Purpose: This article offers a critical response to Kamhi's (2011) essay regarding the need to balance certainty and uncertainty in evidence-based practice (EBP). Method: Points of concordance and discordance (counterpoints) between Kamhi's essay and the author's frames of reference were considered. Results: In agreement with Kamhi, a major role…

Purpose: In this article, I question how practitioners can balance the certainty and confidence that they can help their patients with the uncertainty that makes them continually question their beliefs and assumptions. Method: I compare the mechanisms of science and models of clinical practice that may help practitioners achieve the right balance…

Purpose: We reflect on Alan Kamhi's (2011) prologue on balancing certainty and uncertainty as it pertains to school-based practice. Method: In schools, rational thinking depends on effective team processes, much like professional learning communities. We consider the conditions that are required for rational thinking and how rational team dialogue…

Purpose: In this epilogue, I respond to each of the five commentaries, discussing in some depth a central issue raised in each commentary. In the final section, I discuss how my thinking about certainty and uncertainty in clinical practice has evolved since I wrote the initial article. Method: Topics addressed include the similarities/differences…

Cognitive, situational, legal, and attitudinal barriers to expanding the health care services offered by pharmacists are discussed. It is concluded that since pharmacists are the only health care professionals specializing in drugs and their proper use, the profession should maximize its contribution to society. (SF)

Despite some efforts, dental education is not succeeding at creating socially responsible, service-oriented professionals. Further research should be undertaken on the effectiveness of various forms of community health services, improving service to underserved populations, the perceptions of the underserved, clinical experience with health teams,…

Addressing the lack of cooperation between early intervention programs and the rural health community, this monograph presents eight papers by educators and health professionals who identify specific problems and offer solutions in the form of effective collaboration techniques and model programs. Papers by Susan Hastings and Stewart Gabel…

An exploratory study was conducted on the implementation of Part H of Public Law 99-457, with emphasis on the involvement of health care providers. A series of 10 focus group discussions were held with health professionals (mostly nurses and physicians) in five states (Colorado, Hawaii, Maryland, North Carolina, Ohio). These health care providers…