Margaret McCartney

Margaret Mary McCartney is a Scottish general practitioner, freelance writer and broadcaster based in Glasgow, Scotland. McCartney is a vocal advocate for evidence-based medicine.[1][2] McCartney was a regular columnist at the British Medical Journal. She regularly writes articles for The Guardian and currently contributes to the BBC Radio 4 program, Inside Health.[3] She has written three popular science books, The Patient Paradox, The State of Medicine and Living with Dying. During the COVID-19 pandemic, McCartney contributed content to academic journals and broadcasting platforms, personal blog, and social media to inform the public and dispel myths about coronavirus disease.[4]

Margaret McCartney
McCartney speaks to a Scottish Parliament committee in 2017
Born
Margaret Mary McCartney

Scotland
NationalityScottish
EducationUniversity of Aberdeen School of Medicine and Dentistry
OccupationGP
writer
broadcaster
Years active1995-present
EmployerNHS Greater Glasgow and Clyde
Known forEvidence based medicine
Children3

Early life and education

McCartney was born in Scotland.

McCartney has said that her earliest ambition was "to be an engineer".[5] She studied medicine at the University of Aberdeen.[6] In 1994, McCartney earned her medical degree from the University of Aberdeen School of Medicine and Dentistry. In 1995, she completed her General Medical Council registration.[7]

Career

McCartney is a general practitioner based in Glasgow, Scotland, contracted to NHS Greater Glasgow and Clyde.[8][9][10] McCartney started popular science writing after reading a misleading newspaper article claiming health benefits associated with CT scanning.

From 2013 to 2018, McCartney wrote regular columns for the British Medical Journal (BMJ), through which she debunked medical claims that were not rooted in evidence.[11]

McCartney is a regular contributor to the BBC Radio 4 show Inside Health and has contributed to other science related programming. McCartney uses her time on air to share evidence about topics related to public health, for example the lack of evidence surrounding the sugary drink tax or recommendation to drink eight glasses a day of water.[12][13] She has written and hosted her own radio shows, including Farewell Doctor Finlay andTell Me Where It Hurts, which looked at historical and contemporary GP practise in the National Health Service.[14][15]

Alongside her writing and broadcasting, McCartney has campaigned for doctors to be required to provide conflict of interest statements to their patients.[16][17] At the time, access to this type of information was becoming increasingly important – the commercialisation of healthcare was resulting in confusing guidelines that did not protect patients.[17] "Conflict of Interest" could include disclosing whether they are a paid consultant for or have been trained by a drug company when prescribing drugs. She argued that as doctors have to disclose this information to their employers each year, the General Medical Council should be able provide this detail to members of the public.[16] Her proposal was backed by Ben Goldacre, Trish Groves and Iain Chalmers. As part of this campaign, McCartney and colleagues set up the website whopaysthisdoctor.org, which collected and shared details on the commercial interests of physicians.[17]

McCartney established the Royal College of General Practitioners (RCGP) working group on overdiagnosis, which she defined as "the application of diagnoses and treatments for patients that are of little or no value".[18][19] As part of her campaigning work, she led calls for general practitioners and pharmacists to not recommend or prescribe homeopathic medicine or products. This was approved by the RCGP in 2015, who made a statement outlining their commitment to evidence-based medicine.[20]

She has provided evidence before government on the need for healthcare providers in both the public and private sector to be more transparent about the risks and benefits of health screening.[21][22] She pointed out that private screening companies could make claims such as, “we’ve saved thousands of lives”, in advertising materials, irrespective of whether these claims were grounded in evidence.[21] McCartney has shown hat the outcomes of these evidence-free, private screenings, which were not sanctioned by the UK National Screening Committee,[23], often resulted in an additional burden for the National Health Service.[24] McCartney has argued that 'sexed up' medicine; in which people make medical decisions based on overselling, incomplete information and unfair claims, is bad of people's health.[25] As part of her campaigning efforts, she contacted the Advertising Standards Authority, who upheld her complaints on the use of misleading information and non-evidence based inspections.[24] In 2016 McCartney joined Phil Hammond for a month long show at the Edinburgh Festival Fringe, where the pair urged the audience to protect the National Health Service from "market mayhem".[26]

