Clinical Reasoning Quotes

There's a classic medical aphorism: 'Listen to the patient; they're telling you the diagnosis.' Actually, a lot of patients are just telling you a lot of rubbish, and you have to stop them and ask the pertinent questions. But, yes, in both drama and medicine, isolated facts can accumulate to create the narrative.

I think what medical training does is it gives you the language, the tools to look up facts. I think medical training gives you a sense of how to approach a problem, how to look at symptoms and go down the list of what it might be.

Doctors most commonly get mixed up between absence of evidence and evidence of abense

Were I disposed to consider the comparative merit of each of them [facts or theories in medical practice], I should derive most of the evils of medicine from supposed facts, and ascribe all the remedies which have been uniformly and extensively useful, to such theories as are true. Facts are combined and rendered useful only by means of theories, and the more disposed men are to reason, the more minute and extensive they become in their observations

Medicine is a science of uncertainty and an art of probability.

What I learned from my work as a physician is that even with the most complicated patients, the most complicated problems, you've got to look hard to find every piece of data and evidence that you can to improve your decision-making. Medicine has taught me to be very much evidence-based and data-driven in making decisions.

They don't like thinking in medical school. They memorize - that's all they want you to do. You must not think.

What you need to learn how to do is analyze situations and do differential diagnoses and understand the principle and the concepts rather than learn all the details, and medical school doesn't begin to do that.

Our great struggle in medicine these days is not just with ignorance and uncertainty. It's also with complexity: how much you have to make sure you have in your head and think about. There are a thousand ways things can go wrong.

I'm trying to become just more clinical in every situation, whether it's the final pass, the final shot, or whatever it is.

As a medical student in the 1970s, I was taught that the foundations of diagnosis and treatment were to take a detailed history and to perform a comprehensive clinical examination.

I think it's a very valuable thing for a doctor to learn how to do research, to learn how to approach research, something there isn't time to teach them in medical school. They don't really learn how to approach a problem, and yet diagnosis is a problem; and I think that year spent in research is extremely valuable to them.

Many medical students, like most American patients, confuse science and technology. They think that what it means to be a scientific doctor is to bring to bear the maximum amount of technology on any given patient. And this makes them dangerous.

It is incident to physicians, I am afraid, beyond all other men, to mistake subsequence for consequence.