Tag: Intuition
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Thriving in the face of uncertainty
Sally MatherChris MillardIan SabroeSheffield, England The experience of uncertainty has appeared as a frequent narrative in articles, autobiographies, and memoirs written by doctors over the last century. A persistent belief that better training, tests, evidence, and pathways will reduce uncertainty has not been borne out in the experience of contemporary clinicians. Beliefs about uncertainty in…
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A wider science
Ahmad ShakeriHowsikan KugathasanToronto, Ontario, Canada Working at a Toronto harm reduction clinic helped reconcile my different points of view on drug addiction. In the classroom, I was a progressive-minded graduate student willing to apply research to improve health outcomes for people who use drugs. But on the street and the subway, my personal policy was…
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When good doctors have bad outcomes: improving clinical practice in a results-oriented environment
Lloyd KleinChicago, Illinois, United States Making good judgments that are patient-centered and evidence-based seem straightforward when evaluated from the executive perch, but the practitioner in the trenches knows that despite an extensive knowledge base and vast experience the myriad decisions, large and small, which constitute daily practice pose abundant opportunities for error and misjudgment. As…
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The two hemispheres of medicine
Jeffrey LevineNew York, New York, United States I stared at the blank surface of my drawing pad, confused and frozen in fear. It was slightly larger than a sheet of typing paper but looked like it spread from horizon to horizon. The naked model sat leisurely, unashamed, her eyes fixed on a distant, imaginary cloud…