A lesson from a bike shop

BMJ 2012; 344 doi: (Published 16 May 2012) Cite this as: BMJ 2012;344:e3006
  1. Elwyn Davies, general practitioner, Cheddar Medical Centre, Cheddar, UK
  1. Elwyn.Davies{at}

Have you ever wondered how much medical “success” is simply down to patients failing to tell us what we’ve got wrong? Insight into patient experience comes from surprising sources at times. I recently learnt a lesson in a bike shop.

My second favourite bike needed a service. The front gear wheel wasn’t engaging properly, and after three years of punishment I knew every bit that moved was clogged with muck and oil. So I took it to …

View Full Text

Sign in

Log in through your institution

Free trial

Register for a free trial to to receive unlimited access to all content on for 14 days.
Sign up for a free trial