Richard Smith: Do sexual abuse of children and research misconduct have something in common?

Every so often I hear stories of people prominent in medical research who are suspected of research misconduct—or research fraud, as it was once more bluntly called. Could the stories possibly be true? Some prominent people have been found guilty of misconduct, and we know that research misconduct is not rare. A systematic review found […]

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Richard Smith: Teaching medical students online consultation with patients

A first year medical student of today may well still be practising in 2070. We can’t know how medicine will look then, but we can see some clear trends. The relationship between doctors and patients will surely be much more equal; indeed, health will be the business primarily of patients, with doctors as advisers, guides, […]

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Richard Smith: Will digitisation transform the NHS as it has much else?

Digitisation of the NHS will both save and improve it believe Jeremy Hunt, secretary of state for health, and Tim Kelsey, national director for patients and information at NHS England. Both were youthful, bubbly, and even charming as they did a double act last week at the Cambridge Health Network, although Kelsey had to perform […]

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Richard Smith: Medical research—still a scandal

Twenty years ago this week the statistician Doug Altman published an editorial in the BMJ arguing that much medical research was of poor quality and misleading. In his editorial entitled, “The Scandal of Poor Medical Research,” Altman wrote that much research was “seriously flawed through the use of inappropriate designs, unrepresentative samples, small samples, incorrect […]

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