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Expertise in evidence-based medicine: a tale of three models

Overview of attention for article published in Philosophy, Ethics, and Humanities in Medicine, February 2018
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#27 of 231)
  • High Attention Score compared to outputs of the same age (93rd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (60th percentile)

Mentioned by

news
1 news outlet
twitter
37 X users
googleplus
1 Google+ user

Citations

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25 Dimensions

Readers on

mendeley
149 Mendeley
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Title
Expertise in evidence-based medicine: a tale of three models
Published in
Philosophy, Ethics, and Humanities in Medicine, February 2018
DOI 10.1186/s13010-018-0055-2
Pubmed ID
Authors

Sarah Wieten

Abstract

Expertise has been a contentious concept in Evidence-Based Medicine (EBM). Especially in the early days of the movement, expertise was taken to be exactly what EBM was rebelling against-the authoritarian pronouncements about "best" interventions dutifully learned in medical schools, sometimes with dire consequences. Since then, some proponents of EBM have tried various ways of reincorporating the idea of expertise into EBM, with mixed results. However, questions remain. Is expertise evidence? If not, what is it good for, if anything? In this article, I describe and analyze the three historical models of expertise integration in EBM and discuss the difficulties in putting each into practice. I also examine accounts of expertise from disciplines outside of medicine, including philosophy, sociology, psychology, and science and technology studies to see if these accounts can strengthen and clarify what EBM has to say about expertise. Of the accounts of expertise discussed here, the Collins and Evans account can do most to clarify the concept of expertise in EBM. With some additional clarification from EBM proper, theoretical resources from other disciplines might augment the current EBM account of expertise.

X Demographics

X Demographics

The data shown below were collected from the profiles of 37 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 149 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 149 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 23 15%
Student > Bachelor 16 11%
Student > Ph. D. Student 11 7%
Researcher 9 6%
Student > Doctoral Student 8 5%
Other 25 17%
Unknown 57 38%
Readers by discipline Count As %
Medicine and Dentistry 30 20%
Nursing and Health Professions 24 16%
Philosophy 7 5%
Psychology 4 3%
Agricultural and Biological Sciences 4 3%
Other 21 14%
Unknown 59 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 30. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 September 2023.
All research outputs
#1,287,349
of 24,938,276 outputs
Outputs from Philosophy, Ethics, and Humanities in Medicine
#27
of 231 outputs
Outputs of similar age
#30,498
of 450,563 outputs
Outputs of similar age from Philosophy, Ethics, and Humanities in Medicine
#3
of 5 outputs
Altmetric has tracked 24,938,276 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 231 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.8. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 450,563 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 93% of its contemporaries.
We're also able to compare this research output to 5 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.