Some background

My name is Euan Lawson and I live in the NW of England.

I work in a variety of different settings. I am a GP but my special interests are in substance misuse and medical education. I do ‘normal’ GP clinics as a locum and I also have substance misuse clinics in the community and prison. I also teach undergraduates and I am involved in GP appraisal. I do some writing as well and the proportions of each of these ebbs and flows…

That gives you some idea of the areas I am liable to blog based on my professional experience. I’ve been blogging since 2008 and I am certainly not a daily blogger and I’m doing well to get a post out weekly. I am also prone to dropping off for a couple of months as other commitments squeeze my time but I’m content to be flexible.

I’ve always had contrary argumentative tendencies so blogging is a natural outlet to stop me haranguing too many colleagues.

I like evidence-based medicine. What’s not to like? Much like apple pie and motherhood it is unarguably A Good Thing. As a medical student I remember arguing in the pub that public health medicine and epidemiology were perhaps the most important of the subjects we studied. Despite the guffaws I persisted, no doubt aided by a pint or three, with my views. I am sure that all too few students have avoided the apple-cheeked cliche of ‘wanting to help people’ when quizzed on their motivations for entering medicine.

But students and doctors still crave the ego-boost of the human drama and the slim chance of getting the thanks in person; not by proxy through reduced mortality and morbidity statistics. However, despite evidence-based medicine being A Good Thing the problems are many and varied resulting in a further reason for people to turn away from the science.

The tagline quote is from Adam Smith:

“Science is the great antidote to the poison of enthusiasm and tradition”.

So, the blog is my tiny contribution with this in mind. Evidence-based medicine may be riddled with problems but the science of evidence-based medicine is still needed to combat enthusiastic doctors as well as traditional and outdated practices; and, of course, the plain bonkers.