Good Soldier<\/em>” by Theodore Dalrymple<\/a> showed just how much energy these \u201ctroubled hearts” had, although many of them were crippled for life, or chose to be invalids.<\/p>\nRichard Doll would have enjoyed it greatly and teased me again with his reminder of “the most effective screening programme ever.”<\/p>\n
Muir Gray<\/strong> is visiting professor of knowledge management, Nuffield Department of Surgery, University of Oxford. <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"“The most effective screening programme ever,” this was Richard Doll\u2019s gentle jest when I was director of national screening programmes. Aware of my efforts to ensure that screening did much more good than harm, using every improvement technique I could learn from IHI, Toyota, and wherever, he would point out that the auscultation of the […]<\/p>\n
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![\"Muir](\"http:\/\/www.bmj.com\/site\/blog\/icons\/muir_gray.jpg\")
“The most effective screening programme ever,” this was Richard Doll\u2019s gentle jest when I was director of national screening programmes. Aware of my efforts to ensure that screening did much more good than harm, using every improvement technique I could learn from IHI, Toyota, and wherever, he would point out that the auscultation of the heart of young recruits in the first world war led to large numbers of them being deemed to be unfit for the front because of a sign we now know to be without pathological significance \u2013 a systolic murmur.<\/p>\n