The Concept of Evidence in Healthcare – Part 2

Ross Upshur further examines evidence from a scientific, philosophical and ethical viewpoint in the second part of the podcast “Concept of Evidence in Healthcare”. Throughout the discussion, he presents practical examples of how the provisional nature of evidence has played a role in justifying the practice of medicine as it has evolved over time. The talk is intriguing as is the subject itself. Some of the articles mentioned in the podcast: We need both evidence and values to navigate uncertainty. Upshur RE. Hastings Cent Rep. 2014 Sep;44(5):4. doi: 10.1002/hast.347. Grey zones of clinical practice: some limits to evidence-based medicine. C.D. Naylor The Lancet, Volume 345, Issue 8953, 1 April 1995, Pages 840-842 Tolerating Uncertainty — The Next Medical Revolution? Arabella L. Simpkin and Richard M. Schwartzstein N Engl J Med 2016; 375:1713-1715 November 3, 2016 DOI: 10.1056/NEJMp1606402   More related articles on evidence: Renaissance or reformation for evidence based medicine? Fuller J, Flores LJ, Upshur RE, Goldenberg MJ. BMJ. 2014 Jul 30;349:g4902. Rebuttal: Is evidence-based medicine overrated in family medicine?: Yes. Upshur RE, Tracy CS. Can Fam Physician. 2013 Nov;59(11):e475. A call to integrate ethics and evidence-based medicine. Upshur RE. Virtual Mentor. 2013 Jan 1;15(1):86-9. Making the grade: assuring trustworthiness in evidence. Upshur R. Perspect Biol Med. 2009 Spring;52(2):264-75.