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Correspondence
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Volume 339:636-638 August 27, 1998 Number 9
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Should We Accept Mediocrity?

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 by Manian, F. A.
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 by Gascon, G. G.
To the Editor: I find it interesting that all of Manian's DEFs (deficiencies, errors, and frustrations) were due to problems with hospital staff and payers (April 19 issue)1; none dealt with the multiple problems physicians create daily. I have compiled a list of PDEFs (physicians' deficiencies, errors, and frustrations) — the times when a physician's decision results in an adverse outcome for a patient, unnecessary cost, or both.

PDEF 1

I am a family physician, and I refer a patient to an infectious-disease doctor for vaccines required for overseas travel. The infectious-disease doctor finds the patient has dyspepsia in . . . [Full Text of this Article]

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