ArticleTheoretical medicine and bioethics2006
Recognizing tacit knowledge in medical epistemology.
Article in Theoretical medicine and bioethics, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Appealing to Tacit Knowledge and Axiology to Enhance Medical Practice in the COVID-19 Pandemic: A Systematic Review and Hermeneutic Bioethical Analysis.Frontiers in public health · 2021Pooled it
- 10 years of mindlines: a systematic review and commentary.Implementation science : IS · 2015Pooled it
- Moderating effects of media literacy and flow on the association between web-based learning environment and knowledge sharing among medical students: a cross-sectional study.Frontiers in psychology · 2026Article
- Integrating clinical knowledge to preserve clinical coherence in health systems.Frontiers in systems biology · 2026Article
- Editorial: The role of evidence-based medicine and value-based medicine in clinical practice to enhance mental health.Frontiers in public health · 2024Article
- Experiential knowledge in clinical medicine: use and justification.Theoretical medicine and bioethics · 2020Article
- Implementing an intervention to improve decision making around referral and admission to intensive care: Results of feasibility testing in three NHS hospitals.Journal of evaluation in clinical practice · 2020Article
- A pragmatist's guide to the assessment of decision-making capacity.The British journal of psychiatry : the journal of mental science · 2019Article
- COGITA network has constructed a glossary of diagnostic reasoning terms.The European journal of general practice · 2017Article
- A hands-on guide to doing content analysis.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2017Article
- The Absent Interpreter in Administrative Detention Center Medical Units.Health care analysis : HCA : journal of health philosophy and policy · 2017Article
- Individualized Integrative Cancer Care in Anthroposophic Medicine: A Qualitative Study of the Concepts and Procedures of Expert Doctors.Integrative cancer therapies · 2016Article
- "Personal Knowledge" in Medicine and the Epistemic Shortcomings of Scientism.Journal of bioethical inquiry · 2015Article
- Ethical signposts for clinical geneticists in secondary variant and incidental finding disclosure discussions.Medicine, health care, and philosophy · 2015Article
- Do clinicians decide relying primarily on Bayesians principles or on Gestalt perception? Some pearls and pitfalls of Gestalt perception in medicine.Internal and emergency medicine · 2014Article
- Easier said than done!: methodological challenges with conducting maternal death review research in Malawi.BMC medical research methodology · 2014Article
- Defining "quality of care" persuasively.Theoretical medicine and bioethics · 2012Article
- Pleasure in medical practice.Medicine, health care, and philosophy · 2012Article
- Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams.Patient safety in surgery · 2011Article
- Clinical judgement and the medical profession.Journal of evaluation in clinical practice · 2011Review
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
Abstract
The evidence-based medicine movement advocates basing all medical decisions on certain types of quantitative research data and has stimulated protracted controversy and debate since its inception. Evidence-based medicine presupposes an inaccurate and deficient view of medical knowledge. Michael Polanyi's theory of tacit knowledge both explains this deficiency and suggests remedies for it. Polanyi shows how all explicit human knowledge depends on a wealth of tacit knowledge which accrues from experience and is essential for problem solving. Edmund Pellegrino's classic treatment of clinical judgment is examined, and a Polanyian critique of this position demonstrates that tacit knowledge is necessary for understanding how clinical judgment and medical decisions involve persons. An adequate medical epistemology requires much more qualitative research relevant to the clinical encounter and medical decision making than is currently being done. This research is necessary for preventing an uncritical application of evidence-based medicine by health care managers that erodes good clinical practice. Polanyi's epistemology shows the need for this work and provides the structural core for building an adequate and robust medical epistemology that moves beyond evidence-based medicine.
Indexed as
Identifiers
16838198What 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.