Rationalism, Empiricism, and Evidence-Based Medicine: A Call for a New Galenic Synthesis

Medicines 5 (2) (2018)
Download Edit this record How to cite View on PhilPapers
Abstract
Thirty years after the rise of the evidence-based medicine (EBM) movement, formal training in philosophy remains poorly represented among medical students and their educators. In this paper, I argue that EBM’s reception in this context has resulted in a privileging of empiricism over rationalism in clinical reasoning with unintended consequences for medical practice. After a limited review of the history of medical epistemology, I argue that a solution to this problem can be found in the method of the 2nd-century Roman physician Galen, who brought empiricism and rationalism together in a synthesis anticipating the scientific method. Next, I review several of the problems that have been identified as resulting from a staunch commitment to empiricism in medical practice. Finally, I conclude that greater epistemological awareness in the medical community would precipitate a Galenic shift toward a more epistemically balanced, scientific approach to clinical research.
PhilPapers/Archive ID
WEBREA-4
Upload history
Archival date: 2018-04-29
View other versions
Added to PP index
2018-04-29

Total views
194 ( #22,673 of 51,728 )

Recent downloads (6 months)
45 ( #12,523 of 51,728 )

How can I increase my downloads?

Downloads since first upload
This graph includes both downloads from PhilArchive and clicks on external links on PhilPapers.