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As Shakespeare put it (in All's Well That Ends Well ): “But thou art too fine in thy evidence; therefore stand aside.” As today's family practitioner might update it: “How do you expect me to learn all this evidence stuff you are talking about? I am already struggling with budget managers, contracts with secondary care, and prescribing costs. I hardly have enough time to see all my patients, let alone do the educational stuff I am supposed to do. And now yon want me to look up a reference in some electronic library thing whenever someone comes in with an earache?”
Martin Dawes (Mon,) studied this question.