Do you know, it's not too different in neonatal paediatrics ...
Cheers
Bob
--
Dr Bob Phillips
Locum Consultant in Paediatric Oncology, Leeds Teaching Hospital Trust
MRC Research Fellow, Centre for Reviews and Dissemination, University of
York
Section Editor, Archimedes, Archives of Diseases in Childhood
Honorary Research Fellow, Centre for Evidence-based Child Health, London
Associate Fellow, Centre for Evidence-based Medicine, Oxford
mobile: 07968 727424
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Sally Everitt wrote:
> 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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