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Richard D. Sautter, MD
Marshfield Medical Foundation Marshfield, Wis

JAMA. 1985;254(8):1032-1033.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I read with considerable interest the editorial by Dr Peter P. Morgan¹ entitled "Randomized Clinical Trials Need to be More Clinical." I was somewhat amazed with the author's comment that a "randomized clinical trial requires clinicians to set aside their own judgments, asks patients to accept treatment that may be substandard..." I have been a clinical investigator in several randomized trials. If I had believed I was asking a patient to accept substandard treatment, or had already made a judgment that I had "set aside" regarding any treatment modality, I would have felt obliged not to participate in that clinical trial.

It is unethical, immoral, and unconscionable to encourage patients to accept any treatment a physician thinks is substandard. . . . [Full Text PDF of this Article]

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