EP196: Rethinking Medical Care: Dr. H Gilbert Welch on Overdiagnosis

Questioning Overdiagnosis: A Conversation with Dr. H Gilbert Welch

In this episode of The Girl Doc Survival Guide, Christine speaks with Dr. H Gilbert Welch, a general internist and senior researcher at the Center for Surgery in Public Health at Brigham and Women's Hospital. Dr. Welch is known for his critical views on the medical profession, particularly around the issue of overdiagnosis in cancer screening. He explains the concept of overdiagnosis, shares a compelling personal anecdote from his career, and discusses the complexities and consequences of early cancer detection. They also explore the differing patient perspectives on diagnosis and treatment, emphasizing the importance of balanced understanding between medical professionals and patients. The conversation sheds light on the unintended impacts of too much medical care and advocates for a more thoughtful approach to screening and diagnosis.

00:00 Introduction to Dr. H Gilbert Welch

01:31 Understanding Overdiagnosis

03:24 A Personal Anecdote on Overdiagnosis

07:48 The Complexity of Overdiagnosis

11:09 Challenges in Medical Screening

20:24 Final Thoughts and Reflections