Uncertainty

HM Epstein hmepstein at GMAIL.COM
Tue Jun 20 16:34:09 UTC 2017


Is the legal standard used for malpractice lawsuits the same standard that is currently being taught in medical schools and is that the standard that is practiced by most HCP's? Are there any studies looking at the prevalence of use of heuristics vs. differential diagnosis in outpatient care?

Best,
Helene

Sent from my iPhone

On Jun 20, 2017, at 11:52 AM, Phillip Benton <0000000697ec7b18-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG> wrote:

Rob & Xavier,
The standard in patient/plaintiff's lawsuits is that when a physician is formulating a Diff Dx, the most dangerous Dx should be placed at the top and ruled out first. Stated simply, the STAKES matter far more than the ODDS.
Phillip  Benton, MD, JD
Adjunct Professor
Emoty Law School

Phillip Benton
pgbentonmd at aol.com



On Tuesday, June 20, 2017 robert bell <0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG> wrote:

Xavier,

I would think not in a very scientific way. But it should be, and explained to the patient.

Doing a study with HCPs on their impression of the frequency of certain diseases/conditions in their practice and also in general practice would be interesting. The range I suspect would be eye opening.

A similar study on the length to diagnosis of rarer conditions would also be enlightening.

Should we not be able to get this information now from data bases?

Rob Bell MD.


On Jun 3, 2017, at 4:08 AM, Xavier Prida <dr.xavier.prida at GMAIL.COM> wrote:

Is uncertainty allowed for in the expectations of diagnosis and management?
Article;
Assumptions of Quality Medicine- The Role of Uncertainty
doi:10.1001/jamaoto.2017.0257

​Xavier​

Xavier E. Prida MD FACC FSCAI
Assistant Professor of Medicine
Program Director Cardiology Fellowship Training 
USF Morsani College of Medicine
Department of Cardiovascular Sciences
2 Tampa General Circle
STC 5 th Floor 
Tampa, Fl 33606
813 259 0992(O)




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