game changing research

hmm game changers ……………. common sense in some cases but should always be promoted John P. A. Ioannidis (born August 21, 1965, in New York City) is a Professor of Health Research and Policy at Stanford School of Medicine, the University’s Rehnborg Chair in Disease Prevention and director of its Prevention Research Center, and co-director, […]

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What do you think will be the most important medical discovery in the next 100 years?

back to basics      critical thinking focused therapies recognition and abandonment of inefficient costly and time wasting techniques recognising that sensitivity and specificity are concepts to be used on symptoms and signs not just tests and research research where positive patient outcome is the main goal, not financial gain, celebrity,advertising or creating new markets […]

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closing the gap on the patient

Modern medicine seems to be distancing itself from the patient We’re focusing more and more on inanimate objects than we are on people The more tests, protocols or electronics  the more reliant we become on them but are they of benefit? and are they actually more effective than the skills we possess Current scrutiny of […]

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customer service

firstly decide whether you want to run  as an expert team  focusing on great value products that your customers want you do this by listening to them, or a business focusing on making money. marketers and your shareholders, it’s a question on where you choose to focus, expertise or business the more happy customers you […]

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The evidence based meme

Floating around the medical scene fairly  recently is the concept of Evidence based medicine and that most medical methods currently used are founded on it. a google search on it evidence based medicine shows  -About 44,300,000 results and it even has its own wikipedia  page Evidence-based medicine (EBM) is a form of medicine that aims to […]

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Medical system errors -reboot

Multiple system errors exist – Overemphasis on low yield costly tests v astute history taking with focused and thorough examination We are producing less clinicians and more test reliant drones If you cannot come to a reasonable diagnosis without ANY tests in most situations, are you really a doctor? When training we had to justify every test […]

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