• J Am Board Fam Med · Aug 2023

    Becoming a Phronimos: Evidence-Based Medicine, Clinical Decision Making, and the Role of Practical Wisdom in Primary Care.

    • Lisa Cosgrove and Allen F Shaughnessy.
    • From the Department of Counseling and School Psychology, University of Massachusetts-Boston (LC); Department of Family Medicine, Tufts University School of Medicine, Boston, MA (AFS).
    • J Am Board Fam Med. 2023 Aug 9; 36 (4): 531536531-536.

    AbstractThere has been much discussion about the overmedicalization of human experience and the problems incurred by overzealous action-oriented medical care. In this paper we describe the Aristotelean virtue of phronesis, or practical wisdom, and discuss how it can be developed by interested clinicians. We argue that becoming a phronimos requires conscious attention to one's practice by using feedback to continually improve. But there must also be judicious adherence to clinical practice guidelines and advocacy for people-as-patients at individual, community, and national levels.© Copyright by the American Board of Family Medicine.

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