Swarm-based medicine.
Occasionally, medical decisions have to be taken in the absence of evidence-based guidelines. Other sources can be drawn upon to fill in the gaps, including experience and intuition. Authorities or experts, with their knowledge and experience, may provide further input--known as "eminence-based medicine". Due to the Internet and digital media, interactions among physicians now take place at a higher rate than ever before. With the rising number of interconnected individuals and their communication capabilities, the medical community is obtaining the properties of a swarm. The way individual physicians act depends on other physicians; medical societies act based on their members. Swarm behavior might facilitate the generation and distribution of knowledge as an unconscious process. As such, "swarm-based medicine" may add a further source of information to the classical approaches of evidence- and eminence-based medicine. How to integrate swarm-based medicine into practice is left to the individual physician, but even this decision will be influenced by the swarm.
Department of Radiation Oncology, Kantonsspital St Gallen, St Gallen, Switzerland. paul.putora@kssg.ch
Paul Martin
PM
Putora
Jan
J
Oldenburg
D003142:Communication; D019317:Evidence-Based Medicine; D006801:Humans; D020407:Internet; D010820:Physicians; D017216:Telemedicine / Q000379:methods*
eminence; evidence; guidelines; recommendations; swarm