The Virtues of Evidence
Abstract
Evidence-based medicine has been defined as the conscientious and judicious use of current best evidence in making clinical decisions. This paper will attempt to explicate the terms "conscientious" and "judicious" within the evidence-based medicine definition. It will be argued that "conscientious" and "judicious" represent virtue terms derived from virtue ethics and virtue epistemology. The identification of explicit virtue components in the definition and therefore conception of evidence-based medicine presents an important starting point in the connection between virtue theories and medicine itself. In addition, a unification of virtue theories and evidence-based medicine will illustrate the need for future research in order to combine the fields of virtue-based approaches and clinical practice.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Decision-making research has shown that relevant data may be distorted and/or ignored while decision processing is occurring.
“However, decision-making research has shown that relevant data may be distorted and/or ignored while decision processing is occurring [24,42-44].”
From Rationality versus reality: the challenges of evidence-based decision making for health policy makers (2010) · cites this paper as [43]
Cites
Evidence based medicine: what it is and what it isn't
Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996) · BMJ · doi:10.1136/bmj.312.7023.71 · Cited by 15,769 · see citing works
Gadamer, H. G., Weinsheimer, J. C., & Marshall, D. G. (1960) · Cited by 9,238 · see citing works
Guyatt, G. H. (1992) · JAMA · doi:10.1001/jama.1992.03490170092032 · Cited by 4,447 · see citing works
Clinical Epidemiology: A Basic Science for Clinical Medicine.
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-114-9-825_9 · Cited by 3,497 · see citing works
Zagzebski, L. T. (1996) · Cambridge University Press eBooks · doi:10.1017/cbo9781139174763 · Cited by 2,303 · see citing works
Image and logic: a material culture of microphysics
(1998) · Choice Reviews Online · doi:10.5860/choice.35-3932 · Cited by 2,184 · see citing works
Gadamer, H., Barden, G., Cumming, J. H., & Linge, D. E. (1977) · International Journal for Philosophy of Religion · Cited by 2,150 · see citing works
Sosa, E. (1980) · Midwest Studies in Philosophy · doi:10.1111/j.1475-4975.1980.tb00394.x · Cited by 450 · see citing works
The Nature of Qualitative Evidence
Morse, J. M., Swanson, J. M., & Kuzel, A. J. (2001) · Sage eBooks · doi:10.4135/9781412986236 · Cited by 370 · see citing works
Qualitative research and evidence-based healthcare
Popay, J., & Williams, G. H. (1998) · Journal of the Royal Society of Medicine · doi:10.1177/014107689809135s08 · Cited by 184 · see citing works
What do doctors know about statistics?
Wulff, H. R., Andersen, B., Brandenhoff, P., & Güttler, F. (1987) · Statistics in Medicine · doi:10.1002/sim.4780060103 · Cited by 157 · see citing works
Recent Work in Virtue Epistemology
Axtell, G. S. (1997) · PhilPapers (PhilPapers Foundation) · Cited by 147 · see citing works
Williamson, T. L. (1997) · Mind · doi:10.1093/mind/106.424.717 · Cited by 113 · see citing works
The Virtuous Physician, and the Ethics of Medicine
Pellegrino, E. D. (1985) · Philosophy and medicine · doi:10.1007/978-94-009-5229-4_12 · Cited by 77 · see citing works
The Status of Qualitative Research as Evidence
Upshur, R. E. G. (2001) · Sage eBooks · doi:10.4135/9781412986236.n1 · Cited by 73 · see citing works
Self-citationEvidence in medicine: invited commentary.
Miettinen, O. S. (1998) · PubMed Central · Cited by 68 · see citing works
Langston, D. C. (2015) · Penn State University Press eBooks · doi:10.1515/9780271031163 · Cited by 47 · see citing works
The Virtues in their Place: Virtue Ethics in Medicine
Jansen, L. A. (2000) · Metamedicine · doi:10.1023/a:1009988003614 · Cited by 36 · see citing works
Why the Practice of Medicine is Not a Phronetic Activity
Waring, D. R. (2000) · Metamedicine · doi:10.1023/a:1009952831029 · Cited by 32 · see citing works
Outcomes Research and the Quality of Health Care:
Miké, V. (1999) · Evaluation & the Health Professions · doi:10.1177/01632789922034149 · Cited by 30 · see citing works
Saving epistemology from the epistemologists: recent work in the theory of knowledge
Morton, A. (2000) · The British Journal for the Philosophy of Science · doi:10.1093/bjps/51.4.685 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Sandelowski, M. (2004) · Qualitative Health Research · doi:10.1177/1049732304269672 · Cited by 616 · see citing works
McCaughey, D., & Bruning, N. S. (2010) · Implementation Science · doi:10.1186/1748-5908-5-39 · Cited by 160 · see citing works
Constructing an ethical stereotaxy for severe brain injury: balancing risks, benefits and access
Fins, J. J. (2003) · Nature reviews. Neuroscience · doi:10.1038/nrn1079 · Cited by 137 · see citing works
Current epistemological problems in evidence based medicine
Ashcroft, R. E. (2004) · Journal of Medical Ethics · doi:10.1136/jme.2003.007039 · Cited by 129 · see citing works
Upshur, R. E. G., & Colak, E. (2003) · Metamedicine · doi:10.1023/a:1026006801902 · Cited by 75 · see citing works
Self-citationFins, J. J., Maltby, B. S., Friedmann, E., Greene, M. G., Norris, K., Adelman, R. D., & Byock, I. R. (2005) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2004.07.004 · Cited by 68 · see citing works
Clinical judgement in the era of big data and predictive analytics
Chin‐Yee, B., & Upshur, R. (2018) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12852 · Cited by 59 · see citing works
Self-citationAn Introduction of Epistemology to Business Ethics: A Study of Marketing Middle-Managers
Rawwas, M. Y. A., Arjoon, S., & Sidani, Y. M. (2012) · Journal of Business Ethics · doi:10.1007/s10551-012-1537-6 · Cited by 51 · see citing works
The epistemically virtuous clinician
Marcum, J. A. (2009) · Metamedicine · doi:10.1007/s11017-009-9109-1 · Cited by 40 · see citing works
Improved health or improved decision making? The ethical goals of EBM
Gupta, M. (2011) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2011.01743.x · Cited by 37 · see citing works
Critical thinking in clinical medicine: what is it?
