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At least 973 records · Page 54Linked to original sources
PubMed1996

Narrative, literature, and the clinical exercise of practical reason.

Although science supplies medicine's "gold standard," knowledge exercised in the care of patients is, like moral knowing, a matter of narrative, practical reason. Physicians draw on case narrative to store experience and to apply and qualify the general rules of medical science. Literature aids in this activity by stimulating moral imagination and by requiring its readers to engage in the retrospective construction of a situated, subjective account of events. Narrative truths are provisional, uncertain, derived from narrators whose standpoints are always situated, particular, and uncertain, but open to comparison and reinterpretation. Reading is thus a model for knowing in both morality and clinical medicine. While principles remain essential to bioethics and science must always inform good clinical practice, the tendency to collapse morality into principles and medicine into science impoverishes both practices. Moral knowing is not separable from clinical judgment. While ethics must be open to discussion and interpretation by patients, families, and society, it is nevertheless substantively and epistemologically an inextricable part of a physician's clinical practice.

Ethics↗
PubMed2005

KAT: a flexible XML-based knowledge authoring environment.

As part of an enterprise effort to develop new clinical information systems at Intermountain Health Care, the authors have built a knowledge authoring tool that facilitates the development and refinement of medical knowledge content. At present, users of the application can compose order sets and an assortment of other structured clinical knowledge documents based on XML schemas. The flexible nature of the application allows the immediate authoring of new types of documents once an appropriate XML schema and accompanying Web form have been developed and stored in a shared repository. The need for a knowledge acquisition tool stems largely from the desire for medical practitioners to be able to write their own content for use within clinical applications. We hypothesize that medical knowledge content for clinical use can be successfully created and maintained through XML-based document frameworks containing structured and coded knowledge.

Artificial Intelligence↗
PubMed2005

Number of objectives and conclusions in dissertations and thesis.

PURPOSE: To analyze the number of objectives and conclusions presented in dissertations and thesis defended at Federal University of São Paulo-Paulista School of Medicine (UNIFESP-EPM). METHODS: It was realized a search in the master degree dissertations and doctor degree thesis defended at Federal University of São Paulo-Paulista School of Medicine in the years 2002 and 2003 that were found available in the central library of this university. RESULTS: From 723 master dissertations analyzed, 62 (8.57%) presented only one objective and one conclusion, 134 (18.53%) presented one objective and more than one conclusion and 527 (72.89%) had more than one objective and more than one conclusion. From 502 doctor thesis analyzed, 23 (4.58%) presented only one objective and one conclusion, 123 (24.50%) presented one objective and more than one conclusion and 376 (74.90%) had more than one objective and more than one conclusion. CONCLUSIONS: It wasn't found in researched literature the number of objectives and conclusions a scientific work must have. A highest number of thesis and dissertations presented more than one objective and more than one conclusion.

Academic Dissertations as Topic↗
PubMed2000

Has the history of Canadian medicine come of age? A personal view.

This short "think piece" interrogates the present state of medical history in Canada. What, I ask, are the past accomplishments and future prospects of this new genre of historical writing in Canada? Has Canadian medical history come of age? And what do we mean by asking this question? My answer is that while there is much to celebrate in the sterling individual works in the field in the past 20 years, the field more generally has yet to confront more difficult questions of identity, theory and methodology that, in my view, any young subfield needs to tackle to survive in the presently overcrowded academic marketplace of approaches and ideas.

Canada↗
PubMedDate not supplied

This is what we're all about. American College of Medical Group Administrators.

This MGM Journal spotlights the College, its members, their quest for professionalism and some of their ideas for managing medical group practices effectively, writes Andrea Rossiter, College director. This article profiles who they are, what's important to them and what they expect to get out of their pursuit.

Administrative Personnel↗
PubMed1980

Centralized transcription reduced costs, increases productivity.

By centralizing transcription services, a 340-bed hospital stabilized personnel turnover and absenteeism, eliminated equipment duplication, and improved output. A well-planned implementation and a financial incentive program contributed to increased productivity.

Arizona↗