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Old 11-07-2007, 08:46 PM   #4
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Join Date: Feb 2004
Location: Oahu
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Quote:
Originally Posted by Rich_in_Tampa View Post
I have a younger colleague who has what seems to be a photographic memory. She can (and often does) spout trivial facts about almost any disease known.
Yet when you watch her patient management style, she shotguns (orders way too many tests, flailing around so she doesn't miss even the most unlikely diagnoses), treats impulsively, relentlessly pursues probably spurious unexpected abnormalities, and rarely solicits or incorporates the patient's values or decision-sharing needs.
My costs and lengths of stay (according to a survey by a large HMO some time ago) are 30% less than the mean and my outcomes are the same or better.
My medical "knowledge" is likely much lower than the young'ns' (though I am skilled at finding and interpreting evidence), but my decision skills are more evolved.
Which skills are rewarded by the medical-school instructors?

Which skills is she getting paid a bonus to evolve?
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