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7Too Much Ethics, Not Enough Medicine: Clarifying the Role of Clinical Expertise for the Clinical Ethics ConsultantJournal of Clinical Ethics 12 (1): 24-30. 2001.
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15Supporting Real-Time Ethical Deliberation in Contingency Capacity During the COVID-19 PandemicAmerican Journal of Bioethics 21 (8): 25-27. 2021.The reality of resource limitation during the Coronavirus Disease 2019 pandemic has deeply challenged established approaches to healthcare system emergency response. Early preparation du...
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69Experiential knowledge in clinical medicine: use and justificationTheoretical Medicine and Bioethics 41 (2): 67-82. 2020.Within the evidence-based medicine construct, clinical expertise is acknowledged to be both derived from primary experience and necessary for optimal medical practice. Primary experience in medical practice, however, remains undervalued. Clinicians’ primary experience tends to be dismissed by EBM as unsystematic or anecdotal, a source of bias rather than knowledge, never serving as the “best” evidence to support a clinical decision. The position that clinical expertise is necessary but that prim…Read more
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41Mechanisms in clinical practice: use and justificationMedicine, Health Care and Philosophy 23 (1): 115-124. 2020.While the importance of mechanisms in determining causality in medicine is currently the subject of active debate, the role of mechanistic reasoning in clinical practice has received far less attention. In this paper we look at this question in the context of the treatment of a particular individual, and argue that evidence of mechanisms is indeed key to various aspects of clinical practice, including assessing population-level research reports, diagnostic as well as therapeutic decision making,…Read more
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9Lessons, intended and learned, from satireJournal of Evaluation in Clinical Practice 22 (1): 141-142. 2016.
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18Too much ethics, not enough medicine: clarifying the role of clinical expertise for the clinical ethics consultantJournal of Clinical Ethics 12 (1): 24. 2001.
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74A late and shifting foundation: a commentary on Djulbegovic, B., Guyatt, G. H. & Ashcroft, R. E. (2009) Cancer Control, 16, 158–168 (review)Journal of Evaluation in Clinical Practice 15 (6): 907-909. 2009.
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40Evidence, through the looking glass. Commentary on Devisch and Murray (2009) 'We hold these truths to be self‐evident': deconstructing 'evidence‐based' medical practiceJournal of Evaluation in Clinical Practice 15 (6): 955-956. 2009.
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73The challenge of evidence in clinical medicineJournal of Evaluation in Clinical Practice 16 (2): 384-389. 2010.
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65Not a philosophy of clinical medicine: a commentary on 'The Philosophy of Evidence‐based Medicine' Howick, J. ed. (2001)Journal of Evaluation in Clinical Practice 17 (5): 1013-1017. 2011.
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62Compellingness: assessing the practical relevance of clinical research resultsJournal of Evaluation in Clinical Practice 18 (5): 962-967. 2012.
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48Substituted Judgment in Medical Practice: Evidentiary Standards on a Sliding ScaleJournal of Law, Medicine and Ethics 25 (1): 22-29. 1997.Consensus is growing among ethicists and lawyers that medical decision making for incompetent patients who were previously competent should be made in accordance with that person's prior wishes and desires. Moreover, this legal and ethical preference for the substituted judgment standard has found its way into the daily practice of medicine. However, what appears on the surface to be an agreement between jurists, bioethicists, and clinicians obscures the very real differences between disciplines…Read more
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57Advancing a casuistic model of clinical decision making: a response to commentatorsJournal of Evaluation in Clinical Practice 13 (4): 504-507. 2007.
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95Integrating evidence into clinical practice: an alternative to evidence‐based approachesJournal of Evaluation in Clinical Practice 12 (3): 248-256. 2006.Evidence-based medicine (EBM) has thus far failed to adequately account for the appropriate incorporation of other potential warrants for medical decision making into clinical practice. In particular, EBM has struggled with the value and integration of other kinds of medical knowledge, such as those derived from clinical experience or based on pathophysiologic rationale. The general priority given to empirical evidence derived from clinical research in all EBM approaches is not epistemically ten…Read more
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University of WashingtonProfessor
Seattle, Washington, United States of America
Areas of Specialization
Epistemology |
Philosophy of Medicine |
Areas of Interest
Epistemology |
Philosophy of Medicine |