Intended for healthcare professionals

Views & Reviews From the Frontline

We need ideas based medicine

BMJ 2009; 339 doi: (Published 25 August 2009) Cite this as: BMJ 2009;339:b3432
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

    Each new generation makes the same mistakes as previous ones and comes to the same conclusions. So in time the young realise that men should not use face cream, that middle aged women should not wear thongs (and nor, indeed, should anyone else), and that the only real stupidity is the belief that intelligence can be measured. Experience always wins over learned advice. Is it so in medicine? At university we recite all the facts and act out comfortable and predictable melodramas with …

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