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Published on: June 12, 2020

Rationality in medicine.

Olli S Miettinen1

  • 1Department of Epidemiology, Biostatistics and Occupational Health, Professor, Department of Medicine, Faculty of Medicine, McGill University, Montreal, QC, Canada. olli.miettinen@mcgill.ca

Journal of Evaluation in Clinical Practice
|April 7, 2010
PubMed
Summary
This summary is machine-generated.

This study critiques current medical paradigms, advocating for a theory of medicine grounded in reason to prevent cognitive errors and enhance medical rationality. It emphasizes a rational framework for medical practice.

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The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Philosophy of Medicine
  • Medical Epistemology
  • Cognitive Science in Medicine

Background:

  • Critically examines the Flexnerian and Evidence-Based Medicine (EBM) models of scientific medicine.
  • Addresses Groopman's work on errors of reasoning within medical practice.
  • Highlights the absence of a robust theoretical foundation for medical cognition.

Purpose of the Study:

  • To underscore the necessity of a theory of medicine founded on reason.
  • To propose a framework for governing cognition in medical practice.
  • To explore the emergence of rationality in medicine.

Main Methods:

  • Critical analysis of existing medical conceptualizations (Flexnerian, EBM).
  • Philosophical examination of reasoning and cognitive errors in medicine.
  • Theoretical synthesis to propose a rational framework for medical practice.

Main Results:

  • Identifies significant limitations in current medical frameworks regarding reasoning and cognition.
  • Demonstrates the need for a 'mental legislation' based on reason to combat medical fallacies.
  • Outlines the foundational elements for a theory of medicine centered on rationality.

Conclusions:

  • A theory of medicine grounded in reason is essential for accurate diagnosis and treatment.
  • Implementing a rational framework can mitigate cognitive errors in clinical decision-making.
  • The study sketches a path toward greater rationality in the practice of medicine.