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Dear Januar, Could you clarify the type of uncertainty you are talking about? For example, some folk* distinguish: 1. personal uncertainty - "I don't know, but maybe somebody else does" 2. profession uncertainty - "we as a profession don't know" 3. stochastic uncertainty - I can't say for sure but the best evidence suggests an X% chance .... 4. value uncertainty - I don't know what I/you value most Clearly medical consultations can contain all these elements. EBM is mostly about reducing uncertainty (1) and dealing rationally with uncertainty (3); whereas doing more research helps reduce uncertainty (2). Regards, Paul Glasziou * attributed to Al Mulley At 26/09/2004, Januar W. Martha wrote: >Dear list member, > >Does anybody have resources on medical uncertainty, preferably free online, >that I can use to write a paper. This issue has started to emerge in >physician practices in Indonesia lately. Some of the pressure came from >many lawsuits against malpractice cases. Thank you all. > >Januar W. Martha, MD, MPH >Faculty of Medicine >Padjadjaran University >Bandung, Indonesia Paul Glasziou Department of Primary Health Care & Director, Centre for Evidence-Based Practice, Oxford ph: 44-1865-227055 www.cebm.net