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Practicing With Intent: How to Teach an Old Dogma New Tricks
Matthew C Phillips1,2, Kusha Davar3, Sarah Freling3
1Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Clinicians face a challenge balancing new data with limited clinical evidence for decision-making. This study questions the amount of evidence needed to change established practices and if data alone can drive these shifts.
Area of Science:
- Medical Informatics
- Clinical Decision-Making
- Evidence-Based Practice
Background:
- Clinicians are inundated with new research data.
- Clinical decision-making often occurs with insufficient evidence.
- Established practices may be based on tradition, not evidence.
Purpose of the Study:
- To explore the threshold of evidence required for revising clinical practices.
- To investigate whether data alone can fundamentally alter established medical traditions.
Main Methods:
- This study is a conceptual exploration and literature review.
- It analyzes the dynamics between data, evidence, and clinical practice change.
- No new clinical data was generated.
Main Results:
- The quantity of evidence needed to revise practices remains undefined.
- The capacity of data alone to catalyze shifts is questioned.
- Entrenched practices pose a significant barrier to evidence-based adoption.
Conclusions:
- Revising clinical practices requires more than just data; it involves overcoming entrenched traditions.
- A critical evaluation of evidence is essential for effective clinical decision-making.
- Further research is needed to understand how to effectively integrate new evidence into practice.
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