Throughout the COVID-19 pandemic McCartney was a regular guest on Inside Health, discussing the drug trial,[27] health inequality[28], the impact of smoking on coronavirus disease prognosis[29] and importance of personal protective equipment.[3] In March 2020 she called for more COVID-19 testing of frontline workers, pointing out that over the course of two days, their workload had increased by 40%.[30] Writing in The Lancet, McCartney described the impact of the COVID-19 pandemic on the medical community, “The NHS has told people for years that it 'puts patients at the hearts of all we do'. I suspect most doctors, frustrated at bureaucracy and barriers, would disagree. That it has taken a global crisis, which is killing patients and health-care staff, and which will have profound psychological sequelae, to make this happen, is catastrophic, and an unpayable price”.[31]

She is a patron of HealthWatch UK, a charity which challenges poor evidence in health reporting, as well as an honorary fellow of the Centre for Evidence-Based Medicine.[32][33]

Personal life

McCartney lives in Glasgow. She has three children.[34]

Leadership

Awards and honours
  • 2008: HealthWatch Award[35]
  • 2009: Cancerworld, Best Cancer Reporter Award[36]
  • 2016: PULSE Today, Pulse Power 50[37]
  • 2016: PPA Columnist of the Year[38]
  • 2017: New York Festivals World's Best Radio Programs Finalist[39]
  • 2018: PULSE Today, Pulse Power 50[40]

Selected works and publications

Selected works
  • McCartney, Margaret (2012). The Patient Paradox: Why Sexed-Up Medicine Is Bad for Your Health. London: Pinter & Martin. ISBN 978-1-780-66000-4. OCLC 801002449.
  • McCartney, Margaret (2014). Living with Dying: Finding Care and Compassion at the End of Life. London: Pinter & Martin. ISBN 978-1-78066-150-6. OCLC 909029817.
  • McCartney, Margaret (2016). The State of Medicine: Keeping the Promise of the NHS. London: Pinter and Marti. ISBN 978-1-78066-400-2. OCLC 945947405.

