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Clinical judgement in precision medicine
Author(s) -
Tonelli Mark R.
Publication year - 2018
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.12892
Subject(s) - judgement , precision medicine , clinical judgement , variety (cybernetics) , medicine , clinical practice , medline , clinical decision making , health care , medical care , management science , psychology , computer science , artificial intelligence , family medicine , pathology , epistemology , philosophy , political science , law , economics , economic growth
Precision medicine, which aims to individualize care based upon the unique combination of genetic, environmental, and lifestyle features in particular patients, will require an evolution in clinical decision making. Practitioners of precision medicine will need to utilize an expanded body of medical knowledge derived from a wide variety of sources. Clinical judgement in the case‐based reasoning necessary for individualizing care will involve understanding and utilizing methodological approaches not commonly invoked in medicine, including mechanistic and qualitative research results. Instead of searching for an answer in the published literature, precision medicine demands clinical judgement that finds the reasons for clinical decisions within, not without, the patient.