[EXTERNAL] [IMPROVEDX] FW: stroke misdiagnosis disproportionate in the young says Washington Post

Von Feldt, Joan M. Joan.VonFeldt at VA.GOV
Thu Jun 19 20:15:18 UTC 2014


CME rarely changes practice
And there are many other things to learn, and many other pitfalls to avoid

Joan M Von Feldt, MD, MSEd
Associate Chief of Staff, Education
Philadelphia Veterans Medical Center
Professor of Medicine
University of Pennsylvania
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admin officer Kim Jackson
kimberly.jackson5 at va.gov<mailto:kimberly.jackson5 at va.gov>
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http://www.med.upenn.edu/rheum/rheum_bio_vonfeldt.html
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From: Ruth Ryan [mailto:rryan at LAMMICO.COM]
Sent: Thursday, June 19, 2014 10:56 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [EXTERNAL] [IMPROVEDX] FW: stroke misdiagnosis disproportionate in the young says Washington Post

David's studies showing the common pitfalls in stroke diagnosis are a perfect argument why CME that is diagnosis-specific or specialty-specific can be effective.

Specialty-specific education is the #1 request we receive from our insured physicians about CME topics. Disease-specific education topics are frequently chosen.

So why not give it to them? Create one CME activity for primary care physicians on the pitfalls/reasons why stroke is most commonly missed, and one for emergency medicine physicians, based on David's research and others'. Use it to illustrate and explain cognitive bias.

Incorporate risk stratification as suggested by David Gordon, and other tools, and make ability to implement them as the performance objectives.

Create another activity on why MI is missed (young people, people who don't have chest pain, risk stratification) and the connection will be reinforced about representativeness error and others.

It's a captive audience, MDs have to take CME courses anyway, so let's make it effective.

Ruth
Ruth Ryan RN, BSN, MSW, CPHRM
Senior Risk Management Education Specialist
LAMMICO
1 Galleria Blvd., Suite 700
Metairie, LA 70001
E-Mail rryan at lammico.com<mailto:rryan at lammico.com>
Telephone (504) 841-2736
Fax (504) 841-5312

From: David Newman-Toker [mailto:toker at JHU.EDU]
Sent: Tuesday, June 17, 2014 1:56 PM
Subject: stroke misdiagnosis disproportionate in the young says Washington Post

Stroke is a major public health problem, and recent work suggests young patients are having more strokes, with rates rising alarmingly in recent years, according to an article in today's Washington Post...

http://www.washingtonpost.com/national/health-science/strokes-long-on-the-decline-among-the-elderly-are-rising-among-younger-adults/2014/06/16/f1f54538-e5d9-11e3-a86b-362fd5443d19_story.html

They are also much more likely to be misdiagnosed (7-fold greater risk in those 18-45 relative to those >75)...

http://www.degruyter.com/view/j/dx.2014.1.issue-2/dx-2013-0038/dx-2013-0038.xml

Thoughts?

David


David E. Newman-Toker, MD, PhD
Associate Professor, Department of Neurology
Johns Hopkins Hospital, Meyer 8-154; 600 North Wolfe Street, Baltimore, MD 21287
Email: toker at jhu.edu<mailto:toker at jhu.edu>; 410-502-6270 (phone); 410-502-6265 (fax)
Web address: Johns Hopkins Neurology (David Newman-Toker)<http://www.hopkinsmedicine.org/neurology_neurosurgery/specialty_areas/vestibular/profiles/team_member_profile/516F40C024FCA3D4B4B633D0E080FE1B/David_Newman-Toker>


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