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Healthy Skepticism Library item: 7084

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Rubin P.
GMC to convene meeting for prescribing debate.
BMJ 2006 Oct 28; 333:(7574):918
http://www.bmj.com/cgi/content/full/333/7574/918-b


Abstract:

EDITOR-I am pleased that Aronson et al recognise the need for evidence to inform the debate over prescribing, and I note that they have broadened their interest to include postgraduate education.1 The General Medical Council’s education committee already has information relating to the undergraduate phase and is collecting more through its ongoing research into how well its requirements, described in Tomorrow’s Doctors,2 prepare new graduates for the foundation programme and beyond.

However, there is a paucity of evidence relating to factors that could improve the quality of prescribing in later stages of a doctor’s training and career. There is a growing risk that this debate will escalate in the wider media, where the underlying issues are not widely understood, with resulting alarm to patients and the public about their safety. It is essential that this perception does not become entrenched. The GMC therefore strongly supports the value of acquiring such evidence and will convene a meeting of interested parties to take this important matter forward.

Keywords:
Great Britain Humans Physician's Practice Patterns* Prescriptions, Drug

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909