Wed Wrap-Up for 9/4/14

1. There was a huge gender gap in medical school until 2005

2. Now we have a gender gap in academic leadership positions

3. There is a pay gap between new physicians and it’s getting worse…

4. Studies show women are more likely to be indirectly aggressive to other women. Madeline Albright “there is a special place in hell for women who don’t help other women”

5. 52% of female faculty report experiencing sexual harassment versus 5% in males. Environments with strict policies against sexual harassment have lower rates of sexual harassment.

6. Women have come a long way in medicine, but important differences still exist…and this is wrong!

1. Clinical context is key bayesian analysis

2.All tests have false results and carry  risks

3. Patients with probabilities of disease below the test threshold or above the treatment threshold do not require further diagnostic tests

Check out Dr. Z’s paper here

References

Downey, A. Think Bayes Bayesian Statistics Made Simple, Green Tea Press Needham, 2012, Massachusetts,9 Washburn Ave Needham MA 02492

Fagan TJ. Nomogram for Bayes’s theorem N Engl J Med Jul 31, 1975; 293(5):257

Akobeng, A. Understanding diagnostic tests 2: likelihood ratios, pre- and post-test probabilities and their use in clinical practice. 2006. ActaPædiatrica ISSN 0803–5253

PaukerSG, Kassirer JP. The threshold approach to clinical decision making. N Engl J Med. 1980; 302: 1109–17.

Zehtabchi,  S. and Kline, J. The Art and Science of Probabilistic Decision- making in Emergency Medicine ACAD EMERG MED  May 2010, Vol. 17, No. 5

Kline, J et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria, Journal of Thrombosis and Haemostasis, 6: 772–780

The Christopher Study Group Investigators. Effectiveness of Managing Suspected Pulmonary Embolism Using an Algorithm Combining Clinical Probability, D-Dimer Testing, and Computed Tomography, JAMA, January 11, 2006—Vol 295, No. 2