Fwd: PDF - www.pnas.org

Bruno, Michael mbruno at HMC.PSU.EDU
Tue Aug 23 19:48:36 UTC 2016


Will read it - looks interesting!  Thanks!!

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Michael A. Bruno, M.S., M.D., F.A.C.R.
Professor of Radiology & Medicine
Vice Chair for Quality & Patient Safety
Chief, Division of Emergency Radiology
Penn State Milton S. Hershey Medical Center
* (717) 531-8703  |  * mbruno at hmc.psu.edu<mailto:mbruno at hmc.psu.edu>  |  6 (717) 531-5737
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From: graber.mark at GMAIL.COM [mailto:graber.mark at GMAIL.COM]
Sent: Tuesday, August 23, 2016 12:17 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Fwd: PDF - www.pnas.org

Thanks to Nick Argy for bringing this article to attention.   The methods and findings are a bit hard to follow, but if I understand things correctly, the article finds that diagnostic accuracy can be improved by second opinions or larger groups if the diagnosticians have similarly high skill levels, but that accuracy is degraded to the extent that the variability increases.  I'd really like to hear what others get out of this paper, because these findings have important implications for recommendations to move in the direction of getting more second opinions, or using the new group-based diagnosis approaches.

Mark



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