This book investigates the complex interplay between evidence-based science and the nuanced role of clinical judgement in medical decision-making. The authors, Fiona Randall, Jane MacNaughton, and R. S. Downie, draw upon their backgrounds in medicine and philosophy to challenge the notion that clinical practice is purely a product of empirical data. They argue that effective medical care requires a synthesis of scientific evidence, ethical consideration, and the practical wisdom inherent in clinical judgement.

Experts in medical education and ethics recognize this text as a significant contribution to the philosophy of clinical practice. Readers frequently note the academic density of the prose, which is intended for practitioners and students seeking a deeper understanding of the decision-making process.