Evidence map›Paper›PMID 27581425›Full record

ArticleMedicine, health care, and philosophy2017

Who's afraid of EBM? Medical professionalism from the perspective of evidence-based medicine.

Sabine Salloch

Abstract read
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In one paragraph

Article in Medicine, health care, and philosophy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. AI in Radiology: Navigating Medical Responsibility.Diagnostics (Basel, Switzerland) · 2024
    Review
  2. Radiomics in Breast Imaging: Future Development.Journal of personalized medicine · 2023
    Article
  3. Getting standardization right.Canadian family physician Medecin de famille canadien · 2021
    Article
  4. Canadian family physician Medecin de famille canadien · 2021
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Sabine SallochInstitute for Ethics and History of Medicine, University Medicine Greifswald, Greifswald, Germany. Sabine.Salloch@Uni-Greifswald.de.ORCID http://orcid.org/0000-0002-2987-2684

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence-based medicine (EBM) and medical professionalism are two prominent notions in current medical debates. However, proponents of professionalism fear a restriction in doctors' freedom to make their best decisions for individual patients caused by the influence of EBM and highly standardised decision procedures. The challenge which EBM allegedly poses to physicians' discretion forms the starting point for an analysis of the relationship between professionalism, as an inherent value system of medical practice, and EBM, as an approach to optimise the decision-making for individual patients. The analysis starts with a brief conceptual clarification of the ambiguous term "professionalism". It then focuses on three key aspects of medical professionalism which may come into conflict with the basic tenets of EBM. The potential tensions between (a) professional autonomy and clinical practice guidelines, (b) individualised care and standardisation, and (c) esoteric authority and public accountability are analysed and a suggestion for reconcilement regarding each point is made. The article closes with a summary on how a better reflection on medical professionalism may help towards a fuller understanding of EBM and vice versa.

Indexed as

Evidence-Based MedicineProfessionalismAttitude of Health PersonnelHumansPhysiciansPractice Guidelines as TopicPractice Patterns, Physicians'Precision MedicineProfessional AutonomySocial ResponsibilityAccountabilityAutonomyEvidence-based medicineIndividualised medicineMedical professionalism

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.