24 found
Order:
  1. Reason and value: making reasoning fit for practice.Michael Loughlin, Robyn Bluhm, Stephen Buetow, Ross E. G. Upshur, Maya J. Goldenberg, Kirstin Borgerson, Vikki Entwistle & Elselijn Kingma - 2012 - Journal of Evaluation in Clinical Practice 18 (5):929-937.
    Editors' introduction to 3rd thematic issue on philosophy of medicine.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   12 citations  
  2.  44
    An Epistemic Argument for Research-Practice Integration in Medicine.Robyn Bluhm & Kirstin Borgerson - 2018 - Journal of Medicine and Philosophy 43 (4):469-484.
    Arguments in favor of greater research-practice integration in medicine have tended to be ethical, political, or pragmatic. There are good epistemic reasons to pursue greater integration, and it is important to think through these reasons in order to avoid inadvertently designing new systems in ways that replicate the epistemic elitism common within current systems. Meaningful transformation within health care is possible with close attention to all reasons in favor of greater research-practice integration, including epistemic reasons.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   9 citations  
  3. Philosophy, ethics, medicine and health care: the urgent need for critical practice.Michael Loughlin, Ross E. G. Upshur, Maya J. Goldenberg, Robyn Bluhm & Kirstin Borgerson - 2010 - Journal of Evaluation in Clinical Practice 16 (2):249-259.
  4. Amending and defending Critical Contextual Empiricism.Kirstin Borgerson - 2011 - European Journal for Philosophy of Science 1 (3):435-449.
    In Science as Social Knowledge in 1990 and The Fate of Knowledge in 2002, Helen Longino develops an epistemological theory known as Critical Contextual Empiricism (CCE). Knowledge production, she argues, is an active, value-laden practice, evidence is context dependent and relies on background assumptions, and science is a social inquiry that, under certain conditions, produces social knowledge with contextual objectivity. While Longino’s work has been generally well-received, there have been a number of criticisms of CCE raised in the philosophical literature (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   14 citations  
  5.  20
    Seizing the Opportunity to Improve Ethical Oversight of Clinical Research.Kirstin Borgerson - 2023 - American Journal of Bioethics 23 (8):63-65.
    In their paper, “Think Pragmatically: Investigators’ Obligations to Patient-Subjects When Research is Embedded in Care,” Stephanie Morain and Emily Largent (2023) argue that investigators, and poss...
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  6. An Argument for Fewer Clinical Trials.Kirstin Borgerson - 2016 - Hastings Center Report 46 (6):25-35.
    The volume of clinical research is increasing exponentially—far beyond our ability to process and absorb the results. Given this situation, it may be beneficial to consider reducing the flow at its source. In what follows, I will motivate and critically evaluate the following proposal: researchers should conduct fewer clinical trials. More specifically, I c onsider whether researchers should be permitted to conduct only clinical research of very high quality and, in turn, whether research ethics committees should prohibit all other, lower-quality (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  7. Evidence-Based Medicine.Robyn Bluhm & Kirstin Borgerson - 2011 - In Fred Gifford (ed.), Philosophy of Medicine. Boston: Elsevier.
  8. Are explanatory trials ethical? Shifting the burden of justification in clinical trial design.Kirstin Borgerson - 2013 - Theoretical Medicine and Bioethics 34 (4):293-308.
    Most phase III clinical trials today are explanatory. Because explanatory, or efficacy, trials test hypotheses under “ideal” conditions, they are not well suited to providing guidance on decisions made in most clinical care contexts. Pragmatic trials, which test hypotheses under “usual” conditions, are often better suited to this task. Yet, pragmatic, or effectiveness, trials are infrequently carried out. This mismatch between the design of clinical trials and the needs of health care professionals is frustrating for everyone involved, and explains some (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   10 citations  
  9.  48
    Redundant, Secretive, and Isolated: When Are Clinical Trials Scientifically Valid?Kirstin Borgerson - 2014 - Kennedy Institute of Ethics Journal 24 (4):385-411.
    Clinical research has at least three problematic features: it tends to be redundant, secretive, and isolated.1 Research with these features not only wastes resources and causes harm, it also fails to meet a basic ethical requirement of research: scientific validity. As bioethicists, we should be asking why, if research with these three features is ethically unjustified, it has been so routinely approved by research ethics committees over the past half century. In what follows, I provide one answer to this question. (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   7 citations  
  10. Explanation, understanding, objectivity and experience.Michael Loughlin, Robyn Bluhm, Drozdstoj S. Stoyanov, Stephen Buetow, Ross E. G. Upshur, Kirstin Borgerson, Maya J. Goldenberg & Elselijn Kingma - 2013 - Journal of Evaluation in Clinical Practice 19 (3):415-421.
  11. Virtue, Progress and Practice.Michael Loughlin, Robyn Bluhm, Stephen Buetow, Ross E. G. Upshur, Maya J. Goldenberg, Kirstin Borgerson & Vikki Entwistle - 2011 - Journal of Evaluation in Clinical Practice 17 (5):839-846.
  12. Philosophy, medicine and health care – where we have come from and where we are going.Michael Loughlin, Robyn Bluhm, Jonathan Fuller, Stephen Buetow, Ross E. G. Upshur, Kirstin Borgerson, Maya J. Goldenberg & Elselijn Kingma - 2014 - Journal of Evaluation in Clinical Practice 20 (6):902-907.
  13.  62
    Why reading the title isn’t good enough: An evaluation of the 4S approach to evidence-based medicine.Kirstin Borgerson - 2009 - International Journal of Feminist Approaches to Bioethics 2 (2):152-175.
    Proponents of evidence-based medicine have recently suggested a “4S” approach to clinical decision making in which physicians are advised to rely on increasingly abstract summaries of the available research evidence. This retreat from the original data of medical research is ill-advised: it extends an unjustified evidence hierarchy, overestimates the role of computer systems, divides communities, discards evidence, ignores contexts, and devalues broad critical evaluation. I draw upon feminist social epistemology to evaluate the 4S approach to EBM and to suggest means (...)
    Direct download (8 more)  
     
