Views & Reviews From the Frontline

What is good medicine?

BMJ 2012; 345 doi: (Published 08 August 2012) Cite this as: BMJ 2012;345:e5171
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

I write about bad medicine; not for the money, nor to be liked. I am not here to spread happiness, or insincere, sycophantic, doe eyed nonsense, but to counter what I see as the unrealistic, ill informed, pompous, overoptimistic ideas and practices that are pervasive in medicine. My remit is to blow some smoky realism into watering medical eyes. But I am no burnt out cynic, and I promised as penance to write about good medicine too. So many things spring to mind: vaccination, joint replacements, palliative care, anaesthesia, HIV …

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