Alexa Miller
speaker
294 appearances
3 recordings
1 series
first heard Apr 2025
last heard Jun 2025
Alexa Miller’s voice in public audio — every appearance, attributed to the second.
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Appearances
So I guess in discussions of
like different kinds of uncertainty.
I always return back to Paul Hahn's model, which I love because it starts with inviting you to think about where the uncertainty comes from.
Where's its source?
And
That model presents these really helpful different zones of clinical practice where uncertainty arises in probability and ambiguity and uncomplexity.
But what that model doesn't account for are some of the manufactured aspects, some of the things that are more a function of the world in which we live and work.
you know, forces outside of medicine but with which medicine is totally interdependent can add to
The uncertainty that a patient is feeling and completely
Magnify
the agony that they're in unnecessarily.
So there's this concept in medical ethics called the naturalistic fallacy, which is sort of like the assumption that things are the way they are because that's how they are.
And a lot of things are the way they are.
Not because of patient
centric or care centric reasons, but because of other influences like industry.
And so it's really important to recognize that and for
Everybody, especially nurses, doctors, people in closest contact with the needs of the patients.
to be able to say like something's weird, something's off.
It takes a really brave
courageous medical student, and it doesn't always happen right away, who's gonna just go, hang on a minute, something's weird.
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