| Balancing certainty and uncertainty in clinical practice. | |
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MedLine Citation:
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PMID: 19833828 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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PURPOSE: In this article, I question how practitioners can balance the certainty and confidence that they can help their patients with the uncertainty that makes them continually question their beliefs and assumptions. METHOD: I compare the mechanisms of science and models of clinical practice that may help practitioners achieve the right balance between total acceptance of the status quo and an open willingness to explore and accept new ideas. CONCLUSION: Clinical practice, unlike science, has no independent self-correction mechanism that leads to consensus about best clinical practices. Evidence-based models provide principles and guidelines for clinical practice, but ultimately, clinical decisions may be influenced most by a practitioner's epistemology (belief systems) and propensity for rational thinking. |
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Authors:
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Alan G Kamhi |
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Publication Detail:
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Type: Journal Article Date: 2009-10-15 |
Journal Detail:
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Title: Language, speech, and hearing services in schools Volume: 42 ISSN: 1558-9129 ISO Abbreviation: Lang Speech Hear Serv Sch Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0323431 Medline TA: Lang Speech Hear Serv Sch Country: United States |
Other Details:
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Languages: eng Pagination: 59-64 Citation Subset: IM |
Affiliation:
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Department of Communication Sciences and Disorders, 300 Ferguson Building, UNCG, Greensboro, NC 27402, USA. agkamhi@uncg.edu |
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Comment In:
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Lang Speech Hear Serv Sch. 2011 Jan;42(1):77-80; discussion 88-93
[PMID:
19833829
]
Lang Speech Hear Serv Sch. 2011 Jan;42(1):69-72; discussion 88-93 [PMID: 20601532 ] Lang Speech Hear Serv Sch. 2011 Jan;42(1):73-6; discussion 88-93 [PMID: 20601529 ] Lang Speech Hear Serv Sch. 2011 Jan;42(1):81-7; discussion 88-93 [PMID: 20601528 ] Lang Speech Hear Serv Sch. 2011 Jan;42(1):65-8; discussion 88-93 [PMID: 20601527 ] |
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