    Export citation  
     
    Bookmark   6 citations  
  14.  18
    Redistributing Fair Subject Selection.Kirstin Borgerson - 2020 - American Journal of Bioethics 20 (2):25-27.
    Volume 20, Issue 2, February 2020, Page 25-27.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  15. A Third Way: Ethics Guidance as Evidence-Informed Provisional Rules.Kirstin Borgerson & Joseph Millum - 2010 - American Journal of Bioethics 10 (6):20-22.
  16.  33
    Resistance is not futile, but neither is it always justified.Kirstin Borgerson - 2013 - Journal of Evaluation in Clinical Practice 19 (3):559-561.
  17.  39
    Amending and defending critical contextual empiricism: Lessons from medical research.Kirstin Borgerson - unknown
    Amending and Defending Critical Contextual Empiricism: Lessons from Medical Research In Science as Social Knowledge (1990) and The Fate of Knowledge (2002), Helen Longino develops a social epistemological theory known as Critical Contextual Empiricism (CCE). While Longino’s work has been generally well-received, there have been a number of criticisms of CCE raised in the philosophical literature in recent years. In this paper I outline the key elements of Longino’s theory and propose several modifications to the four norms offered by the (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  18. Harold Kincaid and Jennifer McKitrick (eds): Establishing medical reality: Essays in the metaphysics and epistemology of biomedical science.Kirstin Borgerson - 2010 - Theoretical Medicine and Bioethics 31 (2):171-174.
  19.  27
    Pedagogy and Feminist Bioethics: Learning from Susan Sherwin.Kirstin Borgerson - 2020 - International Journal of Feminist Approaches to Bioethics 13 (2):17-20.
    Most people working in bioethics will be familiar with Susan Sherwin's contributions to the field. There is much to be said about the value and importance of Sue's contributions to feminist theory and practice, but in this reflective piece I am going to focus on the experience of teaching Sue's work. This is for three reasons: the first is that I was hired into the Philosophy Department at Dalhousie just as Sue retired and I teach many of the courses she (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  20.  36
    The best, most perfect method for medicine forever: Miriam Solomon: Making medical knowledge. Oxford: Oxford University Press, 2015, 224pp, $60.00 HB.Kirstin Borgerson - 2016 - Metascience 25 (2):197-200.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  21. Values in medical research.Kirstin Borgerson - 2016 - In Miriam Solomon, Jeremy R. Simon & Harold Kincaid (eds.), The Routledge Companion to Philosophy of Medicine. New York, NY: Routledge.
     
    Export citation  
     
    Bookmark  
  22.  20
    (1 other version)Guest Editors' Introduction Susan Sherwin: Shaping a More Just Bioethics.Letitia Meynell & Kirstin Borgerson - 2020 - International Journal of Feminist Approaches to Bioethics 13 (2):1-8.
    We are preparing this special issue celebrating the work of Susan Sherwin under extraordinary circumstances. We are sitting in our homes, isolating ourselves from each other, in order to support and protect each other. Each of us is curtailing our preferences in order not only to protect ourselves but to protect everyone else in our community—local and global—from COVID-19. In this historic moment it is abundantly clear that our lives are inescapably relational—that, through our own decisions and actions, each individual (...)
    Direct download  
     
    Export citation  
     
    Bookmark  
  23.  31
    (1 other version)Evidence‐Based Medicine and the Search for a Science of Clinical Care. [REVIEW]Kirstin Borgerson - 2006 - Isis 97:593-594.
  24.  34
    (1 other version)Robert B. Baker;, Laurence B. McCullough . The Cambridge World History of Medical Ethics. xxviii + 876 pp., app., bibl., index. New York: Cambridge University Press, 2009. $263.95. [REVIEW]Kirstin Borgerson - 2011 - Isis 102 (2):346-347.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark