Re:Who decides, the Specialist and Expert, or the GP?
KG Taylor clearly hasn't read - or perhaps hasn't understood - what
Spence has written.
Is Spence not saying precisely that argument from authority should be
questioned, and argument from evidence favoured? And that the GP is
different from gynaecology: the prior probability of serious pathology is
much lower; and the positive predictive value of the presenting symptoms
are so low as to render invasive examination inappropriate?
Taylor has not addressed these points, and has simply restated the
argument from authority put by earlier correspondents.
Rapid Response:
Re:Who decides, the Specialist and Expert, or the GP?
KG Taylor clearly hasn't read - or perhaps hasn't understood - what
Spence has written.
Is Spence not saying precisely that argument from authority should be
questioned, and argument from evidence favoured? And that the GP is
different from gynaecology: the prior probability of serious pathology is
much lower; and the positive predictive value of the presenting symptoms
are so low as to render invasive examination inappropriate?
Taylor has not addressed these points, and has simply restated the
argument from authority put by earlier correspondents.
Competing interests: No competing interests