The AAFP Goes Way Out On a Limb For This One

Everyone thought the AAFP didn’t have any guts.  They thought there were a sellout.  They said the AAFP never takes a stand.  Well, the AAFP has had enough and came out swinging.  They are tired of being the poster child for supporting every bureaucratic mistake that has destroyed the lives of their members.  This time they mean business.  What business?  Oh, shame on you.  You haven’t heard?  The AAFP backs efforts to ensure an accurate diagnosis.  Wow. For a while there was information that they were backing inaccurate diagnoses but alas, in a last-minute, 11th-hour meeting they did an about face and said collectively, “Well, f%ck it, we’re tired, let’s just go with the accurate diagnoses” and the rest is history.

Okay, I obviously made that up….or did I?  The following is another interpretation of the events.  Which is more ridiculous?

Obstacles to Diagnostic Accuracy

Members of the Coalition to Improve Diagnosis have collaborated for months to identify initial obstacles they think impede diagnostic accuracy, such as:

  • Incomplete communication during care transitions — When patients are transferred between facilities, physicians or departments, there is potential for important information to slip through the cracks.
  • Lack of measures and feedback — Unlike many other patient safety issues, there are no standardized measures through which hospitals, health systems or physicians can understand their performance in the diagnostic process to guide improvement efforts or to report diagnostic errors. Providers rarely get feedback if a diagnosis was incorrect or changed.
  • Limited support to help with clinical reasoning — With hundreds of potential explanations for any one symptom, clinicians need timely, efficient access to tools and resources to assist in making diagnoses.
  • Limited time — Patients and their caregivers overwhelmingly report feeling rushed by limited appointment times, which poses real risks to gathering a complete history that is essential to formulating a working diagnosis; such time constraints also allow scant opportunity to thoroughly discuss any further steps in the diagnostic process and set appropriate expectations.
  • The diagnostic process is complicated — There is only limited information available to patients about which questions to ask, who to notify when changes in their condition occur or what constitutes serious symptoms. It’s also unclear who is responsible for closing the loop on test results and referrals and how to communicate follow-up.
  • Lack of funding for research — The impact of inaccurate or delayed diagnoses on health care costs and patient harm has not been clearly articulated, and only a limited amount of published evidence exists to aid in identifying what improves the diagnostic process.

They collaborated for months?  To get these recommendations?  They must know this is just a circle jerk that no one will do anything about, right?  Nah, I will go with my interpretation.

Get our FREE action packed newsletter by signing up here. We don’t give your email out and we don’t spam you.)

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  8 comments for “The AAFP Goes Way Out On a Limb For This One

  1. Kurt
    September 19, 2018 at 2:35 pm

    The only way that group will change is if all the members walk away and don’t renew.

  2. ben
    September 19, 2018 at 9:50 am

    Great. Now we can only hope they will follow through and add measures and feedback to our diagnoses. I’ll guess this will becoming very soon. I just wonder how many days I will have to dedicate to that process.

  3. Martha O'Reilly
    September 19, 2018 at 2:20 am

    Are these assholes fucking retarded?
    No apologies for the bad language 8 am that goddamned frustrated.

    • Pat
      September 19, 2018 at 10:57 am

      Yes, yes they are.

  4. bbneo
    September 18, 2018 at 10:42 am

    Another way to try to push the responsibility of poor record interoperability onto docs.

  5. PW
    September 18, 2018 at 9:37 am

    Most large institutions now run on the concept of TAT (turn around time). The idea is to get the patients in and out as fast as possible, and at the same time give the illusion that they have gotten good care. As any practicing physician can tell you, speed and accuracy do not mix. This type of approach also leads to excess diagnostic testing and inappropriate prescription writing. As long as we try to tie speed and accuracy together, things will continue to slip through the cracks.

  6. RSW
    September 18, 2018 at 7:55 am

    “the poster child for supporting every bureaucratic mistake that has destroyed the lives of their members.”

    Great line! Let’s hope Munger et al read it.

  7. Mario
    September 18, 2018 at 6:34 am

    Well at least they didn’t offend anyone. Good providers! Now sit!

Comments are closed.