From optimism to hubris
	Jane Smith
	BMJ  2004;329, doi: 10.1136/bmj.329.7473.0-h [Extract] [Full text] [PDF] [Request Permissions] FREE

This week in the BMJ

This week's This week in the BMJ

	NICE influences prescribing but has more to do [Full text] FREE

	Evidence based training improves surfactant use [Full text] FREE

	Video assisted thoracic surgery is useful but underused [Full text] FREE

	"Mindlines" are still preferred to guidelines [Full text] FREE

	Evidence based teaching works best at the bedside [Full text] FREE

	Evidence based guidance affects courts' rulings [Full text] FREE

	Routine EBM staff meetings are popular and useful [Full text] FREE

Editorials

This week's Editorials

	What has evidence based medicine done for us?
	Sharon E Straus, Giselle Jones
	BMJ  2004;329:987-988, doi: 10.1136/bmj.329.7473.987 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Evidence based policy making
	J A Muir Gray
	BMJ  2004;329:988-989, doi: 10.1136/bmj.329.7473.988 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Teaching evidence based medicine
	Chris Del Mar, Paul Glasziou, Dan Mayer
	BMJ  2004;329:989-990, doi: 10.1136/bmj.329.7473.989 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Evidence based medicine has come a long way
	Gordon Guyatt, Deborah Cook, Brian Haynes
	BMJ  2004;329:990-991, doi: 10.1136/bmj.329.7473.990 [Extract] [Full text] [PDF] [Request Permissions] FREE

	The essence of EBM
	Brendan M Reilly
	BMJ  2004;329:991-992, doi: 10.1136/bmj.329.7473.991 [Extract] [Full text] [PDF] [Request Permissions] FREE

Letters

This week's Letters

	General practitioners say that evidence based information is changing practice
	David Tovey, Fiona Godlee
	BMJ  2004;329:1043, doi: 10.1136/bmj.329.7473.1043 [Extract] [Full text] [Request Permissions] FREE

	Truth and evidence based medicine: spin is everything
	Lokesh Tiwari, Jacob M Puliyel, Prerna Upadhyay
	BMJ  2004;329:1043, doi: 10.1136/bmj.329.7473.1043-a [Extract] [Full text] [Request Permissions] FREE

	Compulsory registration of clinical trials: Publicly funded national register of trials would be best in the United Kingdom
	Lesley Stewart, Claire Vale, Janet Darbyshire
	BMJ  2004;329:1043-1044, doi: 10.1136/bmj.329.7473.1043-b [Extract] [Full text] [Request Permissions] FREE

	Compulsory registration of clinical trials: Maybe European research should be protected
	Ernst A Singer, Christiane Druml
	BMJ  2004;329:1044, doi: 10.1136/bmj.329.7473.1044 [Extract] [Full text] [Request Permissions] FREE

	Compulsory registration of clinical trials: Under-reporting is not an option
	Peter Jay, Mike Wallace
	BMJ  2004;329:1044, doi: 10.1136/bmj.329.7473.1044-a [Extract] [Full text] [Request Permissions] FREE

	Pressures are growing to publish clinical trials
	Elizabeth Wager
	BMJ  2004;329:1044, doi: 10.1136/bmj.329.7473.1044-b [Extract] [Full text] [Request Permissions] FREE

	Adenotonsillectomy in children with mild symptoms: Watchful waiting may deny children opportunity for development
	Simon C Langton Hewer, Claire D Langton Hewer, Yvonne Pamula, James Martin, Declan Kennedy
	BMJ  2004;329:1045, doi: 10.1136/bmj.329.7473.1045 [Extract] [Full text] [Request Permissions] FREE

	Adenotonsillectomy in children with mild symptoms: Watchful waiting is appropriate
	Ram Moorthy, Hassan Khan
	BMJ  2004;329:1045, doi: 10.1136/bmj.329.7473.1045-a [Extract] [Full text] [Request Permissions] FREE

	Adenotonsillectomy in children with mild symptoms: Authors' reply
	Anne G M Schilder, Maroeska M Rovers, E Henriette van den Akker, Birgit K van Staaij, Arno W Hoes
	BMJ  2004;329:1045, doi: 10.1136/bmj.329.7473.1045-b [Extract] [Full text] [Request Permissions] FREE

