Abstract
In May 2000, Prof. David L. Sackett, one of the founders of the evidence-based medicine movement (EBM), published an article in the British Medical Journal in which he renounced writing, teaching, or serving as a referee for topics related to EBM. He justified his stance based on his frustration over what he considered the harmful effects of an alleged excess of experts in this field. Sackett's position was the raw material whereby we approached aspects linked to the definition and scope of EBM as well as related critiques. We also stress the movement's various rhetorical strategies. In addition, we discuss both the notion of expertise and the role of "expert systems" and "specialized competence" in our societal milieu, developed respectively by Anthony Giddens and Zygmunt Bauman. The main focus of this commentary is to emphasize that while we are dealing with a progressive trend towards acquiring control and intelligibility vis-à-vis the objects of our research, we must consider the possibility of dimensions that cannot be reached by way of the rationalistic Western mode of thought.
Highlights
One of the founders of the evidence-based medicine movement (EBM), published an article in the British Medical Journal in which he renounced writing, teaching, or serving as a referee for topics related to EBM
Sackett’s position was the raw material whereby we approached aspects linked to the definition and scope of EBM as well as related critiques
O surgimento da expertise na medicina baseada em evidências (MBE) parece perpetuar a dificuldade dos agentes da Biomedicina em assumirem um outro papel de forma a relativizar o nível de assimetria entre o registro do que sejam as melhores “evidências científicas” e outras “evidências” do paciente, nem sempre tão evidentes ao dispositivo biomédico, baseado ou não em evidências
Summary
O propósito central deste texto é assinalar algumas dentre várias questões implicadas nos empreendimentos tecnobiocientíficos na contemporaneidade, onde a MBE se constitui como um emblema, especialmente aspectos que dizem respeito aos sistemas expert (Giddens, 1991) e na correspondente idéia de competência especializada (Bauman, 1995).
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