ArticleMedicine, health care, and philosophy2002
Whither our art? Clinical wisdom and evidence-based medicine.
Article in Medicine, health care, and philosophy, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- Recommendations Provided to Families of Neurodivergent Children with Histories of Interpersonal Trauma across Two Clinical Assessment Services within a Major Metropolitan Children's Hospital in Melbourne, Australia.Journal of child & adolescent trauma · 2025Article
- Exploring health and disease concepts in healthcare practice: an empirical philosophy of medicine study.BMC medical ethics · 2024Article
- Who's afraid of EBM? Medical professionalism from the perspective of evidence-based medicine.Medicine, health care, and philosophy · 2017Article
- Systematic reviews, systematic error and the acquisition of clinical knowledge.BMC medical research methodology · 2010Article
- Nullius in verba: a call for the incorporation of evidence-based practice into the discipline of exercise science.Sports medicine (Auckland, N.Z.) · 2010Article
- Norwegian physicians' knowledge of and opinions about evidence-based medicine: cross-sectional study.PloS one · 2009Article
- The practice of health care: wisdom as a model.Medicine, health care, and philosophy · 2007Article
- Building Eminence through Evidence.Biomedicine hubReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The relationship between evidence-based medicine (EBM) and clinical judgement is the subject of conceptual and practical dispute. For example, EBM and clinical guidelines are seen to increasingly dominate medical decision-making at the expense of other, human elements, and to threaten the art of medicine. Clinical wisdom always remains open to question. We want to know why particular beliefs are held, and the epistemological status of claims based in wisdom or experience. The paper critically appraises a number of claims and distinctions, and attempts to clarify the connections between EBM, clinical experience and judgement, and the objective and evaluative categories of medicine. I conclude that to demystify clinical wisdom is not to devalue it. EBM ought not be conceived as needing to be limited or balanced by clinical wisdom, since if its language is translatable into terms comprehensible and applicable to individuals, it helps constitute clinical wisdom. Failure to appreciate this constitutive relation will help perpetuate medical paternalism and delay the adoption of properly evidence-based practice, which would be both unethical and unwise.
Indexed as
Identifiers
12517035What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.