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Archives of Disease in Childhood 2000;83:0; doi:10.1136/adc.83.5.0
Copyright © 2000 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 2000;83: ( November )

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The first 150 words of the full text of this article appear below.

Arch Dis Child 2000  Volume 83  No 5

n=1 or n=megabytes?

I had thought there were two types of SHOs (residents): those who analysed clinical problems, considered solutions, then requested approval; and those who placed their intellect carefully in neutral and asked what to do. Post Sackett,1 a third type is emerging---the cyber-SHO, armed with fingers as sensitive to a palmtop keyboard as to a 25 g Venflon.

We invited one such to let us into his professional secrets (page 373). The trouble is I'm not sure I agree with the evidence-based solution to his clinical vignette.

 1 Sackett DL, Strauss SE, Richardson WS, et al. Guidelines. In: Evidence-based medicine: how to practise and teach EBM. Edinburgh: Churchill Livingstone, 1996. 

n = blind prejudice

In contrast, we also look at habit-based medicine. Leeds (UK) is fortunate in having a department of clinical effectiveness. (Does anyone have a department of clinical ineffectiveness?) Farshi . . . [Full text of this article]

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