Paradigm shiftBMJ 2003; 327 doi: https://doi.org/10.1136/bmj.327.7414.569-a (Published 04 September 2003) Cite this as: BMJ 2003;327:569
- Kevin Barraclough, general practitioner
- Painswick, Gloucestershire
Where are all the big ideas in medicine? A few days ago I was cycling up an interminable hill in the Dordogne. Although it was still early in the day, the heat was already punishing and the gravity unforgiving.
I was rounding one of those shadeless bends, deliberately angled to punish the quadriceps, when I found myself thinking about my life and the odd, random contingencies that determine the course one takes. Suddenly …