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When Trials Find Implausible Results—The SCOT-HEART trial

Sensible Medicine

An imaging test. One group of patients with chest pain received standard stress testing; the other received standard stress testing plus a coronary CT scan (CCTA). Here is the 5-year survival curves for the composite endpoint of CV death and MI: How can a diagnostic test lead to this much benefit? Not a drug.

Tests 308
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Race in Medicine

Sensible Medicine

In the years that followed, I learned of efforts to remove racial identifiers from medical textbooks and test questions. Another critical point is that socially defined race (the only kind) – Black, Asian, European – are terribly inaccurate stand-ins for what medically important variation there is.

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Building Trust and Empathy in Diagnostic Medical Sonography

MedQuest College

Building trust and empathy in diagnostic medical sonography is vital for delivering exceptional patient care. As a diagnostic medical sonographer, you play a crucial role in the healthcare journey by providing accurate imaging that aids in diagnosis and treatment.

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Friday Reflection 44: Diagnostic Enigma

Sensible Medicine

I feel most like I am “among my people” discussing diagnostic dilemmas with my team post call. The Medical Detectives by Berton Roueche is a beloved classic. Lisa Sanders has made a career -- beyond her medical practice – of engaging descriptions of struggles to solve difficult cases.

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More Problems with (and Suggestions for) Medical Education

Sensible Medicine

We’ve had a number of articles on Sensible Medicine about medical education. It is probably not surprising as many of our writers and readers have had personal experience with medical education and/or work with trainees everyday. While transparency is good, it leads to gaming the system by medical schools and students.

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A Brief Study on Diagnostic Reasoning 

We Care Online

Diagnostic reasoning is one of the most essential skills for any health care professional, from medical students to seasoned physicians. Mastering diagnostic reasoning is crucial for providing accurate patient care, minimizing errors, and improving health outcomes. What is Diagnostic Reasoning?

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I Am Afraid of Early Cancer Detection

Sensible Medicine

It’s been a few years since I first heard about the Galleri test produced by the Menlo Park startup Grail. Galleri is a blood-based screening test for cancer. For a couple of reasons, I didn’t work very hard to learn about the Galleri test. Second, I was worried that this test might have real promise.

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