Hi all, does anyone here ever feel like they are working a little too much off of experience and not doing blood panels fast enough etc? I'm very hesitant to suggest treatments that aren't needed, and I'm not irresponsible, but I sometimes wonder if I should question my reliance on my experience a little more.

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I don't think it's anything wrong with being sure about what's best for the patient. You can go off of experience but it's always good to ask colleagues if you're feeling unsure about something

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I think the best way to approach this is to be mindful of your own biases and limitations. Just because you've seen something a hundred times before doesn't mean that it's not worth checking out again. And just because you're hesitant to order a test doesn't mean that you're being irresponsible.

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How much experience do you have? And are you currently working with those or illness rule/out with whom/that you have the most (or the least) experience? Physicians have much more experience at the start and for many years than NP's and PA's, the latter of which therefore have to order more tests and get more consults than physicians. Relying on experience is good and reasonable but as you know medical conditions can show up without all or without many of the classic signs ("the pt didn't read the book" as they say) so being liberal early on about some tests like thyroid, etc is reasonable. Experienced MD's do wait on even benign radiographs (barring an emergency) due to false positives but will do them later if the pt does not get better as expected. It's also about risk vs benefit and how fast is the diagnosis needed. That you ask yourself and others this question about experience tells me your trust in your experience is likely well placed!

I think if you are utd with the latest clinical guidelines and if the decisions you are making based on experience fall within the guidelines you’re good.

I think that too many physicians are working off of experience and not science. A lot of physicians are making money that way, but patients are left misdiagnosed, improperly treated, with more questions, and, sometimes, further suffering.

It is up to each and every physician to use their degree and to raise the standard and quality of medical practice.

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