Is that absolutely true? Reflections on reality in general practice

Biomedical scientific knowledge appeared to me, as a medical student, to be carved in stone. After many years in general practice it seemed more like it was carved in the shifting sands of time. A feeling of insecurity in diagnosis and treatment followed. There was also a perceived superiority of scientific knowledge over knowledge gained by other means. This did not sit well with my experience in everyday general practice. This article explores a rational framework for change in medical science and a justification for giving equal importance to other forms of knowledge in general practice.