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by throwaway287391 2802 days ago
> Apparently one of his tests for vet interns is to tell them "This bird is sick. Figure it out". Then he gives them a perfectly healthy bird. Their bias always makes them find something.

Seems like the "bias" in that case is likely due to an authority figure intentionally misleading them in the context of a "test", where one naturally assumes they're not being deceived by the very premise of said test? If an actual bird owner came in as a client and said the same (or if the test explicitly told them to assume this is the situation), the interns might very well still realize the client is wrong.

2 comments

I think the lesson he’s teaching is that examination should be hollistic, not just focus on specific tests. Different tests are appropriate in different situations and they often give conflicting results.

I’m no vet but if you have to dig hard for signs of illness, the patient likely isn’t sick. Our bird had increased uric acid. Could be anything. It was a little high.

If he was actua sick we wouldn’t be guessing whether the number is high. It’s be 10x. Waaay out of bounds. A clear signal.

It’s like in product design. Your conversion rate inproved 0.05% after you ran an experiment for 2 days. Is that a signal or noise? Eh probably just noise. Observe longer.

The problem with comfortably saying the client is wrong is tht they’re the authority figure. They have years of data, you have 30 minutes with the patient.

And yes I have had vets casually chat with me for 2 hours when they did spot something suspicious in the bird’s behavior and wanted to observe longer to see if it’s a pattern.

I'm not a vet, but if I were and someone said "This bird is sick." I hope the first question I'd ask is "Why do you think so?" Not to doubt the person but to figure out what the presenting symptoms were.
It is not abstract general someone. It is very concretely more experience professional and teacher whose judgement you trust more then your own. And no, if you dont go much out of way to be approachable or have reason to be afraid of him, no matter how small, they will not ask more. Because most interns know they are beginners and don't know yet.