integration in EBM.Sasha Lawson-Frost - 2019 - Journal of Evaluation in Clinical Practice 25 (6):938-942.
    Evidence-based medicine (EBM) calls for medical practitioners to “integrate” our best available evidence into clinical practice. A significant amount of the literature on EBM takes this integration to be unproblematic, focusing on questions like how to interpret evidence and engage with patient values, rather than critically looking at how these features of EBM can be implemented together. Other authors have also commented on this gap in the literature, for example, identifying the lack of clarity about how patient preferences and (...)
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  45.  50
    Toward a Naturalized Clinical Ethics.Marian Verkerk & Hilde Lindemann - 2012 - Kennedy Institute of Ethics Journal 22 (4):289-306.
    Clinical ethicists tend to see themselves as moral experts to be called in when clinicians encounter a particularly difficult moral problem. Drawing on a naturalized moral epistemology, we argue that clinicians already have the moral knowledge they need—the norms and values that guide clinical practice are built right into the various health care professions. To reflect on their practice, clinicians need to (a) be aware of their own professional norms and values; (b) be able to express them to (...)
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  46. Clinical reasoning: New challenges.William E. Stempsey - 2009 - Theoretical Medicine and Bioethics 30 (3):173-179.
    This article is an introduction to a special issue of Theoretical Medicine and Bioethics on clinical reasoning. Clinical reasoning encompasses the gamut of thinking about clinical medical practice—the evaluation and management of patients’ medical problems. Theories of clinical reasoning may be normative or descriptive; that is, they may offer recommendations on how clinicians ought to think or they may simply attempt to describe how clinicians actually do think. This article briefly surveys these approaches in order to (...)
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  47.  45
    Clinical Research in Context: Reexamining the Distinction between Research and Practice.J. A. Anderson - 2010 - Journal of Medicine and Philosophy 35 (1):46-63.
    At least since the seminal work of the (US) National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research in the 1970s, a fundamental distinction between research and practice has underwritten both conceptual work in research ethics and regulations governing research involving human subjects. Notwithstanding its undoubted historical importance, I believe the distinction is problematic because it misrepresents clinical inquiry. In this essay, I aim to clarify the character of clinical inquiry by identifying crucial contextual (...)
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  48.  67
    Clinical decision-making and secondary findings in systems medicine.T. Fischer, K. B. Brothers, P. Erdmann & M. Langanke - 2016 - BMC Medical Ethics 17 (1):32.
    BackgroundSystems medicine is the name for an assemblage of scientific strategies and practices that include bioinformatics approaches to human biology ; “big data” statistical analysis; and medical informatics tools. Whereas personalized and precision medicine involve similar analytical methods applied to genomic and medical record data, systems medicine draws on these as well as other sources of data. Given this distinction, the clinical translation of systems medicine poses a number of important ethical and epistemological challenges for researchers working to generate (...)
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  49.  18
    Health technologist in clinical laboratory’s professional training model from the integration of basic biomedical-laboratory sciences.Mercedes Caridad García González, Enrique Loret de Mola López, Rolando Miguel Bermejo Correa, José Luis Cadenas Freixas & Humberto Silvio Varela de Moya - 2018 - Humanidades Médicas 18 (2):239-257.
    RESUMEN El presente trabajo está dirigido a exponer elementos inherentes al modelo de superación profesional del tecnólogo de la salud en laboratorio clínico desde la integración ciencias básicas biomédicas-laboratorio. Entre los métodos teóricos empleados, el analítico-sintético permitió la determinación de los fundamentos epistemológicos y praxiológicos del proceso de superación, el inductivo-deductivo posibilitó la determinación de las categorías que surgen en el proceso investigativo, el sistémico estructural funcional para fundamentar el carácter de sistema del modelo y la modelación con la finalidad (...)
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  50.  45
    Implicit trust in clinical decision-making by multidisciplinary teams.Sophie van Baalen & Annamaria Carusi - 2019 - Synthese 196 (11):4469-4492.
    In clinical practice, decision-making is not performed by individual knowers but by an assemblage of people and instruments in which no one member has full access to every piece of evidence. This is due to decision making teams consisting of members with different kinds of expertise, as well as to organisational and time constraints. This raises important questions for the epistemology of medicine, which is inherently social in this kind of setting, and implies epistemic dependence on others. Trust in (...)
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