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J Eval Clin Pract. 2017 Oct;23(5):905-914. doi: 10.1111/jep.12831.

Reasoning, evidence, and clinical decision-making: The great debate moves forward.

Author information

Department of Interdisciplinary Studies, MMU Cheshire, Crewe, UK.
Department of Philosophy, Lyman Briggs College, Michigan State University, East Lancing, Michigan, USA.
Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.
Department of Philosophy, Dalhousie University, Halifax, Canada.
African Centre for Epistemology and Philosophy of Science, University of Johannesburg, Johannesburg, South Africa.
Toronto Philosophy of Medicine Network, University of Toronto, Toronto, Canada.

Erratum in


When the editorial to the first philosophy thematic edition of this journal was published in 2010, critical questioning of underlying assumptions, regarding such crucial issues as clinical decision making, practical reasoning, and the nature of evidence in health care, was still derided by some prominent contributors to the literature on medical practice. Things have changed dramatically. Far from being derided or dismissed as a distraction from practical concerns, the discussion of such fundamental questions, and their implications for matters of practical import, is currently the preoccupation of some of the most influential and insightful contributors to the on-going evidence-based medicine debate. Discussions focus on practical wisdom, evidence, and value and the relationship between rationality and context. In the debate about clinical practice, we are going to have to be more explicit and rigorous in future in developing and defending our views about what is valuable in human life.


biomedicine; causal reasoning; clinical decision-making; clinical reasoning; ethics; evidence-based medicine; healthcare; medical epistemology; mental disorder; modernism; philosophy; practical wisdom; rationality; value; virtue

[Indexed for MEDLINE]

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