	Biopsy of potentially operable hepatic colorectal metastases is not useless but dangerous
	Oliver M Jones, Myrddin Rees, Tim G John, Sean Bygrave, Graham Plant
	BMJ  2004;329:1045-1046, doi: 10.1136/bmj.329.7473.1045-c [Extract] [Full text] [Request Permissions] FREE

	Transradial angiography may deleteriously affect patency of radial artery grafts
	Cheng-Hon Yap, James F Kenny
	BMJ  2004;329:1046, doi: 10.1136/bmj.329.7473.1046 [Extract] [Full text] [Request Permissions] FREE

	Email consultations in health care: Set your auto reply to "no"
	Geoff Wong
	BMJ  2004;329:1046, doi: 10.1136/bmj.329.7473.1046-a [Extract] [Full text] [Request Permissions] FREE

	Email consultations in health care: Patients need to be given a choice
	John Charnock
	BMJ  2004;329:1046, doi: 10.1136/bmj.329.7473.1046-b [Extract] [Full text] [Request Permissions] FREE

News

This week's News

	AMA calls for inquiry into doctors' role in abuse of prisoners
	Susan Mayor
	BMJ  2004;329:993, doi: 10.1136/bmj.329.7473.993 [Extract] [Full text] [PDF] FREE

	BMA says scientists should take part in bioterrorism debate
	Lynn Eaton
	BMJ  2004;329:993, doi: 10.1136/bmj.329.7473.993-a [Extract] [Full text] [PDF] FREE

	In brief
	BMJ  2004;329:994, doi: 10.1136/bmj.329.7473.994 [Extract] [Full text] [PDF] FREE

	Shortage of emergency doctors will take eight years to rectify
	Geoff Watts
	BMJ  2004;329:994, doi: 10.1136/bmj.329.7473.994-a [Extract] [Full text] [PDF] FREE

	Commission unveils shocking pictures for cigarette packs
	Rory Watson
	BMJ  2004;329:994, doi: 10.1136/bmj.329.7473.994-b [Extract] [Full text] [PDF] FREE

	Doctors need not ventilate baby to prolong his life
	Clare Dyer
	BMJ  2004;329:995, doi: 10.1136/bmj.329.7473.995 [Extract] [Full text] [PDF] FREE

	NICE guidance on epilepsy recommends specialist diagnosis
	Susan Mayor
	BMJ  2004;329:995, doi: 10.1136/bmj.329.7473.995-a [Extract] [Full text] [PDF] FREE

	BMA continues to oppose assisted suicide and euthanasia
	Kathryn Godfrey
	BMJ  2004;329:997, doi: 10.1136/bmj.329.7473.997-b [Extract] [Full text] [PDF] FREE

	Doctors and drug companies are locked in "vicious circle"
	Melissa Sweet
	BMJ  2004;329:998, doi: 10.1136/bmj.329.7473.998 [Extract] [Full text] [PDF] FREE

	Companies may face tighter regulation over promoting drugs
	David Spurgeon
	BMJ  2004;329:998, doi: 10.1136/bmj.329.7473.998-a [Extract] [Full text] [PDF] FREE

News roundup [abridged versions appear in the paper journal]

This week's News roundup

	Public Library of Science launches "author pays" model
	Lynn Eaton
	BMJ  2004;329:996, doi: 10.1136/bmj.329.7473.996 [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	United Nations fails to agree on human cloning
	Susan Mayor
	BMJ  2004;329:996, doi: 10.1136/bmj.329.7473.996-a [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Global warming threatens reversal in fight against poverty, says report
	Rhona MacDonald
	BMJ  2004;329:996, doi: 10.1136/bmj.329.7473.996-b [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Doctor fabricated research while depressed
	Owen Dyer
	BMJ  2004;329:996, doi: 10.1136/bmj.329.7473.996-c [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Law is introduced in US Congress to give access to details of clinical trials
	Bob Roehr
	BMJ  2004;329:996, doi: 10.1136/bmj.329.7473.996-d [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Commission plans to adopt "a lighter touch"
	Caroline White
	BMJ  2004;329:997, doi: 10.1136/bmj.329.7473.997 [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

