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Refining Vascular Care Through Science Without Losing the Art.
Ann Vasc Surg
April 2024
Department of Surgery/Vascular Medicine, University of South Carolina School of Medicine/Greenville, Greenville, SC.
The science of medicine involves the incorporation of data from evidence-based medicine (collecting, analyzing, conducting clinical trials), medical knowledge (learned patterns of health and disease), diagnostic testing (objective evidence), treatment protocols (guidelines based on scientific evidence and/or expert consensus), and pharmacology (prescribing safely and effectively). The art of medicine involves clinical judgment (learn to interpret clinical signs, symptoms, and histories often relying on intuition and gut feelings), bedside manner (understanding patient needs), customization of care (artistic touch to meet each person's unique circumstances including values, preferences, and social determinants of health), complex decision-making (decision-making based on experience or expertise when confronted with limited or conflicting data), and managing uncertainty (making decisions keeping "doors open" when faced with limited objective confirmation). The delivery of healthcare is not "either science or art" but rather "both science and art" proposition.
View Article and Find Full Text PDFCannabis legalization, regulation, & control: a review of key challenges for local, state, and provincial officials.
Am J Drug Alcohol Abuse
July 2020
Alberta Health Services, Population, Public and Indigenous Health Unit, Edmonton, Canada.
: A number of countries are legalizing the supply of cannabis or are considering doing so. Beyond top-level design questions (e.g.
View Article and Find Full Text PDFInternational workshop on "professionalism in the practice of medicine- where are we now?".
Isr J Health Policy Res
April 2017
Braun School of Public Health and Community Medicine, Hadassah-Hebrew University, Jerusalem, Israel.
Medical professionalism refers to attributes, values, behaviors, responsibilities and commitments of physicians that are congruent with the public's expectations. An international workshop on medical professionalism took place at the Dead Sea, Israel, on December 11-12, 2016. The meeting brought together local medical professionals, physicians and others, as well as international experts, to discuss definitions of professionalism and wrestle with current challenges facing the profession including its perceived status and physician satisfaction, unprofessional behavior and its relation to health care quality and patient safety, and professionalism as a learned competence.
View Article and Find Full Text PDFCurricular priorities for business ethics in medical practice and research: recommendations from Delphi consensus panels.
BMC Med Educ
November 2014
Center for Clinical Research Ethics, Division of General Medical Sciences, Washington University School of Medicine, 660 S, Euclid Ave,, Saint Louis, MO 63110, USA.
Background: No published curricula in the area of medical business ethics exist. This is surprising given that physicians wrestle daily with business decisions and that professional associations, the Institute of Medicine, Health and Human Services, Congress, and industry have issued related guidelines over the past 5 years. To fill this gap, the authors aimed (1) to identify the full range of medical business ethics topics that experts consider important to teach, and (2) to establish curricular priorities through expert consensus.
View Article and Find Full Text PDFAccountable care organizations and the allergist: challenges and opportunities.
J Allergy Clin Immunol Pract
April 2014
Advocate Medical Group of Advocate Health Care, Chicago, Ill.
For decades, health care policy experts have wrestled with ways to solve problems of access, cost, and quality in US health care. The current consensus is that the solution to all three lies in changing financial incentives for providers and delivering care through integrated systems. The currently favored vehicle for this, both in the public and private sectors, is through Accountable Care Organizations (ACOs).
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