Published 5 January 2009, doi:10.1136/bmj.b5
Cite this as: BMJ 2009;338:b5

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Falling through the ICE

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

I don’t like unsolicited advice, and I don’t much believe in the value of lessons or tutors. Advice is mere opinion, and life is about forming our own opinions. Medicine is full of advice, much out of date and the rest impossibly complicated, concealing the fact that it is just plain wrong. But humanity is sustained by being told what to do, so don’t ask intelligent people to actually think—this they are not trained to do. Learning concepts by rote is seen as the concrete foundation of any "good" education.

In many a modern medical text the phrase "patient agenda" appears. This very good idea seems so obvious that it is hardly worthy of explanation: that all patients have a reason for seeing a doctor. (Though I suppose there may be some doctors who would scratch their heads in consternation at such a radical suggestion.) So in GP training (and . . . [Full text of this article]

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