Positive findings are around twice as likely to be published as negative findings. This is a cancer at the core of evidence-based medicine.
BEN GOLDACREThere is this peculiar blind spot in the culture of academic medicine around whether withholding trial results is research misconduct. People who work in any industry can reinforce each others’ ideas about what is okay.
More Ben Goldacre Quotes
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You are a placebo responder. Your body plays tricks on your mind. You cannot be trusted.
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Yes. I’m a doctor, an epidemiologist, and lots of my professional colleagues flip back and forth between industry and medical roles. I know them; they are not bad people. But it is possible for good people in bad systems to do things that inflict enormous harm.
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I write about misuses of evidence in plenty of different spheres: scaremongering journalists, obvious quacks and naturopaths, and flaws in the way that evidence is used in mainstream academia, medicine and in (government) policy.
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The placebo effect is one of the most fascinating things in the whole of medicine. It’s not just about taking a pill, and your performance and your pain getting better. It’s about our beliefs and expectations. It’s about the cultural meaning of a treatment.
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As it is a major component of blood, water is vital for transporting oxygen to the brain. Heaven forbid that your blood should dry out.
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I’ve detected myself using a new rule of thumb: if you don’t link to primary sources, I just don’t trust you.
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Transparency and detail are everything in science.
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Real science is all about critically appraising the evidence for somebody else’s position.
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But as we will see, even these things are hard to do on your own, and in reality require wholesale social and political changes.
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I agree, the world would be a better place if doctors were less enthusiastic about adopting very new drugs.
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Science has authority not because of white coats or titles, but because of precision and transparency: you explain your theory, set out your evidence, and reference the studies that support your case.
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If I was writing a lifestyle book it would have the same advice on every page, and you’d know it all already.
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Data is the fabric of the modern world: just like we walk down pavements, so we trace routes through data, and build knowledge and products out of it.
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There are many differences between medicine and teaching, but they have much in common. Both involve craft and personal expertise, learned through experience; but both can be informed by the experience of others.
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Amazing things happen when you pull individual pieces of information together into larger linked datasets: meaning emerges, as you produce facts from figures.
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