The Impossible Clinic explores the conundrum of evidence-based
medicine's (EBM) attempt to translate evidence from medical
research into recommendations for practice. Ironically, when
medical institutions combine disciplinary regulations with EBM to
produce clinical practice guidelines, the outcomes are antithetical
to the aim. Such guidelines fail to increase individual physicians'
capacity to judge - as EBM promises - because they externalize
judgment while imposing disciplinary control. The Impossible Clinic
is the first book to interrogate the history, practice, and
pitfalls of EBM and how it persists due to intersecting
relationships between professional medical regulation and liberal
governance strategies.
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