Intended for healthcare professionals


Paradigm shift

BMJ 2003; 327 doi: (Published 04 September 2003) Cite this as: BMJ 2003;327:569
  1. Kevin Barraclough, general practitioner
  1. 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 …

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