I keep wondering if there are diagnoses that are statistically impossible to make (at least pre-autopsy) -- they are so rare (very low prior probability) and the constellation of symptoms are so non-specific (crap likelihood ratio), that atypical presentation of a more common diagnosis should always be more likely
(Really interesting presentation on acute pheo in #HopkinsPCCM Grand Rounds today by Diana Bouhassira)
Fantastically excited about this new group of fellows incoming for summer 2023
May 2020 from #AlisonTurnbull #HopkinsPCCM so I know why I missed it, but...
"Physician Self-assessment of #SharedDecisionMaking in Simulated Intensive Care Unit Family Meetings"
"33 participants (43%) reported that they offered care focused on comfort, but blinded colleagues rated only 1 (4%) as explaining this option in a clear manner"
In this study, guidelines for shared decision-making and end of life care were interpreted by intensivists in disparate ways. In the absence of training or personalized feedback, self-assessment of communication skills may not be interpreted consistently.
Jack Iwashyna 🫁