{"id":801,"date":"2013-12-22T20:24:42","date_gmt":"2013-12-22T19:24:42","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/adc\/?p=801"},"modified":"2013-12-30T12:54:31","modified_gmt":"2013-12-30T11:54:31","slug":"basics-wheres-the-art-of-medicine-in-eb-medicine","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/adc\/2013\/12\/22\/basics-wheres-the-art-of-medicine-in-eb-medicine\/","title":{"rendered":"Basics: Where&#8217;s the art of medicine in EB medicine?"},"content":{"rendered":"<p>It&#8217;s suggested, often by those who are faced with EBM as a rather coarse stick waved to stop them acting in one way, or to force them to act in another, that practicing EBM destroys any &#8216;art&#8217; in medicine.<\/p>\n<div class=\"jetpack-video-wrapper\"><iframe loading=\"lazy\" title=\"Flash Mob 21 Cochrane Colloquium in Quebec\" src=\"https:\/\/player.vimeo.com\/video\/75280516?dnt=1&amp;app_id=122963\" width=\"640\" height=\"360\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write\"><\/iframe><\/div>\n<p>I&#8217;d argue that it integrates and emphasises the need for art. The<a title=\"Basics. What is evidence based medicine?\" href=\"https:\/\/stg-blogs.bmj.com\/adc\/2013\/12\/08\/basics-what-is-evidence-based-medicine\/\"> three-ringed combination<\/a> of good quality science, a clear understanding of our expertise in delivery and a requirement to share the information and decision making processes with our patients, their parents (or all of them) makes clear that the &#8216;arts&#8217; of communication, interpretation, and\u00a0<a title=\"What would Jack want?\" href=\"https:\/\/stg-blogs.bmj.com\/adc\/2010\/03\/10\/what-would-jack-want\/\">facilitation <\/a>are essential. Any anyone who uses a guideline without seeing the GUIDE of the line it describes is failing their patients. (I&#8217;ve not found any evidence for this yet &#8212; but I do believe that if a guideline achieved &gt;95% compliance then it&#8217;s either a technical SOP or someone&#8217;s doing it wrong and not spotted the patient that needed to be treated differently.)<\/p>\n<p>There is science in each of our &#8216;arts&#8217;, like <a title=\"Making science of art\" href=\"https:\/\/stg-blogs.bmj.com\/adc\/2008\/10\/22\/making-science-of-art\/\">diagnosis<\/a>. And\u00a0some of these arts\u00a0<a title=\"Empathy is good. But does it really make a difference?\" href=\"https:\/\/stg-blogs.bmj.com\/adc\/2013\/07\/19\/empathy-is-good-but-does-it-really-make-a-difference\/\">are teachable<\/a>. But the essential part of all these &#8216;arts&#8217; is that they\u00a0require mastery by practice. So become EBM masters, and practice away, using arts to be guided by science to deliver excellent care.<\/p>\n<p>&#8211; Archi<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It&#8217;s suggested, often by those who are faced with EBM as a rather coarse stick waved to stop them acting in one way, or to force them to act in another, that practicing EBM destroys any &#8216;art&#8217; in medicine. I&#8217;d argue that it integrates and emphasises the need for art. The three-ringed combination of good [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/adc\/2013\/12\/22\/basics-wheres-the-art-of-medicine-in-eb-medicine\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[79],"tags":[],"class_list":["post-801","post","type-post","status-publish","format-standard","hentry","category-archimedes"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/801","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/comments?post=801"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/801\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/media?parent=801"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/categories?post=801"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/adc\/wp-json\/wp\/v2\/tags?post=801"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}