It’s all through documentation, and can be easily manipulated:
You can see how statistics lie. Doc B may be an “inferior” doc, but knows how to play the system. Doc A maybe a doctor’s doctor but won’t play the documentation game, just practices good solid medicine. His published actual vs expected mortality data will pop up as an outlier for a doctor to avoid, when in fact, he could be the one that you need to save your life.
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