Doctors resurface their 2000 NYT piece on the demise of reflective doctoring — it has aged very well
zakkohane · x · 2026-10-19
Physician David Shaywitz rediscovered the 2000 NYT "Cases" column he co-wrote with Denny Ausiello on the decline of reflective doctoring, noting it has "aged very, very well."
The piece argued that fiscal strain on teaching hospitals was crushing an environment needed to train physicians who question dogma and create new standards of care, stressing that medicine requires "clinical champions" — not just efficient application of received wisdom. In the AI era, it reads as an early warning about the erosion of physicians' creative, questioning role.
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