Download Clinical Judgment: A Critical Appraisal: Proceedings of the by Michael Scriven (auth.), Hugo Tristram Engelhardt Jr., PDF

By Michael Scriven (auth.), Hugo Tristram Engelhardt Jr., Stuart F. Spicker, Bernard Towers (eds.)

Over a interval of a yr, the symposium on medical judgment has taken form as a quantity dedicated to the research of ways wisdom claims are framed in drugs and the way offerings of therapy are made. we are hoping it is going to have the funds for the reader, no matter if layman, health care professional or thinker, an invaluable viewpoint at the technique of understanding what happens in drugs; and that the result of the dis­ cussions on the 5th Symposium on Philosophy and drugs will bring about a greater knowing of ways philosophy and drugs can usefully problem one another. because the interchange among physicians, philosophers, nurses and psychologists recorded within the significant papers, the commentaries and the around desk dialogue indicates, those concerns are actually interdisciplinary. specifically, they've got proven that participants of the health and wellbeing care professions have a lot to benefit approximately themselves from philosophers in addition to a lot of curiosity to interact philosophers. by means of making the constitution of scientific reasoning extra obvious to its clients, philosophers can convey future health care practitioners how greater to grasp scientific judgment and the way higher to concentration it in the direction of the products and values medication needs to pursue. changing into clearer in regards to the technique of understanding can briefly train us the right way to understand higher and the way to benefit extra successfully. the end result should be greater than (though it definitely will be enough!) a strong highbrow perception right into a significant cultural exercise, medicine.

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Extra info for Clinical Judgment: A Critical Appraisal: Proceedings of the Fifth Trans-Disciplinary Symposium on Philosophy and Medicine Held at Los Angeles, California, April 14–16, 1977

Example text

Science Ethics and Medicine, The Hastings Center, Hastings-on-Hudson, New York, pp. 15-43. 11. Thorne, F. : 1961, Clinical Judgment, a Study of Clinical Errors, Journal of Clinical Psychology, Brandon, Vermont. ARTHUR S. ELSTEIN HUMAN FACTORS IN CLINICAL JUDGMENT: DISCUSSION OF SCRIVEN'S 'CLINICAL JUDGMENT' It would be quite impossible to comment in detail on each of the main points in Scriven's wide-ranging paper. Much of it is concerned with the issue of clinical versus statistical prediction and with the implications of the wellreplicated research finding that clinical judgments can be reproduced or even improved upon by simple statistical formulas derived from a representative sample of prior judgments [11].

Three of the four physicians who did not reach the correct diagnostic conclusion (out of 15) made a diagnosis of herniated lumbar disc and restricted their data collection so that evidence supporting other alternatives was neglected, a very clear example of the effect of suggestion on thought processes. It might be simpler if clinicians were to steadfastly discipline themselves not to generate early hypotheses at all and thus avoid the biases they create. For better or worse, however, it seems practically impossible to reason without hypotheses.

Statistical Pronunciation did not survive replication or reanalysis. Hence there are at the moment, to the best of my knowledge, no cases in which any group of experts has been able to outperform a formula, where enough study has been done to make it possible to construct a formula. Third footnote: the discovery that level weighting of the variables is the best strategy when one lacks the data for exact fitting, and is significantly better than expert judges, will remind many of the analogous and in fact supportive result in the theory of tests and measurement concerning the differential weighting of sub-tests when calculating an optimal score from which to predict a criterion variable.

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