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Mark W Ketterer's avatar

As a graybeard who has grappled with the propensity of healthcare to perpetuate error (see Cochrane's Brake: Randomized Controlled Trials and the Doctor's Pen), it seems to me that the errors mentioned are most common among young investigators who have not seen enough of the recurring patterns to include such critiques in their discussion of their own results. For me, it took into my 40s, after years of immersion in my primary research topic, to be begin to ask the hard questions, and maybe another 10 years to accept that the propensity to error is nearly universal in healthcare. Perhaps we need to start earlier in our education/training to open the eyes of our students. I remember being astonished by a young Vinay Prasad's recognition of "reversals" as historical evidence of error eventually unmasked. I hold high hopes for his return to the battlefield.

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The Layperson's Layperson's avatar

"There’s very little we can do to detect p-hacking, base rate neglect, and publication bias...."

I found a pretty clear cut case of publication bias earlier this year. I brought it up with some doctors and researchers on substack and a certain medical science forum that I won't name here. No one cared. Doctors are very willing to be led by the nose and just cite something in JAMA uncritically and are more prone to motivated reasoning than any group of people I've ever met. The researchers themselves are certainly aware of all the shenanigans. Let's not pretend any of this is unintentional.

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