As a modern practitioner, I live in the era of Evidence-based practice. Modern clinical decision making explicitly acknowledges the evidence that contributes to each patient management decision, the strength of that evidence, the benefits and risks of alternative management strategies, and the role of patients’ or parents’ values and preferences in trading off those benefits and risks. As my fellow clinicians in child health do, I encounter practices that are weak in evidence in every working day. Only fairly recently the important gap in the evidence that should underpin clinical choices for safe and effective treatments for children has come to the larger public’s attention. It has motivat
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