Alright sir, it seems like we have very different interpretations of what VP is saying. You keep talking about making clinical decisions today for the patient who comes into your office/ward this afternoon. I think we can all agree (you, me, VP, JM, etc.) that for that patient, the job of the physician is to make the best decisions you c…
Alright sir, it seems like we have very different interpretations of what VP is saying. You keep talking about making clinical decisions today for the patient who comes into your office/ward this afternoon. I think we can all agree (you, me, VP, JM, etc.) that for that patient, the job of the physician is to make the best decisions you can with the available evidence. When the evidence does not give clear guidance, then we must use our best clinical judgment to decide what to do, knowing that maybe another clinician might do something different. That is just a fact of life as a physician.
My understanding of what VP is saying on this podcast is that the lack of good evidence for what to do in common clinical scenarios reflects a problem with the culture of medicine, which does not value evidence generation as much as VP thinks it ought to be valued. I'm in full agreement with that. No one is denying that uncertainty is inevitable for physicians. VP is saying that it's a deep problem in medicine that we (at an institutional and system-wide level) don't make REDUCING that uncertainty a higher priority.
Alright sir, it seems like we have very different interpretations of what VP is saying. You keep talking about making clinical decisions today for the patient who comes into your office/ward this afternoon. I think we can all agree (you, me, VP, JM, etc.) that for that patient, the job of the physician is to make the best decisions you can with the available evidence. When the evidence does not give clear guidance, then we must use our best clinical judgment to decide what to do, knowing that maybe another clinician might do something different. That is just a fact of life as a physician.
My understanding of what VP is saying on this podcast is that the lack of good evidence for what to do in common clinical scenarios reflects a problem with the culture of medicine, which does not value evidence generation as much as VP thinks it ought to be valued. I'm in full agreement with that. No one is denying that uncertainty is inevitable for physicians. VP is saying that it's a deep problem in medicine that we (at an institutional and system-wide level) don't make REDUCING that uncertainty a higher priority.