Author Affiliations: Department of Medicine, University of California, San Francisco, and San Francisco Veterans Affairs Medical Center.
Primary care physicians have long expressed dismay at the increasing number of tasks to accomplish for patients in apparently shorter periods. Because it can feel more efficient to order tests, starting with minimally invasive procedures but inevitably escalating to more invasive ones that incur increasing levels of risk, it can be easy to jump to diagnostic conclusions without fully attending to the patient's history. Unfortunate results commonly ensue, as highlighted in a Perspective included in this issue of the Archives.1
Chou C. Nice Work If You Can Get ItComment on “Too Little? Too Much? Primary Care Physicians' Views on US Health Care”. Arch Intern Med. 2011;171(17):1585-1586. doi:10.1001/archinternmed.2011.438