For a nice discussion on the ethics of evidence-based practice, see
Evidence-Based Best Practice: The Common Knowledge of Ethical Clinical
Scholarship (HTML file format; Free) by Carol A. Ledbetter, RN, PhD, FNP,
CS, FAAN, Guest Editorial, October 20, 2000 in the Online Journal of
Knowledge Synthesis for Nursing, available at
http://www.stti.iupui.edu/library/ojksn/e.html . A quote I used in CE
courses that included evidence-based nursing: "If BP (best practice) is not
equal to EBBP (Evidence-Based Best Practice) because the principles of
respect, beneficence and justice have not been applied, then the practice is
unethical."
Note that this journal, which publishes integrative reviews, is not indexed
in MEDLINE - it is indexed in CINAHL. I believe that systematic reviews
that do not include searches of databases beyond MEDLINE (CINAHL, EMBASE,
PsycINFO, Web of Science or others, depending on the topic) are not
professionally responsible and should be rejected by editors.
Hope this helps - Peg
Margaret (Peg) Allen, MLS-AHIP mailto:[log in to unmask]
Library Consultant http://communities.msn.com/PegAllenLibraryConsultant
Resource Librarian Consultant for Cinahl Information Systems, Inc.
http://www.cinahl.com/
Library Consultant, Northern and Southwest Wisconsin Area Health Education
Centers, http://www.nahec-wi.org/ and
http://www.medsch.wisc.edu/ahec/swahec/
PO Box 2, 308 Kann, Stratford, WI 54484-0002
(715)687-4976 Fax:(715)687-4976
----- Original Message -----
From: "Osher Doctorow" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, November 02, 2001 10:14 AM
Subject: Suggestions for Educating Health/Science People
> From: Osher Doctorow [log in to unmask], Fri. Nov. 2, 2001 8:07AM
>
> My wife and I have Ph.D. Degrees. She is a licensed clinical psychologist
> (over 30 years in practice), I am a college teacher in mathematics
including
> mathematical probability/statistics, mathematical physics, mathematical
> models in life/biological sciences, etc.
>
> Based on the types of email which I have seen on EBH over the last few
> weeks, I would suggest that education of health and life science people in
> both the USA and UK could be considerably improved below the level of M.D.
>
> 1. Considerably more course work in ethics related to these fields is very
> probably needed, including not just restriction to one person in one field
> (e.g. Chomsky) but a wide range of people specializing in the philosophy
of
> ethics - which is where the proper study of ethics is located, not in the
> deep structure theory of languages or in the platform of renowned
> non-philosophers who travel around the world lecturing with anti-Western
or
> other agendas.
>
> 2. Considerably more course work in psychology should be required. Great
> Britain has always prided itself on having a less emotionally wild legal
> system than the USA (solicitors, barristers compared to the Anatomy of a
> Murder or Chicago Gangster dramatics that often are allowed in USA
> courtrooms), and that seems to hold for British physics and mathematics,
but
> in health and related sciences it seems that wild emotionality remains to
be
> monitored and analyzed (self-analyzed too). I would put suggestions 1
and
> 2 at the top of educating suggestions in these fields.
>
> 3. Imitation and worship of Great Heroes appears to be of epidemic
> proportions among many health professionals, and his indicates to me that
a
> course in Creative Genius versus Ingenious Imitation or Ingenious
Followers
> would be extremely useful. Creative Geniuses in science, mathematics,
art,
> music, architecture, literature, philosophy for example do not generally
> worship Great Heroes of the past - they learn the best of the past and
then
> rebel against the errors of the past, and they (a) CREATE, (b) are ahead
of
> their times by years and sometimes hundreds of years, not just one step
> ahead (unlike imitators).
>
> These are my three suggestions for now. If I think of any more, I will
post
> them. I want to thank the negative and ignorant people for inspiring
these
> suggestions, although this has a vague analogy to thanking Hitler for
> showing us the depths to which human depravity can sink.
>
> Osher Doctorow
>
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