	Local purchasing of health services is hindering improvements in cancer services
	Susan Mayor
	BMJ  2004;329:997, doi: 10.1136/bmj.329.7473.997-a [Extract] [Abridged text] [Abridged PDF] [Full text] FREE

News extra [these stories appear only on the web]

This week's News extra

	Shortage of flu vaccine in US sparks political row
	Owen Dyer
	BMJ  2004;329:998, doi: 10.1136/bmj.329.7473.998-b [Extract] [Full text] FREE

	Colleges join forces to issue guidance on resuscitation training
	Lynn Eaton
	BMJ  2004;329:998, doi: 10.1136/bmj.329.7473.998-c [Extract] [Full text] FREE

	Shorter hospital shifts reduce errors and improve patient outcomes
	Scott Gottlieb
	BMJ  2004;329:998, doi: 10.1136/bmj.329.7473.998-d [Extract] [Full text] FREE

	Trust guilty of fiddling figures on cancellations but is cleared of accounting faults
	Caroline White
	BMJ  2004;329:998, doi: 10.1136/bmj.329.7473.998-e [Extract] [Full text] FREE

	Medical students can cause blood pressure to rise, report says
	Roger Dobson
	BMJ  2004;329:998, doi: 10.1136/bmj.329.7473.998-f [Extract] [Full text] FREE

Papers

This week's Papers

	What's the evidence that NICE guidance has been implemented? Results from a national evaluation using time series analysis, audit of patients' notes, and interviews
	Trevor A Sheldon, Nicky Cullum, Diane Dawson, Annette Lankshear, Karin Lowson, Ian Watt, Peter West, Dianne Wright, John Wright
	BMJ  2004;329:999, doi: 10.1136/bmj.329.7473.999 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: Interview schedule] FREE

	Commentary: Is NICE delivering the goods?
	Nick Freemantle
	BMJ  2004;329:1003-1004, doi: 10.1136/bmj.329.7473.1003 [Full text] [PDF] [Request Permissions] FREE

	Collaborative quality improvement to promote evidence based surfactant for preterm infants: a cluster randomised trial
	Jeffrey D Horbar, Joseph H Carpenter, Jeffrey Buzas, Roger F Soll, Gautham Suresh, Michael B Bracken, Laura C Leviton, Paul E Plsek, John C Sinclair
	BMJ  2004;329:1004, doi: 10.1136/bmj.329.7473.1004 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] [extra: 2 appendixes (pdf)] FREE

	Video assisted thoracic surgery for treatment of pneumothorax and lung resections: systematic review of randomised clinical trials
	Artyom Sedrakyan, Jan van der Meulen, James Lewsey, Tom Treasure
	BMJ  2004;329:1008, doi: 10.1136/bmj.38243.440486.55, (Published 22 September 2004) [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

	Variation in use of video assisted thoracic surgery in the United Kingdom
	Artyom Sedrakyan, Jan van der Meulen, James Lewsey, Tom Treasure
	BMJ  2004;329:1011-1012, doi: 10.1136/bmj.329.7473.1011 [Full text] [PDF] [Request Permissions] FREE

	Half full or half empty VATS?
	Peter McCulloch
	BMJ  2004;329:1012, doi: 10.1136/bmj.329.7473.1012 [Full text] [PDF] [Request Permissions] FREE

Primary care

This week's Primary care

	Evidence based guidelines or collectively constructed "mindlines?" Ethnographic study of knowledge management in primary care
	John Gabbay, Andrée le May
	BMJ  2004;329:1013, doi: 10.1136/bmj.329.7473.1013 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Quality improvement report

This week's Quality improvement report

	Integrating evidence based medicine into routine clinical practice: seven years' experience at the Hospital for Tropical Diseases, London
	Diana Lockwood, Margaret Armstrong, Alison Grant
	BMJ  2004;329:1020-1023, doi: 10.1136/bmj.329.7473.1020 [Abstract] [Full text] [PDF] [Request Permissions] [extra: Notes for meeting] FREE

