Diversity, opportunity, and flexibility are some of the most appealing features of general practice. A research career may not seem attractive initially but we might change our mind. If a bright enthusiastic doctor stumbles across a research idea, would like to become more involved, or decides to change course, the path can be difficult. Polly Duncan et al propose a collaborative framework that may help but we need to recognise that resources, time, funding, and publication opportunities are also limited.
In cancer treatment we focus on earlier identification of key clinical or biological markers in diagnosis. While science takes precedence, clinicians may be influenced by a vaguely defined gut feeling. Evidence and instinct collide in the systematic review by Claire Friedemann Smith et al, where gut feelings became more predictive as clinical experience and familiarity with the patient increased.
But, there is no mistaking the gut feeling in Iona Heath’s editorial. As she says in the accompanying video on BJGPLife.com — ‘nothing is more important than love’.
- © British Journal of General Practice 2020