Comment by parpfish

Comment by parpfish 2 days ago

in situations like that, i like to think about Berkson's paradox [0].

In the overall population, bedside manner and medical aptitude are likely uncorrelated. But the individuals that fall into the quadrant of bad bedside manner AND low medical aptitude will be filtered out of the profession. That means that in the remaining population, you have an externally-induced negative correlation between bedside manner and medical aptitude.

So if you find a doctor with bad bedside manner, they're likely to have better medical aptitude otherwise they would've been filtered out.

[0] https://en.wikipedia.org/wiki/Berkson%27s_paradox

least 2 days ago

There are plenty of professions where it makes sense someone unpleasant still has a job because they're actually hyper competent (like software development) but why would physicians be filtered out of the profession for poor bedside manner? In what part of the world is there a surplus of supply of doctors that would allow for that?

Reply View 2 replies

xigency 2 days ago

I think you missed a bit of nuance. Psychologically, people are more likely to pursue a malpractice case against an incompetent physician who has poor bedside manner rather than an incompetent physician who has excellent bedside manner. So that specific quadrant would be penalized the most.

Reply View | 1 reply
- parpfish 2 days ago
  
  or doctors with bad bedside manner could move into non-patient-facing roles like research or pathology
  
  Reply View | 0 replies

Earw0rm 2 days ago

"In the overall population, bedside manner and medical aptitude are likely uncorrelated."

I'd [citation needed] on that, depending on the condition.

In that for some conditions, successful diagnosis and treatment across a wide range of the population (not just the most educated, articulate, mentally with-it and compliant quartile) is going to depend on being able to get qualitative information from the patient, and interpret that correctly.

Equally though the medical profession has enough specialisation in terms of role to be able to put the right personality types in the right jobs.

Reply View 1 reply

parpfish 2 days ago

citation: i made it up based on my intuition because this is a thought experiment to illustrate a paradox.
also "bedside manner" is not just about conveying information. that would be a big part of successful treatment.
if you ask people about bedside manner is all going to be about personality and emotional sensitivity (where they gruff? did they make you feel bad? etc). somebody can be amazing at conveying accurate information but come across as a complete asshole, and those are the 'bad bedside manner' docs.

Reply View | 0 replies

ConspiracyFact 2 days ago

TIL that there's a name for it. I always just sort of intuited this phenomenon.

Reply View 0 replies