MacAuley D
Institute of Postgraduate Medical and Health Science, University of Ulster, Jordanstown, Belfast.
J Sci Med Sport. 2000 Sep;3(3):254-9. doi: 10.1016/s1440-2440(00)80034-1.
New disciplines emerge as medicine evolves. But, to be recognised as a clinical discipline we must be prepared to measure ourselves against established criteria; there should be consensus on the core content of the discipline and an identifiable body of knowledge to allow us to deal with common clinical problems. At this developmental stage in our evolution we have general agreement on what defines sport and exercise medicine but, as most of our clinical skills developed empirically, research is relatively underdeveloped. The volume and quality of this research does not yet reflect a vibrant research culture. The validity of our clinical method is supported by research evaluating the sensitivity and specificity of clinical tests but the evidence supporting other areas of clinical practice is uncertain. Some aspects of prevention have become integrated into clinical practice without sufficient evidence and, screening has been introduced without critical evaluation. To ensure the future success of our discipline and achieve recognition of its value in the wider medical community, we must nurture an evaluative culture and ensure that clinical practice is built on firm foundations of research evidence.
随着医学的发展，新的学科不断涌现。但是，要被认可为一门临床学科，我们必须准备好依据既定标准来衡量自身；该学科的核心内容应达成共识，并有一套可识别的知识体系，以便我们处理常见的临床问题。在我们发展的这个阶段，对于什么界定了运动与运动医学，我们已达成普遍共识，但由于我们的大多数临床技能是凭经验发展而来的，研究相对不够发达。这项研究的数量和质量尚未反映出一种活跃的研究文化。评估临床检查敏感性和特异性的研究支持了我们临床方法的有效性，但支持临床实践其他领域的证据并不确定。预防的某些方面在没有充分证据的情况下已融入临床实践，而且筛查的引入也未经严格评估。为确保我们学科未来的成功，并使其在更广泛的医学界得到价值认可，我们必须培育一种评估文化，并确保临床实践建立在坚实的研究证据基础之上。
