New paper out in @JAMANetworkOpen @vkprasadlab
A SCOPING review of oncology meta-analyses
Of 21 studies w author funding from pharma, 17 (81.0%) were +
Of the 63 studies that did not have author or study funding from industry, 30 (47.6%) were +
🧵
You really have to be naive to think that people are going to wear this consistently enough to prevent long-term particulate inhalation.
Please try to study that so I watch your power calculation reveal your ignorance.
Many people not good at thinking about this. Pass out the masks in some locations and not others, and then randomly sample people and measure blood metabolites or whatever you want. You'll find no difference. The policy of the free masks will have no benefit. Just waste money
Here's what's under appreciated about Chat GPT paper🧵
PCP panel can be 2 to 5k
Doc in clinic 40 hours++ already
Doc not good at typing
Chat GPT can reply instantly
Chat GPT never fatigues
Can keep replying
Can reply day&night
Can read chart
Can type pleasantries, doc too busy 4
PCP may remember thousand people off the top of their head, but not 5k.
PCP's nearing total burnout
PCP is not paid for messaging
No one wants to be PCP already
Chat GPT is the first good news PCP has heard in a long time
Current system in busy practices is to have nurse take
First crack at replying
Soon it will be chat GPT, then nurse, then doc
I don't think Chat GPT will replace doctors
But doctors are drowning
Email and text messages particularly burdensome in ways verbal conversation is not
Most physicians and trainees consent to their own exploitation. The greatest exploitation is of time. Training is way longer than necessary. Medical school could be 2 years shorter, residency a year shorter, and even fellowship prolonged to keep big call pool. Junior faculty...
... are also mistreated with low pay. And no real potential for advancement. Entire system self-perpetuates by preventing trainees from seeing private practice opportunities as @jeff_sharman notes. To top it all off, system tries to add more years. Recently...
... I saw someone claim you need to do a heart failure year after internal medicine to be a heart failure hospitalist. You mean to tell me after 7 years of training, you still can't see the most common condition? 🤣 ..