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Archive for March 6th, 2013

Time for a little blatant self-promotion

I thought I’d take advantage of my prerogative as managing editor of this blog to do a quick bit of blatant self-promotion. I will be in the Washington, DC area later this week, and while I’m there to attend the Society of Surgical Oncology Annual Cancer Symposium, I’ll also be taking advantage to do a little side trip to give a talk for the National Capital Area Skeptics. The talk will take place at the National Science Foundation in Arlington, VA on Saturday, March 9, 2013 at 1 PM. So if you’re in the DC area and want to hear me pontificate about quackademic medicine (and, really, what reader of this blog wouldn’t want to?), mosey on over on Saturday. Full details can be found here.

Posted in: Announcements, Medical Academia

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Clinical Decision Making: Part I

I practice in a university clinic which functions partly as a tertiary referral center, which means we get referrals from other specialists. I also get many referrals for second opinions. Sometimes the entire cause for the patient’s desire for a second opinion, it seems to me, is the simple fact that they did not understand the reasoning of the previous specialist. They were given a diagnosis and a course of treatment, but not an explanation of how their doctor arrived at those conclusions.

I am not being judgmental – different practices are under different pressures and time constraints, and it can be very difficult to gauge a patient’s understanding. Often the physician and the patient are proceeding based upon differing assumptions and narratives that are not expressly stated. The doctor may think they have explained the situation entirely, but simply did not confront misleading assumptions they were not aware their patient had.

This is part of the advantage of engaging the public about health issues and confronting pseudoscience, myths, and misconceptions – you develop a deep awareness of how the general public thinks about medicine.

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Posted in: Science and Medicine

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