Abstract
Looking back 100 years from now, how will you judge the professional integrity of medicine in the second decade of the 21st century, more than 8 decades after Fleming discovered penicillin? Among young children, acute otitis media (AOM) has been the most frequent diagnosis for which antibiotics are prescribed.1,2 The diagnosis and management of AOM should provide a telling case study. You assume medicine had long ago mastered the treatment of AOM and persistent middle ear effusion, two of the most common acute and chronic conditions encountered in primary care settings.
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