| Clinical judgement, expertise and skilled coping. | |
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MedLine Citation:
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PMID: 20367849 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Medicine involves specific practical expertise as well as more general context-independent medical knowledge. This raises the question, what is the nature of the expertise involved? Is there a model of clinical judgement or understanding that can accommodate both elements? This paper begins with a summary of a published account of the kinds of situation-specific skill found in anaesthesia. It authors claim that such skills are often neglected because of a prejudice in favour of the 'technical rationality' exemplified in evidence-based medicine but they do not themselves offer a general account of the relation of practical expertise and general medical knowledge. The philosopher Hubert Dreyfus provides one model of the relation of general knowledge to situation-specific skilled coping. He claims that the former logically depends on the latter and provides two arguments, which I articulate in the second section, for this. But he mars those arguments by building in the further assumption that such situation-specific responses must be understood as concept-free and thus mindless. That assumption is held in place by three arguments all of which I criticize in the next section to give a unified account of clinical judgement as both practical and conceptually structured and thus justified in the face of a prejudice in favour of 'technical rationality'. |
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Authors:
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Tim Thornton |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of evaluation in clinical practice Volume: 16 ISSN: 1365-2753 ISO Abbreviation: J Eval Clin Pract Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-06 Completed Date: 2010-07-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: England |
Other Details:
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Languages: eng Pagination: 284-91 Citation Subset: IM |
Affiliation:
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International School for Communities Rights and Inclusion, University of Central Lancashire, Preston, UK. tthornton1@uclan.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia
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standards Clinical Competence* Humans Judgment* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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