{"id":1083,"date":"2011-03-03T18:56:57","date_gmt":"2011-03-03T17:56:57","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=1083"},"modified":"2011-03-03T18:56:57","modified_gmt":"2011-03-03T17:56:57","slug":"%e2%80%98theft-of-wellness%e2%80%99-or-preventive-medicine","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2011\/03\/03\/%e2%80%98theft-of-wellness%e2%80%99-or-preventive-medicine\/","title":{"rendered":"\u2018Theft of wellness\u2019 or preventive medicine?"},"content":{"rendered":"<p style=\"text-align: center\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1095 aligncenter\" title=\"pill man\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2011\/03\/pill-man1.jpg\" alt=\"\" width=\"293\" height=\"293\" \/><\/p>\n<p style=\"text-align: left\">As clinicians we are always challenged to \u2018primum non nocere\u2019 \u2013 first of all do no harm. Unfortunately, this is not so easy \u2013 as those who have died as a results of iatrogenesis know only too well.<\/p>\n<p><a href=\"http:\/\/raymoynihan.com\" target=\"_blank\">Ray Moynihan<\/a> has been at the forefront of \u2018critical self-reflection\u2019 in our professions and he was in good form in a recent <a href=\"http:\/\/www.bmj.com\/content\/342\/bmj.d1140.full.html?ijkey=6IVSwBYuTc4ojzC&amp;keytype=ref\" target=\"_blank\">BMJ book review<\/a>. \u00a0The bood is called <strong><em>Over-Diagnosed: Making People Sick in Pursuit of Health and its by <\/em><\/strong>Gilbert Welch, Lisa Schwartz, and Steve Woloshin. In his review \u2014 Moynihan highlights the importance of differentiating between risk factors and disease. The authors agree\u00a0 that characterizing risk factors as disease contributes to:<\/p>\n<ul>\n<li>An expansive number of people classed as patients because they are at risk of future illness<\/li>\n<li>Unnecessary \u2018preventive\u2019 surgeries and costly screenings<\/li>\n<li>The widespread promotion of unnecessary drugs for high blood pressure, high blood sugar concentrations, and low bone mineral density<\/li>\n<\/ul>\n<p>In response to the central arguments in <strong><em>Over-Diagnosed<\/em><\/strong>, I don\u2019t want to sound like a broken record, but clinicians should consider that part of getting clearer medical information to individuals, is sharing information about the benefits of exercise prescription for illness prevention. Physiotherapy is less at fault than physicians\u2019 curricula but where is the exercise prescription training? How can you expect doctors to promote exercise when they were exposed to half a day of relevant teaching in 4-6 years of medical school. Not good given that physical inactivity is the world\u2019s biggest public health problem (<a href=\"http:\/\/bjsm.bmj.com\/content\/43\/1\/1.extract?sid=31db6e9f-f774-4e0f-a458-9ea2d70e345f\" target=\"_blank\">Blair, 2008 BJSM<\/a>). Professor Erica Frank has interesting papers showing that medical students become LESS HEALTHY during training and that they are LESS LIKELY to prescribe exercise at the end of a medical course than at the start. Imagine if engineers got 4 years of training to build bridges that are more likely to collapse! Accreditation organizations \u2013 this is a wake up call. Deans of Medicine \u2013 be very ashamed if you are ignoring exercise medicine in your watch \u2013 it\u2019s the most powerful single therapy. <img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1093\" title=\"happyfamilyrunning\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2011\/03\/happyfamilyrunning1.jpg\" alt=\"\" width=\"334\" height=\"334\" \/><\/p>\n<p>Need convincing, see:<\/p>\n<p>-the cover of the <a href=\"http:\/\/bjsm.bmj.com\/content\/45\/3.cover-expansion\" target=\"_blank\">March BJSM<\/a>,<\/p>\n<p>-the <a href=\"http:\/\/bjsm.bmj.com\/content\/current#Editorials\" target=\"_blank\">editorial from Sweden<\/a>, and the;<\/p>\n<p>&#8211;<a href=\"http:\/\/podcasts.bmj.com\/bjsm\/feed\/\" target=\"_blank\">podcast with Mei-Lis Hellenius and Carl Johann Sundberg<\/a>.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As clinicians we are always challenged to \u2018primum non nocere\u2019 \u2013 first of all do no harm. Unfortunately, this is not so easy \u2013 as those who have died as a results of iatrogenesis know only too well. Ray Moynihan has been at the forefront of \u2018critical self-reflection\u2019 in our professions and he was in [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2011\/03\/03\/%e2%80%98theft-of-wellness%e2%80%99-or-preventive-medicine\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2030,1,187],"tags":[],"class_list":["post-1083","post","type-post","status-publish","format-standard","hentry","category-behavior-changes","category-uncategorized","category-hot-topic"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u2018Theft of wellness\u2019 or preventive medicine?  - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2011\/03\/03\/\u2018theft-of-wellness\u2019-or-preventive-medicine\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u2018Theft of wellness\u2019 or preventive medicine?  - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"As clinicians we are always challenged to \u2018primum non nocere\u2019 \u2013 first of all do no harm. Unfortunately, this is not so easy \u2013 as those who have died as a results of iatrogenesis know only too well. 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