Kay A B
Department of Allergy and Clinical Immunology, National Heart and Lung Institute, London.
BMJ. 1993 Jan 9;306(6870):122-4. doi: 10.1136/bmj.306.6870.122.
In July 1992 Dr Keith Mumby, a clinical ecologist, appeared before the professional conduct committee of the General Medical Council on five charges to do with his practice of clinical ecology. He was found guilty of two of the charges--touting for publicity and failing to give a patient adequate medical attention--and admonished. The GMC failed, however, to address the issue of the nature of Mumby's treatments--clinical ecology itself. This is based on the idea that some patients are unusually susceptible to their environment, the diagnosis and treatment are based on an unstandardised provocation-neutralisation test. A variety of medical bodies have failed to find scientific foundation for the technique. The GMC's policy on advertising services to patients is inconsistent, and in this case it has shown a regrettable reluctance to deal with the issue of treatments that are not scientifically validated.
1992年7月，临床生态学家基思·芒比医生就五项与其临床生态学实践相关的指控，出席了英国医学总会专业行为委员会的听证会。他被判定两项指控罪名成立——招揽宣传及未给予患者充分医疗关注，并受到了训诫。然而，英国医学总会未能解决芒比治疗方法的本质问题——临床生态学本身。临床生态学基于这样一种观点，即有些患者对其环境异常敏感，诊断和治疗基于一种未标准化的激发-中和试验。各种医学机构均未找到该技术的科学依据。英国医学总会针对向患者宣传服务的政策并不一致，在本案中，它表现出令人遗憾的不愿处理未经科学验证的治疗方法问题的态度。
