BMJ  2004;329:294 (31 July), doi:10.1136/bmj.329.7460.294-b

Letter

Doctors are not scientists but we still need science

The first 150 words of the full text of this article appear below.

EDITOR—It takes guts for a medical editor to disabuse his readers of their most cherished assumption that doctors are scientists, but it is true that they are not.1

We doctors like people to think we know what we're talking about, and may be so convincing that we convince ourselves too. Because other people's lives depend on it, we have a big emotional need to be right and are uncomfortable with the thought that none of us really knows enough to be a good doctor. Even if we know everything that is known, we still don't know that which is yet unknown.

Scientists, on the other hand, are very comfortable with the unknown; it is their bread and butter. When scientists disagree there is no more at stake than the scientists' amour propre, whereas medical disputes get rancorous because forever in the background is the thought that the . . . [Full text of this article]

David L J Freed, allergist (private)

14 Marston Road, Salford M7 4ER dljfreed@doctors.org.uk


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