Governing sadness: An Institutional Ethnography of Evidence-Based Medicine and the NICE Guideline on Depression in Adults

项目问：循证医学在医学培训中的作用是什么？几乎没有研究揭示医疗培训是如何创造和维持制药化和循证医学的。该博士项目将通过实证检验培训中使用的知识体系来填补这一空白，特别是作为话语工具的循证医学，以确保企业支持的研究能够被视为可靠和政治中立的科学。研究结果将对公共卫生政策、医学培训设计产生重要影响，并对循证决策作为一种范式的意识形态功能提供更广泛的见解。这项研究将包括对来自埃克塞特、普利茅斯和布里斯托尔医学院的医学生进行至少30次半结构化访谈。在西南地区汇集的研究人群中也有可能包括初级医生（F1和F2）。这项提议的工作将交由埃克塞特大学社会科学与国际研究伦理委员会审议。我可能还需要通过NHS获得道德许可。关键的伦理问题是同意、匿名和保密；除此之外，医科学生并不是弱势群体。我的论文+1部分，（MRes科学与技术研究）将探讨类似的主题，并支持这项工作，但具体的方法和问题需要与我的导师讨论。研究，在+1和+3组件将不需要任何海外研究或困难的语言培训。

The project asks: What is the function of EBM within medical training? Little, if any, research has unpacked how medical training creates and sustains pharmaceuticalisation and EBM. This PhD project will fill this gap by empirically examining the systems of knowledge utilized in training, in particular EBM as discursive tool to ensure that corporate backed research is capable of being viewed as a reliable and politically neutral science. The results will have important implications for public health policy, for the design of medical training and provide broader insight into the ideological function of evidence-based decision-making as a paradigm. The research will include a minimum of 30 semi-structured interviews with medical students pooled from Exeter, Plymouth and Bristol Medical Schools. There is also potential to include junior doctors (F1 and F2) in the study population pooled from the South West Region.The proposed work will be put through the University of Exeter Social Science and International Studies ethics committee. I may also need to gain ethical approval through the NHS. The key ethical issues are consent, anonymity and confidentiality; medical students are not a vulnerable group beyond this. My thesis for the +1 component, (MRes Science and Technology Studies) will explore similar themes and support this work, but exact methods and questions are subject to discussion with my supervisors. Research, in both the +1 and +3 components will not require any overseas research or difficult language training.