Knowing what you don't knowBMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39202.421910.59 (Published 03 May 2007) Cite this as: BMJ 2007;334:956
- Des Spence, general practitioner, Glasgow
The light flashed on my buzzer. I paused for dramatic effect before saying, “Alexander Fleming.” The crowd of parents went wild with clapping. I beamed—we had won, and I had captained our team in the primary school quarter finals of the local “Top of the Form” quiz. I had the sort of memory that retained facts easily and that passes as a type of intelligence. I am like most doctors.
A decade ago I was an evidence based medicine (EBM) “fact” groupie. I loved the wild swirling data, …