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About the Site:

This is the blog for the book Medical Decision Making: A Physician's Guide, by Alan Schwartz and George Bergus (Cambridge University Press, 2008). The book is now available from Cambridge University Press

About the Authors:

Alan Schwartz, Ph.D. is an Associate Professor of Medical Education and Pediatrics at the University of Illinois at Chicago College of Medicine, where he teaches and conducts research on physician and patient decision making.

George Bergus, M.D., M.A. is the Dr. William and Sondra Myers Family Professor of Family Medicine at the University of Iowa Carver College of Medicine, and Co-Director of the Family Practice/Psychiatry Residency program. He holds a Certificate of Additional Qualification in Geriatrics.

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Expectation and preparation

January 11th, 2007 by Alan Schwartz

The key rule for evaluating options that include outcomes that are uncertain is the expectation principle: the value of being exposed to the possibility of an outcome is determined by the value of the outcome and the frequency with which it would be experienced if you were exposed to the possibility repeatedly. For example, facing an one-in-twelve chance of losing a year of life expectancy should be evaluated as facing a certain loss of one month (1/12th of a year) of life expectancy. The expected value of such an option is loss of a month of life.

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