Intended for healthcare professionals

Letters “Three strikes and you’re in” rule for general practice

“Rule of three” for medical decision making

BMJ 2025; 388 doi: https://doi.org/10.1136/bmj.r471 (Published 13 March 2025) Cite this as: BMJ 2025;388:r471
  1. Peter G Davies, semi-retired general practitioner
  1. Halifax, UK
  1. p.davies5{at}nhs.net

Rosen mentions a “three strikes and you’re in” rule for general practice.1 I was first taught a three strikes rule as a general practitioner trainee, which was many years ago now. It’s a custom and habit rule—I’m not sure it’s ever been …

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