Evidence-based medicine: a new ritual in medical teaching
Evidence-based medicine: a new ritual in medical teaching
复制标题
DOI：
10.1093/bmb/ldh014
复制
发表时间：
2004-01-01
影响因子：
6.7
通讯作者：
Sinclair, S
中科院分区：
文献类型：
--
作者：
Sinclair, S
西方医学是一个多元化的社会和文化体系，以不同的方式应对内部和外部的压力。循证医学（EBM）运动，尽管有一些来自专业人士的阻力，导致EBM引入医学的许多领域，包括医学培训。使用材料从教学会议在英格兰的初级精神科医生，我认为，循证医学的新奇和潜在的挑战，建立医疗实践已被吸收和容纳在普通的职业生活中仪式化循证医学教学在熟悉的形式，传统的教学病房轮，与不同的是，发表的论文是“介绍”，而不是一个病人。这些仪式性的场合还有进一步的效果，防止任何关于循证医学的争论（部分原因是缺乏直接的临床应用），并限制循证医学范式之外的思想，事实上，西方医学本身。
Western medicine is a diverse social and cultural system which responds in different ways to internal and external pressures. The Evidence-Based Medicine (EBM) movement has, despite some resistance from the rofession, led to the introduction of EBM into many areas of medicine, including medical training. Using material from teaching sessions for junior psychiatrists in England, I argue that EBM's novelty and potential challenge to established medical practice has been absorbed and accommodated within ordinary professional life by ritualizing EBM teaching in the familiar form of a traditional teaching ward round, with the difference that a published paper is 'presented' rather than a patient. These ritual occasions have the further effects of preventing any debate about EBM (partly because of the lack of immediate clinical application) and of limiting thought outside the paradigm of EBM and, indeed, of Western medicine itself.