Responses to Clinical Questions: Specialist-Based Medicine vs. Reasonable Clinic in Family Medicine

The usual procedure to resolve a clinical doubt is relatively standardized by following a series of steps that make up the specialist-based medicine or “Critical Assessment of a Topic”. In the resolution of these steps, the biopsychosocial context from which the question is extracted acquires a special emphasis in the beginning of this process-Initial stage/initial scenario and in the final stages of the process-applicability of the results and their evaluation. But, there is an alternative proposal which implies a greater relevance of the biopsychosocial context in all the phases of answer to the clinical question, by what it would be call the result of this process reasonable clinic in family medicine or “Assessment Critical and Contextually of a topic”. Medical science suffers from a kind of agnosia which avoids matters related to contextual judgment, the particular, the personal, and is made exclusively abstract and statistical. But the quantitative and the Evidence- Based Medicine cannot give us integral responses. In medical decision making there is an imposture of rational maximization without valuate this could be not reasonable. Quantitative studies are necessary, indispensable, but in this article, we have been forced to speak of stories as well as cases.

Author(s): Turabian JL and Franco BP

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