Intended for healthcare professionals

Feature Shared Decision Making

Can doctors reduce harmful medical overuse worldwide?

BMJ 2014; 349 doi: (Published 03 July 2014) Cite this as: BMJ 2014;349:g4289

Re: Can doctors reduce harmful medical overuse worldwide?

In response to Jecko Thachil's recent comments, I would like to add the observation that it is my experience that doctors seldom scrutinise the results of full blood counts that are performed daily (or more than once daily). Accordingly, laboratories should refuse to process such requests unless sanctioned by a senor clinician who should give reasons to justify full blood counts of that frequency. Unfortunately, however, it is no longer a realistic option to expect doctors who are trained in a high-tech environment to undertake a "good...physical examination", given the fact that it has become a badge of honour, even in the columns of the BMJ, to denigrate the practice of clinical examination.

Competing interests: No competing interests

11 July 2014
oscar m jolobe
retired geriatrician
manchester medical society
simon building, brunswick street, manchester M13