Guest Information
Austin Baraki, MD
Dr. Austin Baraki is an Internal Medicine Physician, based in San Antonio, Texas. He completed his doctorate in medicine at Eastern Virginia Medical School, and Internal Medicine Residency at the University of Texas Health Science Center in San Antonio. He also works as a strength coach and puts out information via Barbell Medicine.
In this episode we discuss:
- What do we want from a screening test? What criteria should it meet?
- Understanding test sensitivity, specificity and predictive value
- Harms of inappropriate screening or too much screening
- Overdiagnosis and overtreatment
- Lead time bias and length time bias
- Deliberate clinical inertia
- What tests are appropriate for screening healthy people?
Links & Resources
- Prevention TaskForce - recommendations from the USPSTF Preventive Services Database
- ePrognosis (from UCSF)
- Early Detection of Cancer - Harding Center for Risk Literacy
- Maxim et al., 2014 - Screening tests: a review with examples
- Hoffmann et al., 2017 - Clinicians’ Expectations of the Benefits and Harms of Treatments, Screening, and Tests
- Welch & Albersen, 2020 - Reconsidering Prostate Cancer Mortality — The Future of PSA Screening
- Andermann et al., 2008 - Revisiting Wilson and Jungner in the genomic age: a review of screening criteria over the past 40 years
- Rothberg, 2014 - A Piece of My Mind. The $50,000 Physical
- Broderson et al., 2018 - Overdiagnosis: what it is and what it isn’t
- Armstrong & Eborall, 2012 - The sociology of medical screening: past, present and future
- Gillespie, 2011 - The experience of risk as ‘measured vulnerability’: health screening and lay uses of numerical risk
- Hofmann et al., 2019 - Expanding Disease and Undermining the Ethos of Medicine
- Overdiagnosed: Making People Sick in the Pursuit of Health
- Barbell Medicine
- Instagram: @austin_barbellmedicine
- Twitter: @AustinBaraki
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