Letters Too much medicine

Problem based learning, litigation, and EWTD contribute to too much medicine

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f4790 (Published 30 July 2013) Cite this as: BMJ 2013;347:f4790
  1. Samad Samadian, consultant physician1,
  2. Ayaaz Farhat, GP ST21
  1. 1St Helier Hospital, Carshalton SM5 1AA, UK
  1. ayaazfarhat{at}gmail.com

Glasziou and colleagues suggest that investigation should be selective and targeted,1 yet a scattergun approach is increasingly being used across all disciplines. Overdiagnosis thus becomes a direct consequence of over-investigation. From serial measurements of C reactive protein and myeloma screening through to full body scans, a doctor’s approach to the patient is increasingly weighted towards, if not reliant on, investigation, while the value of a …

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