Selected publications
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References
  1. Duffy, Judith (14 April 2012). "Cancer screening? No thanks, says GP". HeraldScotland.
  2. McCartney, Margaret (2 December 2014). "EvidenceLive 13: Margaret McCartney - The Patient Paradox". Centre for Evidence-Based Medicine at the University of Oxford.
  3. McCartney, Margaret (24 March 2020). "COVID-19 PPE; Secondary Pneumonia; Viral Load; Trauma Care in Fort William". Inside Health. BBC Radio 4.
  4. McCartney, Margaret (22 May 2020). "Opinion - Coronavirus outbreak: There are few certainties in coronavirus medicine – research is our best weapon". The Guardian.
  5. McCartney, Margaret (17 March 2014). "Margaret McCartney: Singing the praises of evidence". BMJ. 348 (mar17 2): g2015–g2015. doi:10.1136/BMJ.G2015. PMID 24637678. Wikidata ()
  6. "Margaret Mary McCartney". GMC. Retrieved 2020-05-24.
  7. "Fulton Street Medical Centre". www.fultonstreetmedicalcentre.co.uk. Retrieved 2020-05-24.
  8. "Margaret McCartney: GMC# 4111294". Sunshine UK. 2020. Retrieved 25 May 2020.
  9. "Inspiring People: Margaret McCartney". Heidi R. Gardner. 2018-10-03. Retrieved 2020-05-24.
  10. "Evidence-based medicine, relationships and trust: #CochraneForAll interview with Dr Margaret McCartney". Evidently Cochrane. 2018-11-23. Retrieved 2020-05-24.
  11. McCartney, Margaret (2018-09-04). "Margaret McCartney: A summary of four and a half years of columns in one column". BMJ. 362. doi:10.1136/bmj.k3745. ISSN 0959-8138. PMID 30181339.
  12. "BBC Radio 4 - Inside Health, Preventive HIV therapy, Sugar tax, Bowel cancer, Surgery". BBC. Retrieved 2020-05-24.
  13. "Advice to drink eight glasses of water a day 'nonsense,' argues doctor". ScienceDaily. Retrieved 2020-05-24.
  14. "BBC Radio 4 - Tell Me Where It Hurts". BBC. Retrieved 2020-05-24.
  15. "BBC Radio 4 - Farewell Doctor Finlay, Episode 1". BBC. Retrieved 2020-05-24.
  16. Committee, Great Britain: Parliament: House of Commons: Health; Dorrell, Stephen (2014-04-02). 2013 Accountability Hearing with the General Medical Council - HC 897. The Stationery Office. p. 37. ISBN 978-0-215-07057-9.
  17. "Resolving Conflicts of Interest in Medicine". EBMLive. 2019-03-18. Retrieved 2020-05-25.
  18. "RCGP Standing Group on Overdiagnosis". RCPG. Retrieved 2020-05-25.
  19. "The growing problem of Overdiagnosis". CEBM. 2014-09-17. Retrieved 2020-05-25.
  20. "Homeopathy". www.rcgp.org.uk. Retrieved 2020-05-25.
  21. "National Health Screening; Third Report of Session 2014–15" (PDF). Parliament.uk. Retrieved 2020-05-25.
  22. "letter to GMC and Health Committee". Margaret McCartney's Blog. 2015-03-04. Retrieved 2020-05-25.
  23. McCartney, Margaret; Fell, Greg; Finnikin, Sam; Hunt, Harriet; McHugh, Mike; Gray, Muir (12 December 2019). "Why 'case finding' is bad science". Journal of the Royal Society of Medicine. 113 (2): 54–58. doi:10.1177/0141076819891422. PMID 31829072. Wikidata ()
  24. McCartney, Margaret (2018-02-13). "Margaret McCartney: The NHS shouldn't have to pick up the bill for private screening tests". BMJ. 360. doi:10.1136/bmj.k598. ISSN 0959-8138. PMID 29440048.
  25. "WONCA EUROPE 2014 - Interview with Margaret McCartney". www.woncaeurope2014.org. Retrieved 2020-05-24.
  26. Christie, Bryan (2016-08-09). "Stand up for the NHS: Margaret McCartney joins Phil Hammond on stage in Edinburgh". BMJ. 354. doi:10.1136/bmj.i4378. ISSN 1756-1833. PMID 27510988.
  27. "BBC Radio 4 - Inside Health, Inside Health: The Virus, Covid-19 drug trial; Mental health alone; Southampton update; Antarctica's lockdown lessons". BBC. Retrieved 2020-05-24.
  28. "BBC Radio 4 - Inside Health, Inside Health: The Virus, Longest Stay Covid-19 Patient; Health Inequalities; Agoraphobia; Covid-19 Testing". BBC. Retrieved 2020-05-24.
  29. "BBC Radio 4 - Inside Health, Inside Health: The Virus, Smoking vs Covid-19; non-urgent treatments; loneliness surveys; Southampton update, covid and the law". BBC. Retrieved 2020-05-24.
  30. "Coronavirus in Scotland: Frontline staff tests stepped up to prevent exodus". HeraldScotland. Retrieved 2020-05-24.
  31. McCartney, Margaret (April 2020). "Medicine: Before COVID-19, and After" (PDF). The Lancet. 395 (10232): 1248–1249. doi:10.1016/S0140-6736(20)30756-X. PMID 32243779. Wikidata ()
  32. "People - HealthWatch-UK". www.healthwatch-uk.org. Retrieved 2020-05-24.
  33. "Margaret McCartney: Cancer screening review diminishes informed choice". The BMJ. 2019-10-25. Retrieved 2020-05-25.
  34. "Authors: Margaret McCartney". Pinter & Martin Publishers. 2020. Retrieved 25 May 2020.
  35. "2008 Dr Margaret McCartney - HealthWatch-UK". www.healthwatch-uk.org. Retrieved 2020-05-24.
  36. "Are we educating women to be afraid? UK health reporter questions the value of simplistic screening messages". Cancerworld. 2009-09-01. Retrieved 2020-05-24.
  37. September 2016, 1. "15. Dr Margaret McCartney". Pulse Today. Retrieved 2020-05-24.CS1 maint: numeric names: authors list (link)
  38. "PPA Awards 2016: Shortlist Announced". www.inpublishing.co.uk. Retrieved 2020-05-25.
  39. "New York Festivals - 2017 World's Best Radio Programs™ Winners". www.newyorkfestivals.com. Retrieved 2020-05-24.
  40. August 2018, 21. "21. Dr Margaret McCartney". Pulse Today. Retrieved 2020-05-24.CS1 maint: numeric names: authors list (link)
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