My wife is a paediatrician in the NHS, Those very guidelines are _always_ evolving. During training in the NHS a doctor is expected to do/participate/author a

My wife is a paediatrician in the NHS, Those very guidelines are _always_ evolving. During training in the NHS a doctor is expected to do/participate/author at least one study during their time in training. Thats at least 8k studies a year from junior doctors alone. Of course I want doctors to make professional judgements. But, I also want gross mistake to be prevented. For example dumping a 7 year old with textbook _textbook_ autism on lithium, because they had "rapid cycling manic depression" (why is that bad? a) because MD is vanishingly rare in pre pubescent, and unheard of in 7 year olds outside the USA, the risks of suicide when coming off lithium is 1/3) in adult land when someone has Tonsillitis, prescribing them an expensive co-amoxiclav generic ($50 a _pill_) when the brand the cheapest generic was $20 for the entire course. (as it was a primary infection and showed no resistance, amoxicillin should have really been used.)