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Book Review
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Volume 343:1426 November 9, 2000 Number 19
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Clinical Judgement: Evidence in practice

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By Robin S. Downie and Jane Macnaughton. 201 pp. New York, Oxford University Press, 2000. $27.50. ISBN 0-19-263216-7.

In simpler times, this short, well-written book would have warranted praise for its lucid discussion of the relation between science and art in clinical medicine. The central thesis is that physicians use both scientific evidence and clinical judgment in every aspect of their professional lives, whether they are engaged in research or clinical practice. Although this assertion may not seem startling, the authors' dissection of the qualitative differences between medical research and clinical practice is full of insights and wonderful examples that make the book a pleasure to read.

But these are not simple times, and to the authors' credit, . . . [Full Text of this Article]




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