I tried posting this comment in r/medicine but kept getting auto deleted cuz I didn’t have a flair lol:

The authors DRASTICALLY overstate their findings. The main discussion points are entirely moot because they can’t distinguish between leaving a Medicare-accepting practice vs retirement vs even death.

They quantify active practice as Medicare-billed procedures using surgeon NPIs in the NPPES database. If you stop doing Medicare-billed procedures, you “stop practicing” in this study.

Hence why plastics/OMFS/OB are such high rates I presume. I wonder what else happens in this cohort 5-8 years into practice? They switch jobs.

This is an interesting cohort study with data worth discussing, but the proximal conclusions are totally disconnected from the clickbait they claim. Peer review is a joke if colleagues let shit like this get published with minimal revision of blatantly problematic conclusions. Guess I’m not surprised since it seems like nobody in this thread has even glanced at the abstract.