Growing anger at ABMS and MOC

In talking with colleagues across specialties, the frustration with these processes comes through from every direction.

Do regulations predispose to diagnostic errors?

Our patients deserve our full diagnostic attention. Unfortunately, we see too many diagnostic misadventures.

Having now lost more than 30 pounds, I am very close to declaring victory (maybe a few more pounds over the next few months).

It might be more difficult, but it is so important that we must adjust and give our patients the best trained physicians.

Most readers know that I have leadership responsibilities, both in my job and in my society work. Leadership comes with great responsibility.

Some issues deserve multiple opinions. Trying to shoehorn this complexity into a precise guideline leads to unintended consequences.

So what is the solution? We should delay labeling patients with diagnoses until we have enough information to assess a high probability.

The expectations are reasonable, but we must have a broad discussion of how we best train clinical excellence given these constraints.

We need a group of independent experts to provide such decisions and the rationale for those decisions. IPAB is a good idea.

As one reads the varying opinions in this debate, an understanding of the affect heuristic makes the debate transparent.