No substitute for second physician

'Nosodes' are no substitute for vaccines.

A growing antivaccine movement in Canada and elsewhere is hearing more about an unproven homeopathic therapy, 'nosodes', as an alternative to routine vaccines. The present statement defines nosodes and describes limitations for their use in children. There is scant evidence in the medical literature for either the efficacy or safety of nosodes, which have not been well studied for the preventio...

No substitute for the clinician-teacher.

Biochemical investigation is no substitute for clinical examination!

CONTEXT Toxic shock syndrome has been shown previously to be associated with hyperamylasaemia. However, serum amylase levels do not usually exceed three times upper limit of normal in these cases. CASE REPORT We report a case of a young girl of 17 years who presented with upper abdominal pain, severe shock and raised serum amylase level of 3,898 U/L, giving an impression of severe acute pancr...

Simulation Education Is No Substitute for Intelligent Thinking

This paper presents a critique of the current teaching practices of Simulation. We challenge the current view of simulation, to the extent that most textbooks’ contents will be found to be secondary to the missing necessary primary material. We advocate that (simulation) education has four general objectives, which are to teach students how to learn, how to think creatively, how to problem solv...

Check boxes are no substitute for narrative documentation.