PubMed · 11271890
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R Charlton. 2001. The future general practitioner.. https://pubmed.ncbi.nlm.nih.gov/11271890/
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The work considers the evidence based nursing as a new operational model that integrates individual clinical competencies, through clinical finding generated by scientific research and analyzes the inclusion of this practice to the actual nursing professional model.
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The miracles of scientific medicine propelled physicians to an unparalleled level of clinical autonomy during the 20th century. During the past 20 years, physician autonomy has been declining, in part because the public has become aware that physicians are not consistently applying all of the science they know. One of medicine's most cherished professional values, individual clinical autonomy, is an important cause of the sometimes suboptimal performance in the timely and consistent application of clinical science; thus, it contributes to the decline in overall professional autonomy. This paper calls for physicians to practice the science of medicine as a profession so that society will allow physicians to continue practicing the art of medicine as individual professionals. In a Zen-like paradox, physicians must give up autonomy in order to regain it.