SCCM Resource Library-Lifetime Achievement Recipient Proposes Embracing Practice-Based Science

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The document features insights from Dr. John C. Marshall, recipient of the Society of Critical Care Medicine’s 2023 Lifetime Achievement Award, who spoke on the "Power of Scientific Collaboration" at SCCM's 2023 Critical Care Congress. Dr. Marshall emphasizes a potential revolution in healthcare termed "practice-based science"; a model where research is integrated directly into clinical practice. This approach could transform medicine, particularly critical care, by allowing real-time patient treatment trials to generate immediate evidence about the efficacy of different medical approaches. <br /><br />Dr. Marshall traces his journey from a career in arts and filmmaking to medicine, driven by a quest for more meaningful work. His early career was shaped significantly by critical mentorship and pivotal research findings, such as the work on multiple system organ failure.<br /><br />His subsequent work highlights the importance of collaboration over individual discovery in advancing medical science. Collaboration, unlike teamwork, is seen as outward-looking and capable of achieving large-scale objectives. Dr. Marshall’s work with the Canadian Critical Care Trials Group exemplifies this approach, demonstrating that independent clinician-led trials have significantly impacted the field more than those led by academic or pharmaceutical institutions.<br /><br />Dr. Marshall advocates for a shift in research practices, critiquing current ethical and funding models which he argues impede healthcare advancements. He proposes that research could be funded directly by the healthcare system rather than through traditional academic grants, and emphasizes the necessity for a broader cultural shift in medicine to embrace uncertainty and collective trial efforts over individual achievements.<br /><br />He concludes by urging a focus on trials rather than errors in critical care, emphasizing that true science should foster equity and continual improvement in healthcare practices.

Asset Subtitle

Professional Development and Education, 2023, 0:06:21

Asset Caption

"This article was first published in the Summer 2023 issue of Critical Connections.

Medicine is on the cusp of a third revolution in the integration of science into healthcare, according to John C. Marshall, MD, FRCSC, FACS, FCAHS, recipient of the Society of Critical Care Medicine’s (SCCM) 2023 Lifetime Achievement Award. Dr. Marshall presented “Whose Achievement? The Power of Scientific Collaboration” at SCCM’s 2023 Critical Care Congress.

Critical Connections, the critical care industry’s only newsmagazine, provides information on cutting-edge topics in critical care useful to the entire multiprofessional team."

Meta Tag

Content Type Article

Knowledge Area Professional Development and Education

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag Professional Development

Tag Team Leadership

Year 2023

Keywords

Dr. John C. Marshall

Scientific Collaboration

Practice-based Science

Critical Care Medicine

Healthcare Revolution

Clinical Trials

Medical Research

Collaboration

Healthcare Funding

Cultural Shift

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