E-drug: Rational use of drugs (cont)
We also have had some degree of resistance/rejection when we describe
prescription practices to clinical colleagues as "irrational". This extends to
the situation when trying to teach teachers to teach problem-based/rational
pharmacotherapeutics in medical schools. A great deal of the practice patterns
we have come across may be tentatively described as rational (albeit perhaps
unethical, and even some arguments would make Descartes or Popper
quiver in their graves) but wholly inappropriate or inadequate. The
term may also have a down-side as well in that it allows for never
ending philosophical discussions about rationalism, specially with
the recent post-modernist challenge so in vogue. Although terms such
as "inappropriate" or "inadequate" also involves a value judgement,
we resort to these adjectives, and try to attack such prescription
patterns through published evidence-based arguments on their
non-beneficial effects for the individual and for society.
Rodolfo J Dennis, MD MSc
Chairman of Medicine
School of Medicine, Pontificia Universidad Javeriana
Rodolfo Dennis <firstname.lastname@example.org>
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