Gupta, M., & Upshur, R. E. G. (2012) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2012.01897.x · Cited by 34 · see citing works
Self-citationBluhm, R. L., & Borgerson, K. (2011) · Elsevier eBooks · doi:10.1016/b978-0-444-51787-6.50008-8 · Cited by 30 · see citing works
Thirty years of teaching evidence-based medicine: have we been getting it all wrong?
Thomas, A., Chin-Yee, B. H., & Mercuri, M. (2021) · Advances in Health Sciences Education · doi:10.1007/s10459-021-10077-4 · Cited by 21 · see citing works
The "Experience-Based Medicine" of the Thirteenth Century
McVaugh, M. (2009) · Early Science and Medicine · doi:10.1163/157338209x425524 · Cited by 15 · see citing works
Evidence-Based Medicine: A Genealogy of the Dominant Science of Medical Education
Hanemaayer, A. (2016) · Journal of Medical Humanities · doi:10.1007/s10912-016-9398-0 · Cited by 13 · see citing works
Analysis of medical malpractice claims to improve quality of care: Cautionary remarks
Garon‐Sayegh, P. (2019) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13178 · Cited by 12 · see citing works
Perceived ethicality of moral choice
Chao, M. C., Li, F., & Chen, H. (2016) · Nankai Business Review International · doi:10.1108/nbri-12-2015-0032 · Cited by 9 · see citing works
A comparison between North and South business ethics: the concepts of Renzhi and Fazhi in China
Rawwas, M. Y. A., Wang, Y., Zhao, B., & Javed, B. (2018) · Asia Pacific Business Review · doi:10.1080/13602381.2018.1495381 · Cited by 6 · see citing works
Medical Evidence and Virtue Ethics: A Commentary on Zarkovich and Upshur
Pellegrino, E. D. (2002) · Metamedicine · doi:10.1023/a:1021241024613 · Cited by 6 · see citing works
Fast and frugal decision trees: How can the patient come last in a patient‐centred world?
Upshur, R. E. G. (2018) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12969 · Cited by 4 · see citing works
Self-citationRawwas, M. Y. A., Hammoud, H. A., & Iyer, K. N. S. (2019) · Business and Society Review · doi:10.1111/basr.12161 · Cited by 4 · see citing works
Bluhm, R. L., & Borgerson, K. (2018) · Routledge eBooks · doi:10.4324/9781315679099-11 · Cited by 1 · see citing works
Seifert, J. M. (2004) · Philosophy and medicine · doi:10.1007/978-1-4020-2871-7_1 · Cited by 1 · see citing works
Forskning på verdiarbeid i helsetjenesten – litteratursøk
Kirkehei, I. (2009) · BIBSYS Brage (BIBSYS (Norway)) · Cited by 1 · see citing works
(Mis)trusting Health Research Synthesis Studies: Exploring Transformations of 'Evidence'
Petrova, M. (2014) · Open Research Exeter (University of Exeter) · Cited by 1 · see citing works
The Virtuous Physician and Medicine’s Crises
Marcum, J. A. (2011) · Philosophy and medicine · doi:10.1007/978-94-007-2706-9_7
Adoption into Clinical Medicine and Application of Medical Knowledge to Patient Care
Velanovich, V. (2023) · Springer eBooks · doi:10.1007/978-3-031-30371-5_7
Perspectives on the definition of ‘evidence’: a qualitative interview study among interest-holders
Yu, X., Estill, J., Spruyt, K., Abraha, Y. G., Mathew, J. L., Shi, X., Munn, Z., Pieper, D., Ozaki, A., Ma, Y., et al. (2026) · BMJ Evidence-Based Medicine · doi:10.1136/bmjebm-2025-114245
- Authors
- Zarkovich, E., & Upshur, R. E. G.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- Upshur, R.E.G.
- ORCID
- Upshur, R.E.G.
- Venue
- Theoretical Medicine and Bioethics
- Published
- 2002-07
- Volume
- 23
- Issue
- 4-5
- Pages
- 403-412
- ISSN
- 0166-2031 (ISSN-L)
- 1386-7415
- 1573-1200
- OpenAlex
- W2145074607
- Cited by
- 28
- References
- 21
- Citations by year
- 2026: 1 · 2023: 1 · 2021: 1 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 2 · 2014: 1 · 2012: 2
- FWCI
- 5.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Metamedicine (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Keywords
- evidence-based medicine, virtue ethics, virtue epistemology, conscientiousness, clinical decision-making, medical ethics
- MeSH terms
- Canada, Humans, Evidence-Based Medicine, Ethical Theory, Virtues
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review