Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
In Reply: While I am not a pilot, I am reasonably
sure that the likelihood of crashing, as described by Dr Waggoner, is decreased
by having a navigator alongside a pilot in the cockpit. The physician, even
if a navigator, is still an intimate member of the team. The communication
about harm and benefit is improved by the duality. The point of the metaphor
was that a physician piloting alone is not the best model of decision making;
on this Waggoner and I agree.
McNutt RA. Shared Medical Decision Making—Reply. JAMA. 2005;293(9):1058-1059. doi:10.1001/jama.293.9.1059-a