Michael Grossman Michael.Grossman at MIHS.ORG
Wed Sep 23 18:19:53 UTC 2015

I agree with your assessment. The IOM sometimes seems to fall short of expectations. Their relatively recent report on Graduate Medical Education was disappointing. 
The fact that multiple news agencies are running with this story may lead to some misunderstandings , especially on the nature of "delayed diagnoses".
Michael Grossman, MD MACP

-----Original Message-----
From: Robert L Wears, MD, MS, PhD [mailto:wears at UFL.EDU] 
Sent: Wednesday, September 23, 2015 9:31 AM
Subject: [IMPROVEDX] disappointed

Great that misdiagnosis and related failures are getting attention, but ...

This is a disappointing effort; a naïve, keyhole view of a complex problem.

I count 82 mentions of 'error' in the first 15 pages (~5.5 per page), 753 in the entire document.

Lots of discussion about biases (78 mentions) but important issues that challenge the focus on 'error', such as hindsight bias, or outcome bias, are never mentioned even once.

This restriction to a very narrow framing of the problem is unlikely to lead to progress.


Robert L Wears, MD, MS, PhD
University of Florida  	Imperial College London
wears at ufl.edu		r.wears at imperial.ac.uk
1-904-244-4405 (ass't)  	+44 (0)791 015 2219
Nothing matters very much, and very few things matter at all.

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