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Disruption, transformation and silos: medical humanities and the management gurus.
Med Humanit
July 2024
School of Critical Studies, University of Glasgow, Glasgow, UK
To disrupt, to transform and to break through silos are common sense aims for the medical humanities and other interdisciplinary endeavours. These keywords arise because of the influence upon the academy of management and business gurus, reputed experts who arose in response to the economic crises of the 1980s. Despite the noted analytic deficiencies in the concept of disruption, and its association with product innovation, the term has been extended to academic research, where it connotes radical novelty in research practice, typically accompanied by profound organisational and managerial change.
View Article and Find Full Text PDFThe scientific chaos phase of the great pandemic: A longitudinal analysis and systematic review of the first surge of clinical research concerning COVID-19.
PLoS One
December 2023
Pediatric Neurology and Metabolic Medicine, Center for Pediatrics and Adolescent Medicine, Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Background: Early stages of catastrophes like COVID-19 are often led by chaos and panic. To characterize the initial chaos phase of clinical research in such situations, we analyzed the first surge of more than 1000 clinical trials about the new disease at baseline and after two years follow-up. Our 3 main objectives were: (1) Assessment of spatial and temporal evolution of clinical research of COVID-19 across the globe, (2) Assessment of transparency and quality-trial registration, (3) Assessment of research waste and redundancies.
View Article and Find Full Text PDFHow youth engagement can break surgery out of its silo in global health.
Public Health Action
September 2023
Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA.
Revelation of mindlines in the setting of crisis.
J Eval Clin Pract
February 2024
Department of Emergency Medicine, Columbia University Medical Center, New York, New York, USA.
During the devastating early months of the unfolding COVID-19 pandemic in New York, healthcare systems and clinicians dynamically adapted to drastically changing everyday practice despite having little guidance from formal research evidence in the face of a novel virus. Through new, silo-breaking networks of communication, clinical teams transformed and synthesized provisional recommendations, rudimentary published research findings and numerous other sources of knowledge to address the immediate patient care needs they faced during the pandemic surge. These experiences illustrated underlying social processes that are always at play as clinicians integrate information from various sources, including research and published guidelines, with their own tacit knowledge to develop shared yet personal approaches to practice.
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