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Evidence, guidelines, and the judgment calls that never make it into the guideline.

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Why Low-Value Testing Outlasts Every Campaign Against It

Physicians generally know which tests rarely help. They order them anyway, for reasons that have more to do with defaults, habits, and fear than with knowledge.

By Dr. Maya Okafor, MDSept. 16, 2026

How to Make Shared Decision Making More Than a Checkbox

Shared decision making is often documented and rarely practiced. A simple structure helps physicians offer real choices without turning every visit into a seminar.

By Dr. James Whitfield, MDSept. 14, 2026

Reading a Guideline Like a Clinician, Not a Compliance Officer

Clinical practice guidelines are indispensable and imperfect. Knowing how to weigh their strength, scope, and fit for the patient in front of you is a core clinical skill.

By Dr. James Whitfield, MDSept. 11, 2026

What to Do With the Incidental Finding Nobody Was Looking For

Imaging reveals more than anyone asked for. How physicians communicate, track, and decide on incidental findings shapes patient anxiety, safety, and the downstream cost of care.

By Dr. Maya Okafor, MDSept. 9, 2026

The Art of Telling a Patient You Are Not Sure Yet

Many visits end without a firm diagnosis. Communicating uncertainty honestly, and giving patients clear return instructions, is one of the most protective things a physician can do.

By Dr. Daniel Reyes, DOSept. 7, 2026

How to Talk About Risk in Numbers Patients Can Actually Use

Relative risk, percentages, and vague adjectives leave patients guessing. A few simple habits turn probability into something a patient can weigh against their own life.

By Dr. Maya Okafor, MDSept. 4, 2026

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