Procedural medicine is built on the premise that skills can be seen, measured, and compared. Physicians who perform procedures are trained, above all, to intervene, and their success is often defined by dexterity, decisiveness, and outcomes. It is therefore natural that patients would want to choose their doctors based on published results of technical success. Yet, somewhat paradoxically, only a handful of specialties provide robust, publicly accessible, risk-adjusted outcomes that allow meaningful comparisons across institutions, and even fewer at the level of individual physicians.

In Interventional Pulmonology, where technological advances have expanded the ability to diagnose and treat complex airway diseases, this gap remains particularly evident. Patients who require these often life-altering or life-saving procedures are left without clear guidance on how to choose their physicians. The question they most want answered; Who is the best doctor for me? is one that medicine, despite its commitment to evidence and measurements, is not yet equipped to fully address.

👉 Read the full essay on Substack: The Question Patients Cannot Answer

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