It's not just the second-guessing. It's the getting in the ballpark but striking out: explaining in detail why they are not correct. A little bit of patient knowledge requires a tremendous amount of doctor time to explain away the ignorance.
It's a 180 for me: While I believe doctors should explain diagnosis or treatment decisions when asked, I don't believe they should be taxed with explaining away alternatives. In my anecdotal 2nd- and 3rd-hand experience, doing that is taking at least a third of their time (on roughly 5% of the patients who think demanding answers will make things better) -- with zero improvement to diagnostic accuracy or treatment effectiveness. Doctors already consult with other doctors, and it makes no sense for them to have to consult with ignorant patients or treat their AI psychosis on top of their disease. It doesn't increase patient autonomy any more than adding a steering wheel for child car seats would help toddlers learn to drive.
Explaining diagnosis and treatment recommendations decisions inherently involves explaining away the alternatives. In this world where patients are ultimately responsible for our own care, explaining your rationale is a straightforward part of the job - otherwise there is nothing for patients to base their decisions on apart from how the options make them feel. If visits haven't been allotted enough time to get the job done, then that is something you need to take up with health plan bureaucrats rather than taking it out on patients.
It's a 180 for me: While I believe doctors should explain diagnosis or treatment decisions when asked, I don't believe they should be taxed with explaining away alternatives. In my anecdotal 2nd- and 3rd-hand experience, doing that is taking at least a third of their time (on roughly 5% of the patients who think demanding answers will make things better) -- with zero improvement to diagnostic accuracy or treatment effectiveness. Doctors already consult with other doctors, and it makes no sense for them to have to consult with ignorant patients or treat their AI psychosis on top of their disease. It doesn't increase patient autonomy any more than adding a steering wheel for child car seats would help toddlers learn to drive.