Barbell Medicine Pain and Rehab Podcast #2: Epistemic Responsibility

In the second episode of The Barbell Medicine Pain and Rehab Podcast, the doctors dive deep into what it means to "know" something and its clinical implications.

Hosts:

Michael Amato, DPT

Michael Ray, DC

Derek Miles, DPT

Papers:

Angelo Corlett (2008): Epistemic Responsibility , International Journal of Philosophical Studies, 16:2, 179-200

https://www.tandfonline.com/doi/abs/10.1080/09672550802008625

Healy P. Rethinking the doctor-patient relationship: toward a hermeneutically-informed epistemology of medical practice. Med Health Care Philos. 2019 Jun;22(2):287-295

https://www.ncbi.nlm.nih.gov/pubmed/30414062

Saraga M, Fuks A, Boudreau JD. George Engel's Epistemology of Clinical Practice. Perspect Biol Med. 2014 Autumn;57(4):482-94

https://www.ncbi.nlm.nih.gov/pubmed/26497235

Outline:

Introduction

What is Epistemology and Epistemic Responsibility?

Ship example

S is an epistemically responsible agent at tn to the extent that S, as an intentional and voluntary agent at tn, accepts (by higher-order cognition) open-mindedly and critically that p. (Corlett)

Clinical examples

Components of being epistemically responsible?

Intentionality, voluntariness, trust-worthiness, praise-worthiness

How can we cultivate this?

What forms our episteme as clinicians?

Where do we find our propositions and how are they justified?

Limits of this?

How can we pragmatically apply an epistemology of practice that is both justified and places the human in front of us as a priority?

BPS as an epistemology of clinical practice - Saraga

Hermeneutically-informed epistemology of medical practice - Healy

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