Why Doctors Think They're The Best

Link: https://slatestarcodex.com/2020/01/02/why-doctors-think-theyre-the-best/

Ninety percent of drivers think they’re above-average drivers, ninety percent of professors think they’re above-average professors etc. The relevant studies are paywalled, so I don’t know if I should trust them. Our recent discussion of therapy books would make more sense if ninety percent of therapists believed they were above-average therapists. I don’t know about that one either.

But I am pretty sure ninety percent of doctors believe they’re above-average doctors. Here are some traps I’ve noticed myself falling into that might help explain why:

1. Your patients’ last doctor was worse than you. Think about it; if somebody has a good doctor, they’ll stay with them, and you will never see that patient. If somebody has a bad doctor, they’ll go see another doctor instead. That other doctor might be you. So your current patients’ last doctor will be worse than average. But this is where most of your chance to compare yourself with other doctors comes from: “my patient’s last doctor misdiagnosed them, but I got it right” or “my patient hated their last doctor but says I’m much better”. See also You Are Not Hiring The Top 1%.