We had our first OFF site Division retreat last week!

Incredible energy, connection & culture building

Plus iconic SF views & food :)

UCSF DHM based at ZSFG is becoming the best academic Division of Hospital Medicine in the country

And not just for a safety-net

We're hiring btw

Copied from my Twitter thread:

NOW WHAT?

removing restrictions would improve access w/o step therapy (which makes no sense here) or prior auth

But $$$ is a real concern

Here is our pitch why may be less of an issue in Medicaid

AND

Restricting DPP4i instead of GLP/SGLT can offset some costs

Text in pictures

Link here
papers.ssrn.com/sol3/papers....

This matters because different skills translates to different probabilities for the same patient

A key take home is that Doctors are unique diagnosticians

There is NO single 'doctor' with fixed abilities

What this means is that doctors can be the "master of their ROC" and strive for diagnostic excellence in both ruling in AND ruling out badness

I've been thinking more and more about evidence-based diagnosis

Penned this piece with Gurpreet & Oanh on the SSRN preprint server titled:

Striving for Diagnostic Excellence: "The Median Is Not the Message"

Tell me what you think