Hi

I gather this would be something like the Cochrane collaboration?

http://www.cochrane.org/

Could get confusing if too many of these "best practices" sites get going with 
different recommendations?

Take care
Jim


James M. Clark
Professor & Chair of Psychology
[email protected]
Room 4L41A
204-786-9757
204-774-4134 Fax
Dept of Psychology, U of Winnipeg
515 Portage Ave, Winnipeg, MB
R3B 0R4  CANADA


>>> "Mike Palij" <[email protected]> 23-Feb-13 8:43 AM >>>
Since, presumably, many of use are involved in teaching and
use of critical thinking, the question arises how one should
approach areas that are highly technical or require a fair
amount of knowledge in order to even know what questions
are reasonable to ask.  This is clearly the case in medicine
where, unless one has the relevant background in an area
(and this would include clinical experience or, a somewhat
poor substitute, research of effectiveness of clinical treatments),
one might not have a clue as what question to ask or what
advice to follow.  There are no simple answers here because,
as we all know, scientific knowledge is tentative, flawed, and
subject to revision in the light of new data, but there are
"guidelines" that one can follow in order to engage in "best
practices" or, at least, be able to use to justify what one
course of action was taken instead of another (remember,
it's like the Pirate Code).

In medicine, there is an initiative called "Choosing Wisely" which
attempts to survey what specialty physicians think are best practices
and then provide rules that can be used as "heuristics" for
non-specialty physicians.  For non-physicians, examining these
guidelines may be difficult because one does not have the
relevant medical knowledge or know the jargon (i.e., one needs
a Medicalese to English translator).  Nonetheless, one might
be able to make sense of many guidelines and, if one has to
undergo a procedure that is included in the lists, discuss the
recommendation with one's physician.

So, where can one get this stuff?  Well, the American Academy of
Neurology has just published its "Top Five Choosing Wisely
Recommendations"; abstract available at:
http://www.neurology.org/content/early/2013/02/20/WNL.0b013e31828aab14.abstract 
Full text available at:
http://www.neurology.org/content/early/2013/02/20/WNL.0b013e31828aab14.full.pdf+html
 
Medscape has a popular media level article that is a close approximation
to English but you may have to register to access it (on www.medscape.com,
look for "AAN Points to 5 Questionable Practices in Neurology" by
Susan Jeffrey, Feb 22, 2013).
Folks who write about myths and such might be interested. ;-)

The Choosing Wisely folks have their own website and stuff and
here is the link to a page to the lists of "Top Five Recommendations"
for a variety of fields and links to additional resources:
http://www.choosingwisely.org/doctor-patient-lists/ 
For those that want all of the "Top Five (or more) Recommendations"
in a PDF format, see:
http://www.choosingwisely.org/wp-content/uploads/2013/02/Choosing-Wisely-Master-List.pdf
 

One might use examples from these lists to ask "what is the empirical
basis for this recommendation?"  If one's experience provides a
contrary position to the recommendation, how does one resolve
the "contradiction" (i.e., distinguishing between a heuristic which
is generally correctly but may allow exceptions)?  And so on.

NOTE:  Although I am a Doctor, I am not a physician and don't
even play one on the internet where I could probably get away with
it because on the internet no one knows you're a dog. Catfish
anyone? ;-)

-Mike Palij
New York University
[email protected] 


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