Clinical Epidemiology & Evidence-Based Medicine: Fundamental Principles of Clinical Reasoning & Research

2001 ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. 359-366 ◽  
Author(s):  
Jessica L. Barrett ◽  
Craig R. Denegar ◽  
Stephanie M. Mazerolle

Context: It is the educator's responsibility to prepare the students to be clinicians who think and reason critically while integrating research evidence into practice. Those new to the role of faculty member, who lack clinical and teaching experience, face challenges in the classroom application of those concepts. Objective: To discuss the challenges facing new faculty members and present strategies for addressing them. Specific faculty challenges addressed include learning their roles as educators and teaching multifaceted concepts, such as clinical reasoning and evidence-based medicine. Background: Experience provides a framework for a professional to balance multiple demands, whether as a new instructor teaching or a clinician synthesizing information to determine a course of action. Many new educators do not have extensive experience either clinically or in the classroom. This can cause anxiety as educators are confounded by their roles and responsibilities. Students likewise lack experience and may not possess the ability to systematically analyze patient encounters or research evidence. Constructivist learning theory paired with adult learning principles can address the learning needs of faculty members and students alike. Recommendation(s): Programs must provide assistance for new faculty and implement strategies for students to learn reasoning skills. Use of constructivist learning theory and application of the adult learning model are ways to address these deficiencies. Integrating concepts of active learning and self-direction while aligning expectations and creating overlap between classroom and clinical domains can assist in addressing the challenges faced by new faculty and students. Conclusion(s): The systematic process of evidence-based decision making is grounded in utilizing evidence. Strategies must be identified and implemented throughout curricula to target and enhance students' abilities to organize and synthesize information. Educators must use new methods in their own learning and teaching to enhance their students' abilities. New faculty members in particular require assistance in negotiating their roles.


2021 ◽  
Vol LIII (1) ◽  
pp. 69-70
Author(s):  
Nikita A. Zorin

One explanation for breakdown of the traditional medical connection of diagnosis and treatment is presented. It is suggested that it was a natural process brought to life by the results of the development of genetics and the results of the application of clinical epidemiology (the theory of evidence-based medicine), which led to the beginning of the downfall of the nosological concept, so far de facto, and in the long term de jure. Medicine is painfully returning to a holistic view of a patient.


2022 ◽  
pp. 106-115.e2
Author(s):  
Catherine H. Watson ◽  
Fidel A. Valea ◽  
Laura J. Havrilesky

2013 ◽  
Vol 57 ◽  
pp. S5-S7 ◽  
Author(s):  
Tin Tin Su ◽  
Awang M. Bulgiba ◽  
Pichet Sampatanukul ◽  
Sudigdo Sastroasmoro ◽  
Peter Chang ◽  
...  

2015 ◽  
Vol 6 ◽  
pp. 142-148 ◽  
Author(s):  
Arpana R. Vidyarthi ◽  
Robert Kamei ◽  
Kenneth Chan ◽  
Sok-Hong Goh ◽  
Lek Ngee

1999 ◽  
Vol 45 (3) ◽  
pp. 47-48
Author(s):  
E. V. Surkova ◽  
M. B. Antsiferov

A book by Harvard University professors Robert Fletcher and Susan Fletcher and Edward Wagner, a professor at the University of Washington, published by Media Sphere, focuses on the fundamentals of a new, rapidly growing field of knowledge in medical science - clinical epidemiology.


2020 ◽  
Vol 8 (3) ◽  
pp. 308
Author(s):  
Timo Bolt ◽  
F G Huisman

This paper seeks to inform the current debate on an alleged ‘crisis’ and the ‘unintended negative consequences’ of evidence-based medicine (EBM) from a historical perspective. EBM can be placed against the background of a long term process of medical quantification and objectification. This long term process was accompanied by a ‘specificity revolution’, which made the ontological concept of diseases as specific entities the central ordering and regulatory principle in healthcare (as well as in clinical epidemiology and EBM). To a certain extent, the debate about EBM’s alleged crisis can be understood as resulting from this specificity revolution. When the ontological concept of disease is applied too rigidly, this will contribute to ‘negative unintended consequences’ of EBM such as ‘poor mapping of multimorbidity’ and medical practice ‘that is management-driven rather than patient-centered’.


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