. @Atul_Gawande as I've long said, docs fear being wrong, fear medical staff censure FAR more than they fear med mal
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@Atul_Gawande Can it bcos of influence bias! Leading practitioners influence rest?Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@jc4ja Overtreatment is a transmissible disorder.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande it's a medical education problem.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande I can't access the article but how many md's solely work@VA? Many split time, likely developing a practice style in/out of VAThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande Does that imply over treatment is based on perceptions of standard of care/best care?Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande Something to consider: screw up as a VA physician, and you can be hauled in front of Congress to testify.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande: Fascinating study: VA physicians (who are salaried and almost never sued) same tendency to overtreat as others # WhoknewThanks. Twitter will use this to make your timeline better. UndoUndo
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Where did they train? Habits matter...
@Atul_Gawande: VA physicians have same tendency to overtreat as others. http://bit.ly/15Y9LAwThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande Consensus more deadly than a panel?@JimPethokoukisThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande Were they always VA providers? I read a study where old docs were the best clinicians and not reliant on modern testing.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@jsuliburk: Practice pattern spillovers into VA system? Aggressiveness operating at a subconscious level. - 1 more reply
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Interesting!
@Atul_Gawande Risk of false negatives far outweigh false positives in medicine, overlooking false +'ve costs? -
@MCSeto@Atul_Gawande. To a large degree this fear of failing to recognize illness and intervene leads to overtreatment and induced illness
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@Atul_Gawande Maybe it's due to societal pressures. I think we need a study that compares our doctors to other countries doctors.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande interesting.Thanks. Twitter will use this to make your timeline better. UndoUndo
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FEAR OF FAILURE/HARMING? “
@Atul_Gawande:Fascinating:VA physicians(salaried & almost never sued) have same tendency 2 overtreat as others.Thanks. Twitter will use this to make your timeline better. UndoUndo
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The effects of supply r insidious “
@Atul_Gawande: VA physicians who are salaried and almost never sued overtreat too http://bit.ly/15Y9LAw ”Thanks. Twitter will use this to make your timeline better. UndoUndo
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