Cultural failure to recognize tacit knowledge explains why credential-based knowledge has higher status and prioritizes clinicians who do not care on an hour-to-hour basis for most of our country’s elders.
AMA J Ethics. 2022;24(9):E883-889. doi:
10.1001/amajethics.2022.883.
This process of developing EBM-based guidelines and applying them to clinical care highlights the tension between generating unbiased knowledge based on statistical aggregation and the application of this information to individual patients.
Elderly persons should not be excluded from participation in clinical trials for cardiovascular drugs since that population comprises the largest number of patients with cardiovascular disease.