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ERIC Number: EJ917268
Record Type: Journal
Publication Date: 2011-Jan
Pages: 6
Abstractor: As Provided
Reference Count: 0
ISSN: ISSN-0161-1461
Balancing Certainty and Uncertainty in Clinical Practice
Kamhi, Alan G.
Language, Speech, and Hearing Services in Schools, v42 n1 p59-64 Jan 2011
Purpose: In this article, I question how practitioners can balance the certainty and confidence that they can help their patients with the uncertainty that makes them continually question their beliefs and assumptions. Method: I compare the mechanisms of science and models of clinical practice that may help practitioners achieve the right balance between total acceptance of the status quo and an open willingness to explore and accept new ideas. Conclusion: Clinical practice, unlike science, has no independent self-correction mechanism that leads to consensus about best clinical practices. Evidence-based models provide principles and guidelines for clinical practice, but ultimately, clinical decisions may be influenced most by a practitioner's epistemology (belief systems) and propensity for rational thinking.
American Speech-Language-Hearing Association (ASHA). 10801 Rockville Pike, Rockville, MD 20852. Tel: 800-638-8255; Fax: 301-571-0457; e-mail:; Web site:
Publication Type: Journal Articles; Opinion Papers
Education Level: Elementary Secondary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A