	Commentary: The fool wonders, the wise (women) ask... about tropical diseases in their practice
	Michael L Green
	BMJ  2004;329:1023, doi: 10.1136/bmj.38257.549653.55 [Full text] [PDF] [Request Permissions] FREE

Learning in practice

This week's Learning in practice

	What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review
	Arri Coomarasamy, Khalid S Khan
	BMJ  2004;329:1017, doi: 10.1136/bmj.329.7473.1017 [Abstract] [Abridged text] [Abridged PDF] [Full text] [PDF] [Request Permissions] FREE

Clinical review

This week's Clinical review

	How does evidence based guidance influence determinations of medical negligence?
	Brian Hurwitz
	BMJ  2004;329:1024-1028, doi: 10.1136/bmj.329.7473.1024 [Extract] [Full text] [PDF] [Request Permissions] [extra: Long version] FREE

Education and debate

This week's Education and debate

	Evaluating the teaching of evidence based medicine: conceptual framework
	Sharon E Straus, Michael L Green, Douglas S Bell, Robert Badgett, Dave Davis, Martha Gerrity, Eduardo Ortiz, Terrence M Shaneyfelt, Chad Whelan, Rajesh Mangrulkar, the Society of General Internal Medicine Evidence-Based Medicine Task Force
	BMJ  2004;329:1029-1032, doi: 10.1136/bmj.329.7473.1029 [Extract] [Full text] [PDF] [Request Permissions] [extra: Question samples] FREE

	Commentary: A conceptual framework may be of limited value
	Geoff Norman
	BMJ  2004;329:1032, doi: 10.1136/bmj.329.7473.1032 [Extract] [Full text] [PDF] [Request Permissions] FREE

	"Evidence of me" in evidence based medicine?
	Susan Lockwood
	BMJ  2004;329:1033-1035, doi: 10.1136/bmj.329.7473.1033 [Extract] [Full text] [PDF] [Request Permissions] [extra: Extra text and extra references] FREE

	Putting evidence into practice: how middle and low income countries "get it together"
	Paul Garner, Martin Meremikwu, Jimmy Volmink, Qian Xu, Helen Smith
	BMJ  2004;329:1036-1039, doi: 10.1136/bmj.329.7473.1036 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Inappropriate use of randomised trials to evaluate complex phenomena: case study of vaginal breech delivery
	Andrew Kotaska
	BMJ  2004;329:1039-1042, doi: 10.1136/bmj.329.7473.1039 [Extract] [Full text] [PDF] [Request Permissions] FREE

Obituaries

This week's Obituaries

	Thure von Uexküll
	Annette Tuffs
	BMJ  2004;329:1047, doi: 10.1136/bmj.329.7473.1047 [Extract] [Full text] FREE

	Dharam Pal Singh Anhal
	Rohit Anhal
	BMJ  2004;329:1047, doi: 10.1136/bmj.329.7473.1047-a [Extract] [Full text] [extra: Longer version] FREE

	Errington Miles Blenkinsopp
	W K Blenkinsopp
	BMJ  2004;329:1047, doi: 10.1136/bmj.329.7473.1047-b [Extract] [Full text] [extra: Longer version] FREE

	Dennis Geoffrey Brown
	Lionel Kreeger
	BMJ  2004;329:1048, doi: 10.1136/bmj.329.7473.1048 [Extract] [Full text] [extra: Longer version] FREE

	Raymond Colback
	David Cottrell, Philip C Adams
	BMJ  2004;329:1048, doi: 10.1136/bmj.329.7473.1048-a [Extract] [Full text] [extra: Longer version] FREE

	Katharina Dorothea Dalton
	Sarah Holton
	BMJ  2004;329:1048, doi: 10.1136/bmj.329.7473.1048-b [Extract] [Full text] [extra: Longer version] FREE

	Christine Anne Ellington (née Wellard)
	Mary J Lloyd
	BMJ  2004;329:1048, doi: 10.1136/bmj.329.7473.1048-c [Extract] [Full text] [extra: Longer version] FREE

	Audrey Irene Freeth
	Derek Freeth
	BMJ  2004;329:1048, doi: 10.1136/bmj.329.7473.1048-d [Extract] [Full text] [extra: Longer version] FREE

