Views & Reviews Starting Out

Not all is patient centred

BMJ 2010; 341 doi: (Published 21 December 2010) Cite this as: BMJ 2010;341:c7154
  1. Kinesh Patel, junior doctor, London
  1. kinesh_patel{at}

Paternalism is well and truly out. The flavour of the era is patient centredness, even when the patient doesn’t want to make a decision or, worse, leaves it in your hands. “I’ll trust you to do what’s best,” I often hear. Well, that just won’t do in today’s medicine. Except, however, in the world of the multidisciplinary meeting.

What a great idea in theory: professionals from every specialty come together to make decisions in the best interests of patients. But, as usual, the reality differs markedly. Most multidisciplinary meetings go …

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