Nice idea, but it is usually a matter of client preferences and values,
although there may be times when we are acting as advocate for the animal.
So there may be a balancing act between our own preferences and values,
those of the client and our perceived view of what is in the animals best
interests.
Sally
-----Original Message-----
From: Evidence based health (EBH)
[mailto:[log in to unmask]] On Behalf Of Michael Traynor
Sent: 14 January 2009 09:19
To: [log in to unmask]
Subject: Re: Epistemology and evidence based veterinary medicine
Still on the question of epistemology, in the EBM veterinary world how
do you incorporate patient preferences and values? I have a mental image
of a horse sitting cross legged in your consulting rooms saying, 'I'd
love to have the surgery but frankly its a matter of getting the time
off work'...
Michael
-----Original Message-----
From: Evidence based health (EBH)
[mailto:[log in to unmask]] On Behalf Of Sally Everitt
Sent: 14 January 2009 07:06
To: [log in to unmask]
Subject: Epistemology and evidence based veterinary medicine
I have also been following the discussion on epistemology with great
interest.
As a veterinary surgeon who is currently undertaking a PhD looking at
how
veterinary surgeons use evidence to support their clinical decision
making I
have found this discussion both facinating and very relevant.
In the veterinary field we need to take a very broad view of evidence as
we
have few published randomised controlled trials and even fewer
systeamtic
reviews, and the way that our research is funded means that the
situation is
unlikely to change significantly in the forseeable future. Therefore the
use of
the term "evidence" in its broadest sense of grounds for believe - is
exactly
what we are talking about.
Sally Everitt
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