	John Macbeth
	Sophie Macbeth
	BMJ  2004;329:1048, doi: 10.1136/bmj.329.7473.1048-e [Extract] [Full text] [extra: Longer version] FREE

	Stanley Arthur Mason
	Jeremy Mason
	BMJ  2004;329:1048, doi: 10.1136/bmj.329.7473.1048-f [Extract] [Full text] [extra: Longer version] FREE

	Andrew Shannon Ramsey
	Elizabeth Ramsey
	BMJ  2004;329:1048, doi: 10.1136/bmj.329.7473.1048-g [Extract] [Full text] [extra: Longer version] FREE

	Andrew Henderson Torrance
	Keith Torrance
	BMJ  2004;329:1048, doi: 10.1136/bmj.329.7473.1048-h [Extract] [Full text] [extra: Longer version] FREE

reviews

This week's reviews

	Book: MMR: Science and Fiction. Exploring the Vaccine Crisis; MMR and Autism: What Parents Need to Know
	David Elliman, Helen Bedford
	BMJ  2004;329:1049, doi: 10.1136/bmj.329.7473.1049 [Extract] [Full text] [Request Permissions] FREE

	Press: US media needled over flu vaccine shortage
	Daniel Engber
	BMJ  2004;329:1050, doi: 10.1136/bmj.329.7473.1050 [Extract] [Full text] [Request Permissions] FREE

	PERSONAL VIEWS: Does evidence based medicine do more good than harm?
	M G Myriam Hunink
	BMJ  2004;329:1051, doi: 10.1136/bmj.329.7473.1051 [Extract] [Full text] [Request Permissions] FREE

	Hit parade
	BMJ  2004;329:1051, doi: 10.1136/bmj.329.7473.1051-a [Extract] [Full text] [Request Permissions] FREE

	NETLINES
	Harry Brown
	BMJ  2004;329:1052, doi: 10.1136/bmj.329.7473.1052 [Extract] [Full text] [Request Permissions] FREE

	PERSONAL VIEWS: Evidence from samples of one
	Astier M Almedom
	BMJ  2004;329:1052, doi: 10.1136/bmj.329.7473.1052-a [Extract] [Full text] [Request Permissions] FREE

	PERSONAL VIEWS: Learning from evidence based mistakes
	Hilda Bastian
	BMJ  2004;329:1053, doi: 10.1136/bmj.329.7473.1053 [Extract] [Full text] [Request Permissions] FREE

	SOUNDINGS: Of free condoms
	Imre Loefler
	BMJ  2004;329:1053, doi: 10.1136/bmj.329.7473.1053-a [Extract] [Full text] [Request Permissions] FREE

Minerva

This week's Minerva

	Minerva
	BMJ  2004;329:1054, doi: 10.1136/bmj.329.7473.1054 [Full text] [PDF] [Request Permissions] FREE

Fillers

This week's Fillers

	POEM*: Donepezil is ineffective in long term treatment of dementia
	BMJ  2004;329, doi: 10.1136/bmj.329.7473.0-g [Extract] [Full text] [PDF] [Request Permissions] FREE

	A memorable patient: A fishy tale
	Ceris Watson
	BMJ  2004;329:1007, doi: 10.1136/bmj.329.7473.1007 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Buddha and evidence based medicine
	Sonal Singh
	BMJ  2004;329:1016, doi: 10.1136/bmj.329.7473.1016 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Endpiece: Discoveries
	Syed Hasan
	BMJ  2004;329:1023, doi: 10.1136/bmj.329.7473.1023-a [Extract] [Full text] [Request Permissions] FREE

	Early lessons
	David Crosby
	BMJ  2004;329:1028, doi: 10.1136/bmj.329.7473.1028 [Extract] [Full text] [PDF] [Request Permissions] FREE

	Submitting articles to the BMJ
	BMJ  2004;329:1032, doi: 10.1136/bmj.329.7473.1032-a [Extract] [Full text] [Request Permissions] FREE

	Evidence based medicine: does it make a difference?: Webchat
	BMJ  2004;329:1035, doi: 10.1136/bmj.329.7473.1035 [Extract] [Full text] [PDF] [Request Permissions] FREE

Q&A: Effect of postnatal depressi