{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"50 - I Know Nothing","description":"What does it mean to know something in medicine? In this episode, we\u2019ll explore this question by developing a historical framework of medical epistemologies in a journey that involves King Nebuchadnezzar, citrus fruit, leeches, water pumps, ICD-10, Socrates, skepticism, and 1970's computer programs designed to replace doctors. This is a version of a Grand Rounds given at BIDMC on October 25, 2019.&amp;nbsp; &amp;nbsp; Sources: &amp;nbsp;  Bothwell LE et al, \u201cAssessing the Gold Standard -- Lessons from the History of RCTs,\u201d NEJM June 2, 2016. Khushf G, \u201cA Framework for Understanding Medical Epistemologies,\u201d Journal of Medicine and Philosophy, 38: 461-486, 2013. Guyatt G and Tonelli M, Med Roundtable Gen Med Ed.;June 13, 2012 1(1): 75 - 84. Morabia A, A History of Epidemiologic Methods and Concepts, 2004. Tonelli MR, \u201cIntegrating evidence into clinical practice: an alternative to evidence-based approaches,\u201d Journal of Evaluation in Clinical Practice, 12(3) 248-256.  &amp;nbsp; Music from https:\/\/filmmusic.io &quot;Tango de Manzana&quot; and \u201cReturn of the Mummy\u201d by Kevin MacLeod (https:\/\/incompetech.com) License: CC BY (http:\/\/creativecommons.org\/licenses\/by\/4.0\/) ","author_name":"Bedside Rounds","author_url":"http:\/\/www.bedside-rounds.org","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/11792744\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/88AA3C\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/content\/55985729"}