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Re "Doctors' Bad Habits" (Sunday Review, Oct. 6):
Danielle Ofri notes that doctors, like their patients, are creatures of habit who often ignore good advice when it conflicts with what they've always done. But when doctors ignore the good advice of medical evidence, it reflects how they have been trained and how they practice.
Forward-thinking medical leaders recognize that doctors' reluctance to change professional habits should not be accepted as just another human foible. Reforming medical education so that it trains doctors to integrate evidence in their patient care is one important step.
Reforming the health care delivery system so that it supports doctors to be more effective when counseling behavior change in their patients is another.
While humans are creatures of habit, we should expect professional training and support from the health care system to make doctors superhuman when it comes to accepting and promoting good advice for improving health.
DANIEL DOHAN
San Francisco, Oct. 6, 2013
The writer is a professor of health policy and social medicine at the University of California, San Francisco.
To the Editor:
Shouldn't the first remedial action by the doctor be to spend two minutes reviewing the patient's record and preparing for the visit?
This would save time in multiple visits with one patient and might well save the patient's life. And it just might also be good medical practice.
BARBARA FRIEDMAN
Cambridge, Mass., Oct. 6, 2013
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