Document Detail

Evidence-based medicine: a new ritual in medical teaching.
MedLine Citation:
PMID:  15226206     Owner:  NLM     Status:  MEDLINE    
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.
Simon Sinclair
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  British medical bulletin     Volume:  69     ISSN:  0007-1420     ISO Abbreviation:  Br. Med. Bull.     Publication Date:  2004  
Date Detail:
Created Date:  2004-06-30     Completed Date:  2004-10-18     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0376542     Medline TA:  Br Med Bull     Country:  England    
Other Details:
Languages:  eng     Pagination:  179-96     Citation Subset:  IM    
School for Health, University of Durham, Queen's Campus, Stockton-on-Tees TS17 6BH, UK.
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MeSH Terms
Attitude to Health*
Education, Medical / methods*
Evidence-Based Medicine / education*
Health Knowledge, Attitudes, Practice
Students, Medical / psychology

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