作者: Michael S. Lauer
DOI: 10.1097/ACM.0B013E318217D6E6
关键词: Medical history 、 Educational method 、 Alternative medicine 、 Multidisciplinary approach 、 Electronic information 、 Observational study 、 Sociology 、 Engineering ethics 、 Evidence-based medicine 、 Comparative effectiveness research 、 Education 、 General Medicine
摘要: In recent medical history, a number of therapies that were widely adopted based on observational data or pathophysiological constructs turned out to be useless even harmful when tested in randomized comparative effectiveness trials. These not only harmed patients but also did disservice the practical education students, residents, and fellows. trainees effectively learned it is acceptable implement practices absence high-quality evidence, so they may have how analyze quality evidence. this issue Academic Medicine, seven groups address critical aspects intersection between research (CER) academic medicine. Their topics include need at health centers for cultural shifts, addressing conflicts interest, exploiting talent electronic information resources, interacting well with policy makers, incorporating economic evaluations, tests educational methods, developing multidisciplinary models, integrating CER into “predictive health.” This commentary argues academia must embrace by insisting highest levels viewing all clinical interactions as opportunities scientific advancement, setting an example makers colleagues working nonacademic settings, engaging physicians enterprise.