Like Teachers, Doctors in California Afraid to Be Graded

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and like teachers, physicians' performance quality has a large component which is outside of their control (patient behavior).

If my performance was adversly impacted by diabetics who insist on eating sweets ect, I wouldn't want it publicly published as "my performance" either.
 
Of course, this wouldn't be a problem for either groups if we could refuse service to people who didn't want to carry their load.
 
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