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Views And Reviews

Clinical freedom and scientific fact

BMJ 1994; 308 doi: (Published 07 May 1994) Cite this as: BMJ 1994;308:1243
  1. I Robertson

    A recent BBC Panorama programme on breast cancer attacked the concept of clinical freedom, showing that whether a woman gets optimal treatment depends on the consultant she is sent to. Dabbling general surgeons who operate on only a few patients with breast cancer a year are seen as part of the reason why British five year survival rates for breast cancer are 6% less than the continental European figures. Non-specialists often don't know the scientific literature, and fail to implement the optimal therapeutic regimens.

    I know nothing about cancer treatment, but I do know that my clinical psychology colleagues in this country would defend clinical freedom, …

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