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Informed dissent: can we handle internet medicine?
  1. Simon Vann Jones1,
  2. William Breakey2
  1. 1Department of Psychiatry, University of Oxford, Oxford, UK
  2. 2Department of Plastic Surgery, University Hospital North Durham, Durham, County Durham, UK
  1. Correspondence to: Dr Simon Vann Jones
    Department of Psychiatry, University of Oxford, Oxford OX3 7JX, UK; simon.vannjones{at}conted.ox.ac.uk

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The recent sad passing of David Sackett, father of Evidence Based Medicine (EBM), provides the impetus to start an urgently needed conversation about how clinicians should manage patient-led ‘big’ data from the internet in clinical practice.1 Increasingly patients are citing ever more sophisticated and compelling resources to support their choice to start, stop or change treatments. CureTogether.com is perhaps the best example of this rebalancing in the doctor–patient relationship. Pooling data from members who have answered questionnaires on symptoms and treatment efficacy for over …

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