My last post to deal with postmodernism:
Medical Journal of Australia, 2000;172: 332-334
Medicine for the millenium: the challenge of postmodernism
Chan J and Chan J-authors (apologies for the awkward citation)
"EBM teaching emphasises 'knowledge'-- learning the 'facts' and knowing the
'literature'. Sackett et. al. recognised this...'external clinical evidence
can inform but not replace individual clinical expertise and it is this
expertise that decides whether the external evidence applies to the
individual patient at all.'...Producing medical practitioners who know only
clinical pathways and DRGs further widens the gap between the modernist
medical model of dehumanised science (the grand narrative) and the
postmodernist model of unique, lived experience (the small narrative).
Unless the practice of medicine becomes more focused on the unique
individual, with understanding of the limitations of the modern science of
medicine, our role runs the risk of becoming less relevant to people today"
Remember when these posts dealt with statistics and methods, ah the good old
days!
Dan Sontheimer, MD
Spartanburg SC USA
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