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Evidence-based medicine and values-based medicine : partners in clinical education as well as in clinical practice
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Peile, Ed (2013) Evidence-based medicine and values-based medicine : partners in clinical education as well as in clinical practice. BMC Medicine, Volume 11 (Number 1). Article number 40. doi:10.1186/1741-7015-11-40 ISSN 1741-7015.
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Official URL: http://dx.doi.org/10.1186/1741-7015-11-40
Abstract
The best clinical decisions are based on both evidence and values in what is known as the ‘twofeet principle’. Anecdotally, educationalists find teaching clinicians to become more evidence based is relatively simple in comparison to encouraging them to become more values based. One reason is likely to be the importance of values awareness. As valuesbased practice is premised on a mutual respect for the diversity of values, clinicians need to develop the skills to ascertain patient values and to get in touch with their own beliefs and preferences in order to understand those at play in any consultation. Only then can shared decision-making processes take place within a shared framework of values. In a research article published in BMC Medicine, AltamiranoBustamante and colleagues highlight difficulties that clinicians face in getting in touch with their own values. Despite finding that healthcare personnel’s core values were honesty and respect, autonomy was initially low ranked by participants. One significant aspect of this work is that this group has demonstrated that the extent to which clinicians value ‘autonomy’ and ‘openness to change’ can both be positively influenced by well designed education.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
| Library of Congress Subject Headings (LCSH): | Evidence-based medicine, Clinical medicine -- Decision making, Values , Medical education , Medicine -- Study and teaching | ||||
| Journal or Publication Title: | BMC Medicine | ||||
| Publisher: | BioMed Central Ltd. | ||||
| ISSN: | 1741-7015 | ||||
| Official Date: | 2013 | ||||
| Dates: |
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| Volume: | Volume 11 | ||||
| Number: | Number 1 | ||||
| Page Range: | Article number 40 | ||||
| DOI: | 10.1186/1741-7015-11-40 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Open Access (Creative Commons) |
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