‘Clinical epidemiology’ is now widely promoted and taught as a ‘basic science’ of Evidence-Based Medicine, of clinical EBM to be specific.  This book, however, is mostly about that which Miettinen takes to be the necessary substitute for this now-so-fashionable subject – namely, Theory of Clinical Medicine together with its subordinate Theory of Clinical Research. The leit motif in all of this is Miettinen’s perception of the need, and opportunity, to bring major improvements into clinical medicine in this Information Age, now that theoretical progress has made feasible the development of practice-guiding Expert Systems for it. Parts of this text constitute essential reading for whoever is expected, or otherwise inclined, to study – or teach – ‘clinical epidemiology,’ and the same is true of those who set policy for the education of future clinicians; but practically all of it is essential reading for future – and current – academics in the various disciplines of clinical medicine.  After all, the text is the result of a concentrated effort, over a half-century no less, to really understand both clinical and community medicine and the research to advance the knowledge-base of these.  Research epidemiologists, too, will find this text interesting and instructive.

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nexusstc/Up from Clinical Epidemiology & EBM/b322cd2f303b3bf19289521270369113.pdf

scihub/10.1007/978-90-481-9501-5.pdf

zlib/Medicine/O. S. Miettinen (auth.)/Up from Clinical Epidemiology & EBM_5922985.pdf

by O. S. Miettinen

Olli S. Miettinen

Miettinen, O. S.

Springer Science+Business Media B.V.

Springer Science + Business Media BV

Springer Nature (Textbooks & Major Reference Works), Dordrecht, 2011

Dordrecht, Netherlands, 2011

Netherlands, Netherlands

Dordrecht, 2010

lg2761534

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MiU

Front Matter....Pages i-xxiii
Front Matter....Pages 1-1
On Leadership in Clinical Medicine....Pages 3-4
On Medical Academia at Present....Pages 5-9
Purported Essence of Clinical Research....Pages 11-12
On Study of ‘Clinical Epidemiology’....Pages 13-14
Up from ‘Clinical Epidemiology’ & EBM....Pages 15-20
Front Matter....Pages 21-21
The Knowledge-Base of Clinical Medicine: Its Essence....Pages 23-32
The Knowledge-Base of Clinical Medicine: Its Necessary Forms....Pages 33-40
Codifying the Knowledge-Base of Expert Practice....Pages 41-49
Front Matter....Pages 51-51
Enhancement of Practice by Clinical Research....Pages 53-58
Introduction into Diagnostic Clinical Research....Pages 59-64
Introduction into Etiognostic Clinical Research....Pages 65-70
Introduction into Prognostic Clinical Research....Pages 71-79
Front Matter....Pages 81-81
On EBM Guidelines for Assessment of Evidence....Pages 83-87
Some Example Studies: Their Assessments....Pages 89-128
Front Matter....Pages 129-129
The Predicates of Major Improvements....Pages 131-132
Development of the Major Improvements....Pages 133-134
Research for Further Improvements....Pages 135-135
‘Clinical Epidemiology’ & EBM as Set-Backs....Pages 137-138
Front Matter....Pages 139-139
Some Elementary Concepts of Medicine, According to the Students....Pages 141-145
On the Students’ Concepts, the Teacher’s Comments....Pages 147-149
Front Matter....Pages 139-139
Assignments to the Students....Pages 151-156
To the Assignments, the Teacher’s Responses....Pages 157-166
More on Garnering Experts’ Tacit Knowledge....Pages 167-169
An Industrial Perspective....Pages 171-173
Back Matter....Pages 175-175

The author of this book can be described as the father of modern epidemiology. Here he exposes the untenability of the prevailing teachings about clinical epidemiology and EBM, and advances a vision of major improvements in clinical medicine.

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Erscheinungsdatum: 26.03.2011

2020-08-30