By Nicholas Netto
“Are Good Intentions Enough?”
That was the question Sir Iain Chalmers posed to the audience at the recent Wolfson Haldane lecture he spoke at. Sir Chalmers is a doctor by training but is better known as a champion and advocate for the evidence-based movement in the United Kingdom. At an award ceremony in 2009, Chalmers was paid a great compliment when he was credited with having “saved more people’s lives than anyone else [one] can think of”(HealthWatch, 2010).
During the lecture, he spoke candidly about his experience working as a medical officer in a refugee camp in the Gaza Strip, where with the best of intentions, he had not prescribed antibiotic prophylaxis to Palestinian children with measles as he had been advised against it during medical school. Unknown to him then was that there was sufficient evidence to suggest its effectiveness in alleviating the suffering and possibly saving the lives of those with measles. This experience had a profound impact on him professionally and ignited his “insistence that therapeutic claims should be informed by reliable research evidence” (BMJ, 2005).
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