[HSF] To "T" or not to "T"

[Tea Acuff]

Reality has become both schizophrenic and compartmentalized. I can order a study for reference or other reason which as in everything in the USA may or may not be funded and thus may (a different may) or may not be done. However, if I wish to formalize this for a study then I would not be allowed without a review board and the funding may change. IIf I were to do the study myself, I might be at more risk for "fraud" for lack of a better term. Of course we are always at risk for even routine care, so it seems less important if not predictable. I may do studies that are not clearly standard practice. On the other hand I have made a living doing surgery that is not formally standard of care. 

Either we are free to do best for our patients or we are not. Sometimes payers or lack of the same intervene (but more often the former). I asked in another thread which recieved no answer, "What is research?".  I do not think the artifical divide between research, practice, and learning makes any sense even as we as "experts" clamor to regulate and benefit from its funds.

In the final analysis we are what we do. Do we define it or do others?

tea

tea


----- Original Message ----
From: Donald Ross <donross at bigpond.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, December 19, 2007 8:16:02 PM
Subject: Re: [HSF] To "T" or not to "T"

Thank you for making me squirm, tea.
To only restudy a few would be anecdotal and heavily frowned upon by  
the keepers of acceptable evidence.
Elective restudy is not funded by our "free" health system or the  
private insurance industry.
The situation in Japan exists because it has always been the norm and  
has been sustained as much from financial as scientific reasons.
Could you get non-research funding for such a study in USA?
Don

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