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Why Attribution Bias Might be the Costliest Bias

Sensible Medicine

Attribution bias in medicine occurs when symptoms are attributed to an unrelated diagnosis or test result. Inappropriate procedures, costly admissions, and unnecessary downstream testing stemmed from incidental findings and unimportant lab abnormalities, many of which originated from a primary care office. .”

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Friday Reflection 28: Four of the Things Patients Have Taught Me

Sensible Medicine

We read about diseases and their associated diagnostic tests and treatments. Clinical findings and blood tests hint at the diagnosis, but the only truly confirmatory test is a biopsy of the temporal artery – a small procedure but a procedure all the same. Diagnostic tests give you more than just a diagnosis.

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Friday Reflection 32: The Trauma of Not Dying Alone

Sensible Medicine

PT’s own appointments with me are mostly consumed by discussion about LT.  There have been previous admissions after which the patient did not make it to follow-up appointments. LT is an 87-year-old-man with presumed Alzheimer’s dementia. At his most recent visit, he sits quietly while I speak to his wife, PT.

Hospice 313
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Friday Reflection #40: Power

Sensible Medicine

percent of ER visits and 6% of hospital admissions in the US. Carotid dopplers are often done even though the test is definitively unnecessary in almost all cases. There is no financial incentive for doing another test or procedure or making another referral. Syncope (fainting) is a common problem, responsible for 1-3.5%

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In Pursuit of the Flat Line

Sensible Medicine

The device becomes a screening test or provides information to “promote wellness.” Perhaps the most well-known example happened when the nature of primary hyperparathyroidism changed with the advent of automated multi-channel chemistry tests. His HbA1c at a recent appointment was 5.5% (37 mmol/mol).

Tests 219
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Highs and Lows

Sensible Medicine

Her outpatient follow-up appointments were scheduled; we had reviewed her safety plan; she felt well and ready to leave the hospital. Each treatment, test, and procedure need to be specified carefully and justified to the court, as we are not granted license to do whatever we want. ” I asked. ” I agreed. “Oh this?

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Inside Geisinger Med School Admissions with Dr. Michelle Schmude [Episode 600]

Accepted Blog

Show Summary Welcome to the 600th episode of Admissions Straight Talk ! Show Notes Welcome to the 600th episode of Admissions Straight Talk. Accepted’s free guide, Med School Admissions, What You Need to Know to Get Accepted can tell you exactly what you need to do. Dr. Schmude, welcome back to Admission Straight Talk.