Practicing With Intent: How to Teach an Old Dogma New Tricks
Clinicians are constantly bombarded with an onslaught of newly published data, yet they must make clinical decisions despite a dearth of clinical data. Sometimes, they may fall back on clinical practices entrenched by experience, unaware that they are upheld by dogmatic tradition rather than robust evidence. Ideally, the totality of evidence must be assessed and utilized for clinical decision-making, irrespective of entrenched orthodoxy. Here, we explore the questions, how much evidence is needed to revise established clinical practices and, more fundamentally, can data alone truly catalyze such shifts.
Authors
- Bassam Ghanem
- Travis B. Nielsen (ORCID: https://orcid.org/0000-0003-3366-7912)
- Rodrigo Pinheiro Leal Costa (ORCID: https://orcid.org/0000-0003-2995-1697)
- Rachel Baden (ORCID: https://orcid.org/0000-0002-4698-0441)
- Brad J. Spellberg (ORCID: https://orcid.org/0000-0002-3632-1709)
- Daniel M. Musher (ORCID: https://orcid.org/0000-0002-7571-066X)
- Fergus Hamilton (ORCID: https://orcid.org/0000-0002-9760-4059)
- Emily G. McDonald (ORCID: https://orcid.org/0000-0003-0783-0624)
- Kusha Davar (ORCID: https://orcid.org/0000-0002-5153-2264)
- Matthew C. Phillips (ORCID: https://orcid.org/0000-0002-9329-5455)
- Todd C. Lee (ORCID: https://orcid.org/0000-0002-2267-4239)
- Sarah Freling
- Noah Wald‐Dickler (ORCID: https://orcid.org/0000-0001-8782-5395)
- Alfredo J Mena Lora (ORCID: https://orcid.org/0000-0002-8337-757X)
- Steven Y. C. Tong (ORCID: https://orcid.org/0000-0002-1368-8356)
- Rachael A Lee (ORCID: https://orcid.org/0000-0002-9701-8156)
Institutions
- The Royal Melbourne Hospital (AU)
- Harvard University (US)
- The University of Melbourne (AU)
- Baylor College of Medicine (US)
- King Abdulaziz Medical City (SA)
- University of Alabama at Birmingham (US)
- University of Bristol (GB)
- University of California San Diego (US)
- University of Illinois Chicago (US)
- Massachusetts General Hospital (US)
- Los Angeles Medical Center (US)
- Hospital del Salvador (CL)
- Peter Doherty Institute (AU)
- Hospital São Rafael (BR)
- MRC Epidemiology Unit (GB)
- McGill University (CA)
Publication Details
- Journal
- Clinical Infectious Diseases
- Published
- 2025-06-24
- DOI
- https://doi.org/10.1093/cid/ciaf270
- Citations
- 1
- Primary Topic
- Clinical Reasoning and Diagnostic Skills
- Type
- article
- Field-Weighted Citation Impact
- 1.52