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How is medical knowledge made New methods for research and clinical care have reshaped the practices of medical knowledge production over the last forty years. Consensus conferences, evidence-based medicine, translational medicine, and narrative medicine are among the most prominent new methods. Making Medical Knowledge explores their origins and aims, their epistemic strengths, and their epistemic weaknesses. Miriam Solomon argues that the familiar dichotomy between the art and the science of medicine is not adequate for understanding this plurality of methods. The book begins by tracing the development of medical consensus conferences, from their beginning at the United States' National Institutes of Health in 1977, to their widespread adoption in national and international contexts. It discusses consensus conferences as social epistemic institutions designed to embody democracy and achieve objectivity. Evidence-based medicine, which developed next, ranks expert consensus at the bottom of the evidence hierarchy, thus challenging the authority of consensus conferences. Evidence-based medicine has transformed both medical research and clinical medicine in many positive ways, but it has also been accused of creating an intellectual hegemony that has marginalized crucial stages of scientific research, particularly scientific discovery. Translational medicine is understood as a response to the shortfalls of both consensus conferences and evidence-based medicine. Narrative medicine is the most prominent recent development in the medical humanities. Its central claim is that attention to narrative is essential for patient care. Solomon argues that the differences between narrative medicine and the other methods have been exaggerated, and offers a pluralistic account of how the all the methods interact and sometimes conflict. The result is both practical and theoretical suggestions for how to improve medical knowledge and understand medical controversies. Medical education - Wikipedia Medical education is education related to the practice of being a medical practitioner; either the initial training to become a physician (ie medical school and Home Page Office of Governor Phil Scott Governor Phil Scott became the 82nd Governor of Vermont on January 5 2017 He previously served three terms as Vermonts Lieutenant Governor and as a Senator for Knowledge - definition of knowledge by The Free Dictionary The knowledge that her mother had a fault like hers and tried to mend it made her own easier to bear and strengthened her resolution to cure it though forty years Certified Nursing Assistants ( CNA ) Health and Welfare Each state must maintain a Registry of all Certfied Nursing Assistants (CNAs) This registry contains information on whether an individual has a current CNA certificate Medicine - Wikipedia Medical availability and clinical practice varies across the world due to regional differences in culture and technology Modern scientific medicine is highly TheBMJ The BMJ Electronic version of the BMJ Publish accessible information that will help doctors improve their practice and will influence the international debate on health Accreditation Council for Continuing Medical Education Patients deserve the best-educated doctors Throughout their careers accredited continuing medical education offers health care professionals the information skills CIOMS - Council for International Organizations of Medical The Council for International Organizations of Medical Sciences (CIOMS) is an international non-governmental non-profit organization established jointly by WHO and Shared Decision Making to Improve Care and Reduce Costs Section 3506 of the Affordable Care Act encourages use of shared decision making in health care but progress on this front has been slow The first step is for the Mid-Rivers Communications Local telephone and internet service provider
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