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The interesting part to me is that Atul Gawade is one of the few doctors who is willing to say

"I don't know."

What worries me are those that attempt to fake it instead.




I think it is an incredibly ridiculous system of training we have for these people.

Why are we not using expert systems?


Malcolm Gladwell covered a great story in Blink about the success of decision trees in diagnosing Chest Pain at Cook County Hospital in Chicago. The doctors were very resistant to using the tools. I wonder if we will just have to wait for the old guard to die off before new innovations in technology can be integrated into medicine.

Imagine a Netflix challenge for catching medication problems using customer case files. "Your patient had his spleen removed but is not receiving medication to compensate." should be displayed along side the case so every reviewer would see these recommendations.


Then there'd be nobody to sue?


Although he is willing to say that in print, I wonder if he is so willing to say that to his patients.




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