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SUMMARY:How Do Doctors Make Decisions? - Dr Robert Dudas (Department of Ps
 ychiatry\, University of Cambridge)
DTSTART:20210314T150500Z
DTEND:20210314T155500Z
UID:TALK158146@talks.cam.ac.uk
CONTACT:Miroslava Novoveska
DESCRIPTION:YouTube link: https://youtu.be/YiBXqfTzwEA\n\nRegistration for
 m to attend Q&A session on Zoom: https://forms.gle/tTRQreym7s6pR2rW6\n\nMe
 dicine aims at recognizing and treating various illnesses whilst taking in
 to consideration the patient’s concerns\, preferences\, and expectations
 . As a form of applied science\, it uses insight and methodologies from bo
 th the natural and social sciences. In the developed world\, over the last
  two decades evidence-based medicine or EBM has become the dominant paradi
 gm to help us choose between diagnostic and treatment options. The objecti
 ve of EBM is to replace intuition\, anecdotal evidence\, or subjective cli
 nical experience with the examination of objective evidence from clinical 
 research\, using formal rules to appraise the available evidence. The gold
  standard of EBM is the randomized controlled trial or RCT. However\, ther
 e are two important points to make here: first\, many treatments are still
  not evidence-based\, as the evidence base just does not exist in the form
 at required by EBM\, and second\, EBM can guide us about the efficacy and 
 safety of diagnostic and treatment interventions but is silent about the p
 ersonal importance attached to these by patient and doctor\, i.e. their re
 levant values. This may be fine\, e.g. when there is no choice\, but in cl
 inical practice that is rarely the case. To address this\, another importa
 nt\, complementary framework of clinical theory and skills\, called values
 -based practice (VBP)\, has been developed to help doctors and other team 
 members from various disciplines to negotiate the inherent value diversity
  in healthcare when applying the science in clinical practice. The objecti
 ve of VBP is to facilitate a good process whereby the (often conflicting) 
 values involved in clinical decision making can be recognized and balanced
  productively. VBP draws on psychology\, sociology\, anthropology\, and la
 w\, and – to navigate this complexity – philosophy. In my talk\, I wil
 l illustrate with examples how examining the personal history of the patie
 nt\, the doctor\, and the history of the profession can be an excellent wa
 y to explore values relevant to clinical decision making.
LOCATION:Online
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