Banca de DEFESA: TÂNIA GUIMARÃES LAPA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : TÂNIA GUIMARÃES LAPA
DATA : 14/11/2019
HORA: 09:00
LOCAL: PAF 5 - SALA 406
TÍTULO:

Controversies around evidence-based medicine

PALAVRAS-CHAVES:

Evidence-Based Medicine; Controversies; Epistemology; Ethics

PÁGINAS: 132
GRANDE ÁREA: Outra
ÁREA: Multidisciplinar
RESUMO:

Between the late 1980s and the first half of the 1990s, Evidence-Based Medicine
(EBM) was introduced as a new paradigm for medical practice, which proposed new
epistemological foundations for clinical decision-making, lowering as much as possible
epistemic value for intuition, clinical experience and pathophysiological reasoning, and
maximizing the evidence obtained through randomized controlled trials (RCT). It
claimed the reform of medical education and training to provide clinicians with the
skills and techniques for evidence evaluation through systematic review of available
scientific literature. Immediately after the publication of the Evidence-Based Medicine
Working Group manifesto in the ACP Journal Club (1991) and the Journal of the
American Medical Association (JAMA, 1992), controversies about EBM's ideas and
proposals started focusing mainly on the epistemological bases and the ethical aspects
of the proposal, and has remained to this day. At that time, a specific journal (British
Medical Journal - Evidence Based Medicine or BMJ-EBM) was created, while special
issues of medical journals accumulated criticism and debate (e.g., Journal of
Evaluation of Clinical Practice). In this paper, we will discuss controversies around
EBM since the 1990s, precisely in these journals (JAMA, BMJ, Journal of Evaluation of
Clinical Practice), as well as The Lancet, which undertook the first institutional
reaction to EBM. We will continue these controversies until 2018, when a major crisis
broke out within the Cochrane Collaboration. The goal is to present a broader, more
complex and richer view of EBM, besides the instrumental view as commonly found in
its manuals and tutorials. The expectation is to promote reflections and critical
thinking to balance the predominant influences of the concepts and methods of the
analytical sciences and technologies, and their impacts not only on medicine, but also
on medical education, and on the wider field of healthcare. Depois de realizada a
análise das controvérsias em torno da EBM, concluímos que para problematizar
criticamente o que sejam as melhores evidências científicas, seus limites e
possibilidades, é de grande relevância uma base histórica, epistemológica e ética.
After analysing the controversies about EBM, After analyzing the controversies about
EBM, we conclude that a historical, epistemological and ethical framework is relevant
in order to critically approach the best scientific evidence and to establish its limits
and possibilities

MEMBROS DA BANCA:
Externo à Instituição - CARMEN FONTES DE SOUZA TEIXEIRA
Externo à Instituição - IEDA MARIA BARBOSA ALELUIA
Externo à Instituição - LUIZ CLAUDIO LEMOS CORREIA