Recent article From the Sunday New York Times: "Doctor, shut up and listen!"

Bruno, Michael mbruno at HMC.PSU.EDU
Tue Jan 6 20:23:05 UTC 2015

Greetings IMPROVEDX List-serve colleagues, and Happy New Year!

Thanks to Jason and Thomas for starting this years' discussion.

The attached article appeared in the Sunday New York Times.   I thought it was relevant to our group's discussion.

All the best,

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Michael A. Bruno, M.D., F.A.C.R.
Professor of Radiology & Medicine
Director of Quality Services & Patient Safety
The Milton S. Hershey Medical Center
Penn State College of Medicine
500 University Drive, Mail Code H-066
Hershey, PA  17033

Phone: (717) 531-8703
Fax:      (717) 531-5596

e-mail: mbruno at<mailto:mbruno at>

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From: Carroll, Thomas [mailto:Thomas_Carroll at URMC.ROCHESTER.EDU]
Sent: Tuesday, January 06, 2015 1:44 PM
Subject: Re: [IMPROVEDX] "Early diagnostic suggestions improve accuracy of GPs"

Interesting.  My question would be how this would translate to the real world.  In this artificial environment we know whether or not the "correct" dx is in the list of suggested dx's.  That would not be the case in the real world.

Thomas M. Carroll M.D., Ph.D.
Assistant Professor, General Medicine & Palliative Care
University of Rochester
thomas_carroll at<mailto:thomas_carroll at>
Pager 5-1616 #3872
Tel: 585-275-7424 (General Medicine Office)
Tel: 585-273-1154 (Palliative Care Office)
Tel: 585-341-6775 (Resident Practice, Highland Hospital)

From: Jason Maude [mailto:Jason.Maude at ISABELHEALTHCARE.COM]
Sent: Tuesday, January 06, 2015 1:25 PM
Subject: [IMPROVEDX] "Early diagnostic suggestions improve accuracy of GPs"

This is very interesting study just published in the British Journal of General Practice which also highlights the potential value of patients using symptom checkers and handing the results to their doctor at the start of the consultation. This would get over the current technical challenges of a system automatically producing a differential from more complex cases with multiple symptoms.<>

Regards and Happy New Year to the group.

Jason Maude
Founder and CEO Isabel Healthcare
Tel: +44 1428 644886
Tel: +1 703 879 1890<>

Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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